Will Upper Eyelid Surgery Change Shape of the Eyes?

I'm afraid that having upper Eyelid surgery will change the look of my eyes, specifically the shape. For example, I don't want round looking eyes.

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5 Doctor Answers | Asked by Tonymarvin in Cleveland Ohio

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Eye shape unlikely to change

The upper eyelid surgery typically does not change the shape of the eyes. The amount of muscle, fat, and skin that is being removed now is much more conservative than it was 10 and 20 years ago. We typically leave more of a full and natural look. It is also important to leave enough skin so that you can close your eyes.

Eyelid surgery and the shape of your eyes

Eyelid surgery can give fantastic results without changing the shape of your eyes. It's important to discuss this with your plastic surgeon, as several things that we do may actually change the shape of your eye. If your plastic surgeon knows that you don't want him/her to possibly alter the shape, then he/she can take steps to minimize this occurance. Lower eyelid surgery is more prone to alter the shape of your eye because of a step that many plastic surgeons take to miniize the... more

You have every reason to be concerned

Dear Tony What your eyes will look like after eyelid surgery, very much depend on exactly what your doctor does at the time of surgery. The more the upper eyelid fold is removed, the more "surgical" the eyes will look. The upper eyelid fold turns out to be a most important facial feature. A conservative removal of some of the eyelid fold skin, and tightening of the eyelid platform skin with preservation of the fold and judicious sculpting of eyelid fat is what makes for a... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Roundness of the eye should not result from upper eyelid surgery.

The upper eyelid shape should not change with surgery. The goals are to remove excess skin and fat thus "opening" the eye and allowing the upper lid to be more visible and not covered by bulky skin. Roundness of the eye should not result from upper eyelid surgery.

Eyelid shape should not change with Blepharoplasty

The design of skin removal along the upper eyelid should follow your normal anatomy and lid fold position. If this is undertaken as considered, your lids should not change shape and the "round" look should not be a concern. The skin excision will provide a fresher, rested look which is optimal after blepharoplasty. Hope this helps!