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How to address the accumulation of skin on upper outer eyelid? (Photo)

Vita NovaOct 20, 2025
I recently had an endoscopic ponytail lift combined with a lower bleph and canthoplasty. I noticed there is excess skin on the upper outer lid. What procedure would be best suitable to address the excess of skin?

Answers (1)

From board-certified doctors and trusted medical professionals
Jeffrey M. Darrow, MD profile photo
Dr. Jeffrey M. Darrow, MD
Board Certified Plastic Surgeon
4.9 | 171 Reviews
Answered on Nov 5, 2025
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C. Blake Perry, MD

Options to improve the area: Additional fat grafting to help restore volume; strategic neuro-toxin placement to help reduce wrinkles; laser resurfacing to help tighten the under eye skin. A skin pinch is not out of the question. Best to see an eyelid expert for an in person consultation.

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C. Blake Perry, MD

It appears the right upper lid nasal fat pad was not appropriately reduced. This is a relatively straight forward procedure to fix. A lid crease incision is again used (ie the same incision site used for your upper lid blepharoplasty) and the fat is appropriately excised or transposed. Best to...

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C. Blake Perry, MD

Part of the asymmetry is secondary to the asymmetric upper lid creases. Surgery on the left upper lid to create an eyelid crease and fix any ptosis would help improve your symmetry. This is a particularly challenging surgery. Best to see an eyelid expert.

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