What is the correct technique when measuring the upper eyelid before surgery? (photos)

Thanks for your question. I share your concern and feel that you could have had additional skin removed from your upper lids. A far as your question, there is no specific way or correct technique to measure how much upper lid skin to remove. there are some "ideal" measurements that you will hear about but the best way to know is to actually view the patient in the sitting position looking straight ahead. IMHO the pre-op markings need to be done way before the patient is taken into the OR. Intra-operaively I do a pinch test.A comparison is made. Since symmetry in the human being does not exist, you will often find that one eyelid has more redundant skin than the other. Therefore, the markings will vary. Pre-op markings are extremely important. There are cases where too much skin has been removed and the patient is unable to close their eyes. In your case, if you ever wanted to have your upper lids re-done, it could be done safely. Be patient and if you are still not happy then you should get a second opinion.Always seek out the opinion of a surgeon certified by the American Board of Plastic Surgery with years of experience in eyelid surgery. Remember this is your face....can't cover it up! Furthermore request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits? How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so.How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications.In our office we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. We accomodate patinets from as far away as California. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up.Give yourself the highest percentage of a sucssesful operation. Good luck 

It looks like you can stand to have more skin removed from your upper lids.  The way I measure the skin is that I plan to remove as much skin as possible while leaving enough skin to allow you to close your eyes comfortably.  Makes sense, doesn't it?

I see a very very conservative upper eyelid skin excision in the posted photos. Allow 3 months healing and determine if additional excision is needed...