Can Excess Skin Be Removed to Tighten Area when Doing a Lower Eye Lift?

can excess skin be removed and remaining skin lifted up and under the eye? can the outer corners of the eyes be lifted for "sad eyes"? How is this done? if one has an area of excess fat pad under an eyebrow, can it be removed via a coronal brow lift? If not, what other suggestions are there?

Doctor Answers 6

Excess lower eyelid skin and sagging of the eye can both be improved

Hi there-

Both of the improvements you ask about are possible to accomplish in a well-done procedure performed by a skilled and experienced plastic surgeon.

The key is to find a qualified surgeon you like and feel you can trust. Find a surgeon first, then worry about the how.

Orlando Plastic Surgeon
4.8 out of 5 stars 159 reviews

Skin resection during blepharoplasty

During upper and lower lid blepharoplasty, excess skin is removed. I also perform canthopexies to create a natural appearance. Brow lifting can be performed via the upper lid incisions as well and I frequently recommend this to patients in lieu of coronal brow lift. It is a simple add-on procedure for small additional cost that can greatly improve the cosmetic result. All these surgeries should be customized to individual patient needs and circumstances.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

Rejuvenation around the eye and brows

A lower eyelid blepharoplasty is designed to remove or reposition excess fat and possibly skin from the lower eyelid, making a nice transition from the eyelid to the cheek. This can be done from both the inside and outside of the eyelid, and sometimes both.  The outside corners of the eyes are often elevated at the same time the lower eyelid is tightened.  With regard to brow lifting, excess fat under a brow is generally removed through an upper eyelid incision at the same time as an upper eyelid blepharoplasty is performed.  It could be accessed during a coronal lift as well.  Talk with an oculoplastic surgeon for recommendations on the best approach to lower eyelid and brow surgery customized for your needs. 

Matheson A. Harris, MD
Salt Lake City Oculoplastic Surgeon
5.0 out of 5 stars 7 reviews

Many different techniques

Many different techniques exist to rejuvenate the lower eyelids depending if you have excess fat, fat descent, excess skin, sun-damaged skin, brow descent,  or a combination of factors.

Skin excision is definitely part of the rejuvenation process and can be incorporated as part of the surgery. Obviously, each patient is analyzed, and an individualized plan set forth.

A surgeon that has experience in all the different techniques available is paramount to your successful surgery.

Good luck

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 41 reviews

Excess and sagging upper eyelid skin.

Excess and sagging upper eyelid skin can often be corrected not with a coronal forehead lift but rather an Irregular Trichophytic Forehead Lift at the hairline. This prevents the hairline from being raised and can lower the hairline at the same time. Most pataients then won't need an upper lid blepharoplasty.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Skin is often removed

It depends on the patient. Some only need fat removed (transconjunctival bleph) while others need a small amount of skin removed (pinch technique) while other patients with more extensive aging changes or deeper hollows between the eyelid and cheek could benefit from a lower eyelid lifting procedure which lifts the midface or cheek to smooth the hollow between the eyelid and cheek. Lower blepharoplasty technique varies a lot by doctor. Make sure your doctor shows you photos of patients whose eyelids look like yours who were corrected by the surgery.

Jeffrey Schiller, MD
Edison Oculoplastic Surgeon
5.0 out of 5 stars 11 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.