Tightening my Upper Eyelid Muscle by Going Through the Underside?

My doctor wants to perform blepharoplasty by only tightening my upper eyelid muscle, by going through the underside of my upper eyelid. I cannot find anything like this in he internet. Does this procedure sound like it is saf and/or possible?

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5 Doctor Answers | Asked by shannyj04

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Internal Ptosis Repair Tightens Eyelid Muscle

Upper eyelid surgery through the underside of the eyelid is done to tighten the upper eyelid muscle and correct droopy upper eyelids. By droopy in the sense of how high the eyelashes are raised compared to the iris of the eye. I don't mean droopy in the sense of loose, saggy skin. This is a procedure commonly performed by oculoplastic (eyelid plastic) surgeons. It is used for a droopy eyelid, and the end result is a more refreshed, less tired appearance. No skin or fat is removed, so if... more

Ptosis repair vs blepharoplasty

When we evaluate the upper eyelids, there are three components that need to be addressed: 1. Brow position 2. Upper eyelid position [as it sits on the eyeball].This is called eyelid ptosis if its low. 3. Excess eyelid skin [dermatochalasis] It sounds like you and your surgeon are not on the same page. He/she is recommending surgery to address the droopy eyelid [condition 2] while you are focusing on condition 3. You need to have another conversation with... more

A.J. Amadi, MD

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Seattle Oculoplastic Surgeon

seattleface.com

Ptosis surgery versus blepharoplasty

Your surgeon is likely describing upper eyelid ptosis (droopy) surgery by tightening the muscle (levator) responsible for elevating the eyelid. This muscle can either be tightened from anterior (skin) approach or from posterior (underneath the eyelid) approach. The posterior approach is actually the preferred approach for mild to moderate ptosis because it is more predictable with better eyelid contour. Blepharoplasty is a different operation where only skin (plus) fat is... more

Eyelid muscle tightening

I think from your description, you are having ptosis repair. There different ways to do that and going through the underside is one of them. It is a safe procedure if done for the right reasons.

Tightening eyelid muscle through the underside

Please review the difference between blepharoplasty and ptosis repair. It sounds like your doctor is suggesting ptosis repair, not blepharoplasty, through the underside. There is nothing wrong with this approach for ptosis, and it is used by many surgeons (including myself). Those who do ptosis repair in this manner believe that this approach offers greater predictability of results. It may be combined with blepharoplasty of the upper lid.