One of my questions was how to avoid permanent dry eye and although there have been several different opinions the one I'm finding to be a common answer is to avoid cutting the muscle. I have loose skin that needs removal but there is also a fat pad in the corner, from what I read the fat lies below the muscle. Is the only way to fix that spot to cut the muscle & take the fat out? Is that section of muscle an area that can produce permanent dry eye? I'm assuming tests will follow before surgery.
March 13, 2014
Answer: Upper and lower eyelid fat pad removal The primary goal of upper eyelid surgery is to remove hooding excess skin, and a small amount of fat closest to the nose. For patient who have dry eyes, no muscle strip is taken. The primary goal of lower eyelid surgery is to remove a conservative amount of fat in the 3 fatty compartments on the lower lids through a trans-conjunctival approach on the inside of the lower lids. If there is any excess skin present, a pinch technique is used to remove excess skin on the lower lids from the outside. The muscle is never violated on the lower lids. For many examples, please see the link below to our eyelid surgery photo gallery
Helpful 1 person found this helpful
March 13, 2014
Answer: Upper and lower eyelid fat pad removal The primary goal of upper eyelid surgery is to remove hooding excess skin, and a small amount of fat closest to the nose. For patient who have dry eyes, no muscle strip is taken. The primary goal of lower eyelid surgery is to remove a conservative amount of fat in the 3 fatty compartments on the lower lids through a trans-conjunctival approach on the inside of the lower lids. If there is any excess skin present, a pinch technique is used to remove excess skin on the lower lids from the outside. The muscle is never violated on the lower lids. For many examples, please see the link below to our eyelid surgery photo gallery
Helpful 1 person found this helpful
October 9, 2020
Answer: Dry Eye and Blepharoplasty It is very uncommon to have dry eye in a well performed upper eyelid surgery. From your photos, it appears that you need skin, muscle and fat removed to improve the shape of your upper eyelid. Unless you have a predisposing condition, cutting the muscle will have little effect on your procedure. Muscle tone is more important in the lower eyelid approach. You should see a board-certified plastic surgeon in your area to get a formal opinion through and in-person consultation. Best of luck.
Helpful 1 person found this helpful
October 9, 2020
Answer: Dry Eye and Blepharoplasty It is very uncommon to have dry eye in a well performed upper eyelid surgery. From your photos, it appears that you need skin, muscle and fat removed to improve the shape of your upper eyelid. Unless you have a predisposing condition, cutting the muscle will have little effect on your procedure. Muscle tone is more important in the lower eyelid approach. You should see a board-certified plastic surgeon in your area to get a formal opinion through and in-person consultation. Best of luck.
Helpful 1 person found this helpful
