Blepharoplasty (Eyelid Surgery)

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Blepharoplasty (Eyelid Surgery)

As the eyelids age, the supporting soft tissue and skin weaken, causing the upper eyelid creases to diminish and fat pads to appear on the lower lids. Severe cases of upper eyelid laxity may interfere with a patient’s visual field. As the fat pads increasingly protrude on the lower lids, they cause shadowing and darkening under the eyes, which gives the appearance of tiredness or lack of sleep. Dr. Romo addresses these issues with blepharoplasty of the upper and lower lids, either independently or simultaneously. The upper eyelid procedure recreates the upper eyelid crease by conservatively removing excess fat and skin.

There are two basic approaches to the lower lid procedure:
  • The external approach, also called a skin-muscle approach, removes skin and fat pads.
  • The more conservative internal approach, called a transconjunctival blepharoplasty, removes the fat pads only.
Which technique is used is determined by both Dr. Romo and the patient.
Article by
Manhattan Facial Plastic Surgeon