Blepharoplasty

Do some surgeons take fat and muscle from eyelids & move the eyelid crease very high? Is this an antiquated technique from the 1960's & 70's? For what reason should the eyelid scar be moved so high that 1 year later you have very hard scar tissue and visible scars that extend up toward your brow? (I was told that this is exactly where eyelid scars should be). I thought it should always be in the natural eyelid crease. I used eyepencil to show exactly where my eyelid incisions are.Please advise.

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scar tissue placement

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5 Doctor Answers | Asked by July4 in USA

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Eyelid crease location after upper eyelid blepharoplasty

When I sit down with a patient prior to their upper eyelid surgery, I discuss the normal position and placement of the eyelid crease and placement and position after surgery. In women, I have found that the normal eyelid crease is usually located about 11 mm above the upper eyelid eyelashes (about 1/2 inch). I verify this by having the patient hold a mirror and look with them. At the time of surgery, the surgeon should use what is called a caliper to measure the distance of the eyelid... more

Eyelid crease location with Upper Blepharoplasty

The upper eyelid crease location is generally established and visible is most eyelids, men and women. Some patients, especially from Asian countries such as South Korea or China, will not have a natural eyelid crease. A plastic surgeon will typically create or use an existing eyelid crease to help hide the blepharoplasty incision. The exact position varies, ranging from approximately 6mm to 10mm from the eyelid edge. The eyelid plastic surgeon can tailor the operation to the needs of each... more

Scar Placement in Blepharoplasty

Scar placement in blepharoplasty for the upper eyelid is typically either in the natural crease, called the supra-tarsal crease, or about 10 mm. from the eyelid margin in the center (about pupil level), which is then gently curved to follow the shape of the eyelid margin.. At times it may be necessary to have what appears to be a little excess upper eyelid skin after surgery because you need enough skin to be able to completely close your eyes. I don't think that most surgeons would extend... more

The height crease should be determined by the patient and surgeon together

Most patients want the crease to remain at the height it was before their eyelids aged, but sometimes a patient wants a high deep crease that they did not have before. Usually I sit down with the patient and a mirror and we determine what height crease they had before, and wherre we agree it should be after surgery. It is true that in the '60's and '70's a high deep upper eyelid crease was considered the standard of beauty, but in the past 20 years a lower crease and... more

Eyelid incisions

Unfortunately, the photos that you have posted are out of focus, except for the last photo [full face]. On that photo, it seems that you have multiple eyelid creases, which is not unusual as you age and have more redundant skin. As far as eyelid incisions go, most surgeons place the lower incision line at where the patients natural crease lies. In some patients this line may be higher and the surgeon might want to lower the crease or adjust it to the other lid for symmetry. Every patient... more