Do some surgeons take fat and muscle from eyelids & move the eyelid crease very high? Is this an antiquated technique from the 1960's & 70's? For what reason should the eyelid scar be moved so high that 1 year later you have very hard scar tissue and visible scars that extend up toward your brow? (I was told that this is exactly where eyelid scars should be). I thought it should always be in the natural eyelid crease. I used eyepencil to show exactly where my eyelid incisions are.Please advise.
July 18, 2011
Answer: The height crease should be determined by the patient and surgeon together
Most patients want the crease to remain at the height it was before their eyelids aged, but sometimes a patient wants a high deep crease that they did not have before. Usually I sit down with the patient and a mirror and we determine what height crease they had before, and wherre we agree it should be after surgery.
It is true that in the '60's and '70's a high deep upper eyelid crease was considered the standard of beauty, but in the past 20 years a lower crease and fuller eyelid have become more accepted as another standard of youth and beauty.
Helpful 1 person found this helpful
July 18, 2011
Answer: The height crease should be determined by the patient and surgeon together
Most patients want the crease to remain at the height it was before their eyelids aged, but sometimes a patient wants a high deep crease that they did not have before. Usually I sit down with the patient and a mirror and we determine what height crease they had before, and wherre we agree it should be after surgery.
It is true that in the '60's and '70's a high deep upper eyelid crease was considered the standard of beauty, but in the past 20 years a lower crease and fuller eyelid have become more accepted as another standard of youth and beauty.
Helpful 1 person found this helpful
July 19, 2011
Answer: Scar Placement in Blepharoplasty Scar placement in blepharoplasty for the upper eyelid is typically either in the natural crease, called the supra-tarsal crease, or about 10 mm. from the eyelid margin in the center (about pupil level), which is then gently curved to follow the shape of the eyelid margin.. At times it may be necessary to have what appears to be a little excess upper eyelid skin after surgery because you need enough skin to be able to completely close your eyes. I don't think that most surgeons would extend the scar out on the thicker skin of the eyebrow unless absolutely necessary because on average the thicker eyebrow skin does not scar as well as the thin eyelid skin. For the lower eyelid, the scar can be placed inside the eyelid if no skin removal is needed (trans-conjunctival), or on the skin just below the eyelashes (sub-ciliary).
Helpful 1 person found this helpful
July 19, 2011
Answer: Scar Placement in Blepharoplasty Scar placement in blepharoplasty for the upper eyelid is typically either in the natural crease, called the supra-tarsal crease, or about 10 mm. from the eyelid margin in the center (about pupil level), which is then gently curved to follow the shape of the eyelid margin.. At times it may be necessary to have what appears to be a little excess upper eyelid skin after surgery because you need enough skin to be able to completely close your eyes. I don't think that most surgeons would extend the scar out on the thicker skin of the eyebrow unless absolutely necessary because on average the thicker eyebrow skin does not scar as well as the thin eyelid skin. For the lower eyelid, the scar can be placed inside the eyelid if no skin removal is needed (trans-conjunctival), or on the skin just below the eyelashes (sub-ciliary).
Helpful 1 person found this helpful