Will a scarless bleph not address skin laxity?

Hello,
Thank you for the question.
Sometimes, depending on the procedure, the markings may be performed in the operating room with the patient asleep/under general anesthesia and not awake.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.
Best, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

More information is needed such as Pictures of your eyelids and your face from different angles. The primary goal of upper eyelid surgery is to remove extra skin and a little bit of fat at the inner corners on the upper eyelids. The Incision is placed directly in the upper eyelid crease. Regarding the lower lids, the primary goal is to get rid of the fat bags which are removed through trans- conjunctival approach on the lower lids on the inside of the lower lids. In our practice, we mark the upper and lower eyelids because of the asymmetry present in both upper and lower lids before undergoing surgery. We do not mark the patient for a facelift. For a variety of reasons we also do not do fat transfers in the face as well. Choose your surgeon wisely based on extensive experience. Study your prospective surgeon's eyelid surgery and facelift photo Gallery to make sure that it is extensive with results that you like.