Eyelid Surgery: Q&A
Ask a QuestionBlepharoplasty of Upper Eyelids. Is fat and muscle removed or just skin?
Do most surgeons remove fat and muscle in the upper eye lids during blepharoplasty? Or is just the excess skin removed?
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34 Doctor Answers |
Asked by
July4
in USA
+2
Upper Eyelid Surgery with Skin, Muscle, and Fat Modification
Upper eyelid surgery to rejuvenate the eyes is tailored to suit the needs of each particular patient. Generally, excess skin is removed. Occasionally, excess fat is removed. Sometimes eyelid muscle is tightened too. Lastly, the specific tissue modification on one eye may be different in the other eye due to inherent asymmetry present in most patients. Eyelid plastic surgeons will explain what will occur during your procedure. Best of luck.
Dr. Chaboki
+3
Each eyelid surgery should be tailored to your unique needs.
Dear Cerro
Classically upper blepharoplasty involved removal of skin, muscle, and fat. However, it is the details that separate a beautiful upper blepharoplasty from a butchery. Generally surgeons go wrong with these surgeries by removing too much of everything. Skeletonizing an eyelid only makes the eye look like it had surgery. It does not make for a rejuvenated look. It is not enough to make someone look different. It is essential to make them look...
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Blepharoplasty of Upper Eyelids. Is fat and muscle removed or just skin?
In my practice, I find that fat removal is often necessary in older patients. In younger patients, typically skin alone needs to be removed. Obviously, the surgical steps are tailored to each individual patient.
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Upper Blepharoplasty
Hello,
Mostly skin is removed. Sometimes a small amount of fat, but rarely muscle. Thank you, and I hope this helps answer your question.
Dr. Nassif
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Upper blepharoplasty surgery involves removing excess skin, and sometimes muscle and fat.
Most of my patients that undergo upper blepharoplasty have excess skin and hooding of their upper eyelids. The goal of upper blepharoplasty is to rejuvenate the upper eyelids, recreate youthful eyelid creases, and maintain an unoperated appearance.
Unless thare is unsightly bulging of the "medial fat pads" near your nose, I rarely remove orbital fat during upper blepharoplasty. Removing orbital fat may increase your risk of complications, and may lead to orbital hollowing. The...
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Blepharoplasty Focuses On Rejuvenation Not Radical Excision
How an upper blepharoplasty is performed should be based on what the patient needs, not a standard operation for everyone. Blepharoplasty most certainly removes upper eyelid skin, the only variable is what is done with the fat. Is the fat removed, left completely alone, or transposed to a different location? That will depend on the patient's individual anatomy, aesthetic goals and their age. Today's blepharoplasty techniques are based on more preservation of natural eyelid...
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Upper Lid Blepharoplasty: What's Involved
Upper Eyelid Blepharoplasty is primarily a procedure performed to remove excess skin from the upper eyelid crease, like removing a pleat from a trouser leg. There are certain circumstances where I remove medial (inner) upper eyelid fat, but I I almost never remove central fat. Likewise, I never remove upper eyelid muscle. The reason for preserving central upper lid fat and muscle is to avoid a "hollowed out look", which is characteristic of a poorly performed...
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Blepharoplasty Technique
Good question. There is not a one-size-fits-all procedure for belpharoplasty. Your surgeon should customize the procedure for your particular anatomy. A combination of fat excision, replacement or repositioning and excess skin removal is usually performed. If you post pictures, we may be able to give you more specific advice.
Good luck.
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Fat and muscle very rarely removed in upper blepharoplasty.
Hi.
The range of different answers is surprising. We now realize that the appearance of the aging face is caused in good part by atrophy in the upper face. So fillers or fat injections need to be actually added at times to the upper eyelids. A young looking upper eyelid is quite full. We usually just remove a strip of skin, and leave the fullness.
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It depends!
In an upper eyelid blepharoplasty, skin is almost always removed. The muscle and fat may be thinned judiciously as necessary. It really depends on what your specific goals and concerns are, so try and be as specific as possible with your surgeon in describing what bothers you. A lot of it also depends on how you are made, for example, if you already have a very hollow eyelid, than fat excision would not necessarily be a good idea. However, if you had lots of fatty prolapse,...
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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