Eyelid Surgery: Q&A

Ask a Question

Type of Crease in Upper Blepharoplasty?

Hi, I'm considering upper blephroplasty, but concerned about looking like Cher...high crease. I've always had fullness in my lid area above my eye and only want to recreate my old eyes by eliminating the excess skin but retaining the full area. Is there only one type/way of doing a blephropasty (crease height) or is there some terminology for making sure my doctor fully understands that my eyes were always fuller and didn't have that high crease look I see so often? Many thanks!!!

Tags:

upper eyelids crease

Comment on this

17 Doctor Answers | Asked by AndiP in Pennsylvania

Doctor Answers (17)
Community Comments (0)

Eyelid crease

This is a great question. If you look in any of the fashion magazines these days you will see that full upper eyelids are "in". Nobody want the hollow sculpt out upper eyelids. It make one look old in a lot of ways. Yes there are many different techniques to perform cosmetic upper eyelid surgery. The new crease should be attempted to be placed where your natural one lied. This can be anywhere from 6-8-10 mm above the eyelash line depending on sex and eyelid position. When you go... more

Upper eye lid surgery

A conservative approach to the upper eye lid is a good thing. Sometimes upper eyelids can look hollow if overdone.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

It is critical to preserve the natural fullness of the upper eyelid fold.

Dear Ask It is critical to have a very clear understanding with your potential surgeon. Many surgeons feel it is their job to remove skin, muscle and fat. The textbooks describe the placement of the upper eyelid incision at too high a position (in some cases as high as 10 mm). This is a factor in overexicision of the upper eyelid fold. Many eyelid surgeons are poorly trained and do not know how to reliably expose the levator aponeurosis or perform anchor... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Natural Upper Blepharoplasty

There are many ways to do an Upper Blepharoplasty. The old, “standard” way was to remove fat from the area as well as extra skin. This created a deep-set eye but gave a hollower look. I have almost stopped removing fat from the upper lids, but, instead, remove only the excess skin. Occasionally, I will, even, add fat. Before selecting the position of the lower incision, I look at where the natural crease is. You need to discuss your desires with whomever you see. If they insist... more

Upper blepharoplasty

I understand your concern. Years ago, the idea of blepharoplasty was to remove too much fat from the upper eyelids, which gave it a hollow appearance with "high" crease. It is best to preserve all, or most, of the fat in the upper eyelids, which would give the youthful appearance you desire. The incision itself is fairly standard, about 10mm above the lashes. Dr Taban

Upper lid crease

In the caucasian eyelid, the incision is placed in the supratarsa crease> this is where the muscle of the eye inserts into the skin and therefore retracts when the eye is opened. If no crease can be easily found, the incision should be 8-13 millimeters above the lash line.

David A. Bray, Sr., MD

6 reviews

Los Angeles Facial Plastic Surgeon

drbray.com

Lids should look full after upper blepharoplasty.

Hi. This is an excellent observation. Young attractive eyes have full upper eyelids. Plastic surgeons have tended to ignore this until very recently, and a lot of women after Blepharoplasty have had a hollow look with high creases. But we are becoming more sophisticated. For most patients, the right thing to do is to remove skin only (and conservatively), and to place the scars low on the eyelids. More and more plastic surgeons are now doing this type of... more

Avoiding the "hollow" look

In years past, surgeons would excise upper eyelid muscle and fat when doing an upper eyelid blepharoplasty. We have since realized that at patients age, this would lead to a hollow, high crease look in patients. Nowadays, most surgeons have realized that this is not an ideal appearance, and that a full looking eyelid is actually a more youthful appearance. So in relaying you desires to your surgeon, make sure you indicate that you want to avoid the hollow look, and that he/she... more

A.J. Amadi, MD

14 reviews

Seattle Oculoplastic Surgeon

seattleface.com

Lid crease in upper blepharoplasty

There are very definitely multiple approaches to upper blepharoplasty, and ways specifically to avoid an elevated crease and deep hollowing of the lid. These include a lower incision placement, avoiding orbicularis muscle resection and minimizing the removal of fat from the upper lid. Be certain that whomever you select as a surgeon is especially skilled in eyelid surgery. A consultation with a member of the ASOPRS (ophthalmic plastic surgery society) is recommended. more

Placement of Upper Eyelid Crease after Blepharoplasty

The position of the upper eyelid crease is an important part of the upper eyelid procedure. The final placement of the incision can change the look of the eye, giving a patient a deep set upper eyelid versus a more closed look. It is very important for the patient to share their particular likes and dislikes with the surgeon. If the surgeon is not interested in your goals and desires to proceed with their goals-go interview another surgeon. The placement of the crease is important... more

Crease in Upper Blepharoplasty

Absolutely this is possible. This can be achieved, provided that your surgeon is experienced in blepharoplasty surgery.

The upper eyelid crease is typically 8 to 10 millimeters above the lashes after Blepharoplasty

An experienced eyelid Plastic Surgeon should be able to give you the upper eyelid crease appearance that you want. The normal eyelid crease is 8-12 millimeters above the lashes-lower 6-8 millimeters typically in males. Your normal full eyelids are caused by the normal fat beneath the muscle-if you want to keep this appearance ask your surgeon not to remove fat It is important to discuss with your surgeon; Avoid Fat Resection-removing fat gives a hollow look Measure the... more

Type of Crease in Upper Blepharoplasty?

First you should be evaluated for forehead ptosis. The forehead becomes droopy with age and contribute to upper eyelid fullness. Sometimes, endoscopic forehead lift will resolve the problem without any eyelid surgery and occasionally, both procedures need to be done. In the latter case, much less skin is removed and a more natural result is obtained. Too many blepharoplasties are done when the actual problem is forehead ptosis.

Lid Crease after Blepharoplasty

An experienced surgeon will make the appropriate design for the lid crease and err on the conservative side. Also go easy on any fat removal and you will steer away from that over sculpted look.

Blepahroplasty surgery

There are specific ways to form an eyelid crease. These are advanced techniques which well trained eyelid surgeons are very familiar with. It is very possible to excise small amounts of eyelid skin, create a natural lid crease and leave eyelid fullness in tact by NOT excising muscle or fat from the lids. This is more modern blepharoplaty as compared to traditional surgery which has consisted of aggressive lid debulking. You should inform your doctor of what you want... more

Multiple ways to adjust upper eyelid surgery

Yes, there are ways to adjust the depth of the crease when performing upper eyelid surgery. In the scenario, you mentioned, I'd consider removing fat and skin only while leaving the underlying muscle intact for a less hollow upper eyelld result.

Crease line in upper blepharoplasty

You should retain your natural crease line (which is usually 7-8mm from the lash margin) after upper lid blepharoplasty as that is where the surgeon will place one of the incisions.