Is muscle around eyes excised during blepharoplasty?

In most cases, it is possible to achieve excellent aesthetic results without removing lower eyelid surgery.  Re-suspending the orbicularis muscle is a preferred technique, and usually results in a much better post operative result because muscle function is preserved.  This is also true in upper eyelid surgery, but sometimes a small strip of muscle can be removed to enhance the upper eyelid crease.  This can however result in some difficulty in closing  the upper eyelid.

I spare the eye muscles rather than excise them during blepharoplasty, but this depends on patient anatomy and need. Sometimes the muscles have grown so lax that they drag the eyelid downward. Minimal excision and/or tightening may help. It's a minimally invasive surgery and recovery time tends to be quick, with return to normal activities within a few days. I hope this helps.

  On a few occasions, we do excise a small strip of orbicularis oculi muscle when needed. This is for performed for patients who desire  a deeper upper eyelid fold  when patient's have very hooded and thick upper eyelids.  Removing a small strip of muscle is not performed on patient  who have dry eyes. For many examples are more information, please see the link and the video below