Does upper and lower blepharoplasty make the crows feet worse or add crows feet?

Question

Hello, I went in for a consultation for an upper and lower blepharoplasty recently. The doctor brought in a staff member who had the procedure done by him and her eyes looked great and very natural. However, she had the longest, deepest crow’s feet I’ve ever seen. It made me wonder if when the eyelid skin is cut and then pulled up and sutured in, does it make the crows feet worse or add crows feet?

Andrew Miller, MD · Answer

Crows feet are not affected by blepharoplasty. They are caused by muscle movement, so they are treated with Botox injection. Extra skin and fat is removed with blepharoplasty, making the lids themselves look better. Be sure to see a facial specialist for consultation.

Ronald J. Edelson, MD · Answer

A blepharoplasty is intended to remove excess skin and fat. Crows feet are unlikely to be significantly improved

William Portuese, MD · Answer

The primary goal for upper eyelid surgery is to remove  mostly extra skin and a little bit of fat on the inner corners, while the primary goal for lower eyelid surgery is to remove the fat bags. We remove the fat bags through a trans conjunctival approach on the inside of the lower lids. If there's excess skin at rest (not when smiling) a pinch technique of extra skin is performed on the lower lids. Upper and lower eyelid surgery does not make crows feet worse. Crows feet are the result of strong smile muscle and thin skin. Best to treat crows feet with Botox.

Does upper and lower blepharoplasty make the crows feet worse or add crows feet?

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Does upper and lower blepharoplasty make the crows feet worse or add crows feet?

Answers (3)

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Everything you need to know about Double Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.