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BlephAroplasty for Inner Corner Hanging Skin?

asked 1 year ago by AndiP in Pennsylvania
Latest answer by Brooke R. Seckel, MD
Question viewed 346 times
Tags: corner

The inner corners of my eyes (where upper lid fold meets inner corner) are starting to have a sagging fold. When I pull up on my eyebrows this problem is fixed...however an eyebrow lift sounds much more radical than an upper bleph. So, will an upper bleph address these hanging folded corners on my inner eyes near my nose? Thanks

13 answers to BlephAroplasty for Inner Corner Hanging Skin?

Blepharoplasty for hanging skin at inner corner of eyes

An upper blepharoplasty will address hanging skin and puffiness on the inner corners of the upper lids. The puffiness is created by orbital fat that is protruded and herniated outward. Removal of the fat and a crescent shaped portion of the skin is removed in this area to remove excess skin during a blepharoplasty procedure.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Blepharoplasty (Eyelid Lift) VS. a Brow lift for Exccess Eyelid skin?

The APPEARANCE (vs. the reality) of "excess" upper lid skin may be due to: - a sagging of the brow - isolated excess upper lid skin OR -BOTH of the above. While an upper lid tuck (Upper Blepharoplasty) would nicely correct an insolated excess of upper lid skin, it would NOT fully correct either APPARENT upper lid skin excess caused by either pure brow sag or combined brow sag with skin excess. (Look in the mirror while pushing your brow lower gently). This is... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Upper Eyelid Surgery Options

Hi AndiP, Thank you for your question. A blepharoplasy, upper eyelid surgery, removes excess skin and fat from the top eyelid, but does not change the eyebrow. A brow lift lifts the eyebrow, primarily from the sides of the brow but may also improve the area closer to the nose. A brow lift may also help improve the appearance of the upper eyelid, without having eyelid surgery. Commonly, both an upper blepharoplasty and brow lift surgery are performed at the same time. Surgeons tailor the... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

www.potomacplasticsurgery.com

A blepharoplasty will make this worse.

A simple blepharoplasty removed the upper eyelid fold. Currently with the fold it is likely that you have a compensatory forehead elevation. When the skin is removed, the forehead relaxes and the brows fall. This will make the area that you are describing even more full. The answer is an endoscopic forehead lift with or without eyelid surgery performed at the same time.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Sagging inner eye skin

The fullness along the inner section of the upper eyelid can be the result of herniated fat in the medial fat compartment, excess upper eyelid skin or a relatively low position of the head of the eyebrow. Raising the eybrow will always reduce the amount of visible skin of the upper eyelid but this doesn't mean the brow is low. Without an examination or picture of your eyebrows and eyes, there's no way to tell the actual cause.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Blepharoplasty vs brow lift

It may be as simples as an upper eyelid lift procedure. On the other hand a formal exam may show otherwise and a brow lift may be better depending upon its position.

Steven Wallach, MD
Manhattan Plastic Surgeon

Blepharoplasty vs Browlift

Frequently an upper Blepharoplasty will correct this problem. However, if elevating the brow corrects it completely, that may be the best option. Very frequently upper eyelid problems are caused by descent of the brow. If this is the case, then addressing only the lid and not the brow will cause the problem to recur relatively quickly. Besides, of the two procedures, the Blepharoplasty is the most involved and the one with the more difficult recovery.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Blepharoplasty vs. forehead lift for sagging upper lids.

You will get some improvement from an upper lid blepharoplasty, but not as good a result as a forehead lift. You "kill 2 birds with one stone" with the forehead lift. If the lids are in good position then you only need the upper lid blepharoplasty.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Upper eyelid surgery

Dear AndiP, You should see a qualified plastic surgeon (or 2) for an opinion. This could represent sagging skin or bulging fat or both. It's tough to tell unless you see someone who can examine you. Nonetheless an upper blepharoplasty is a safe and relatively easy procedure (in the spectrum of plastic surgery) with great results and satisfied patients. Best, Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon

Blepharoplasty Limitations

The problem you describe is a very common one. The truth is that without seeing you it's impossible to determine if a blepharoplasty alone will achieve the result you desire, or if a brow lift might be necessary. Most of the time a blepharoplasty alone will be adequate, especially for a younger patient, but again every case is individual. The best recommendation would be to consult with a surgeon experienced with both procedures, who would be best able to offer advice... more

Alan Brackup, MD
Philadelphia Oculoplastic Surgeon

Bleph for removal of hanging skin is a great choice

Blepharoplasty removes extensive fat and skin from both upper and lower eyelids. The procedure can be done for the lower eyelids thru a small incision on the inner eyelid. In your case, it appears as a bleph can take care of the problem, however, a bleph and an eyebrow lift are not one in the same. I hope this helps. Dr. Ritacca

Daniel J. Ritacca, MD
Chicago Oculoplastic Surgeon

Upper Blepharoplasty should correct hanging skin near the corner of the eye next to the nose

The typical upper Blepharoplasty is designed to remove hanging skin on the corner of the eyelid near the nose. Excess fat can also cause fullness in this area and can be removed by an upper Blepharoplasty

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

Blepharoplasty vs Brow Lift

Andi P, It is very difficult to answer this question without examining you or at least seeing a photo. From your description, it sounds like a blepharoplasty may be all that is needed. I recommend that you seek a second opinion from an oculoplastic surgeon. You can find one at the American Society of Ophthalmic Plastic Surgery website.