Is There a Specific Upper Blepharoplasty Technique for Males to Avoid Feminisation of the Eyes?

 Eyelid surgery in men has many unique characteristics that differ from the same procedures in women. There are some key masculine features in the eyebrow, upper eyelid and lower eyelid region that demand attention and maintenance to avoid feminization during such procedures, yet it is far too common to see the same approachs for females used when performing male eyelid surgery. To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these “core four” cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself100 Physician

Eyelid surgery performed for males must be performed more conservatively than in females in order to maintain a masculine appearance. In addition to being more conservative with the skin excision, the actual incision itself is usually shorter and does not extend past the eyelid itself. Maintenance of some excess skin of the upper lid is a natural and healthy appearance in a male. Also, fat must be removed more conservatively.

In experienced hands, the result should be refreshing but still maintain a normal masculine look.

 

Dr. Jamil Asaria

FACE Toronto

Generally avoiding over feminizing of the male eyelids depends on performing conservative surgery, that is limiting the amount of skin and possibly fat removed.  We don't want to creat a hollowed out look as a result of removing too much fat.  Usually a male brow looks better a llittle lower and with a flatter shape than a woman's.  Sometimes what people perceive as loose skin hanging over the upper eyelid is really a low brow, but the temptation to raise the brow too high must be avoided.  If the area in the upper eye socket below the brows looks to empty, then a careful placement of fat or hyaluronic acid filler can help soften the area.  I would only consider Botox just below the outer end of the brow to help raise up that portion of the brow if it is too low.  But again, the key in periorbital surgery in a male is to be conservative.

This is a good question.  Male eyelid surgery is slightly different than in female surgery.  The masculine features of the male face are important to retain.  Whether its a facelift or an eyelid lift, the techniques and incision placement are slightly different than in women.  Particularly, with lower eyelids, it is important not to feminize this area.  The total look of the male face is important.  Whether is is fillers, or surgery, the masculine and sharpness to the face is extremely important.  The eyes must not be overdone.  This is the most common mistake that makes the eyes look feminine.  Good luck.  I always say your face is the diamond, so polish it well.  Good Luck

As far as the upper blepharoplasty surgery is concerned, the technique is pretty much the same whether you are a male or a female.  It is based on the amount of skin laxity you have with the upper eyelid as well as the fat pad. In general with upper blepharoplasty surgery the excess upper lid skin will be removed and also if the fat pad is prominent that would then also be removed if necessary.Overall whether it is a male or female, eyelid surgery is about the same surgical technique.  Now the incisions to achieve the eyelid crease may vary from a male to female.  In general for a male, he may want to have more of a gentle smooth contouring of the lid incision versus for a female, who may desire to have a higher arch incision.  It all varies from each individual perspective and this is something that one will have to consult with one’s plastic surgeon to determine what type of contouring of the eye one would desire, but overall the surgical technique is the same whether you are a male or a female

You are correct in stating a conservative skin excision is important.  The placement of the incisions also need to be placed a little lower on the eyelid and little or no fat removed.  Also the brow position almost never should be altered and if it is it should be left lower than what is considered asthetically appealing in women.  At or just below the orbital rim.  A surgeon certified by the American Board of Plastic Surgeons can advise you on individual specifics. 

I think that you are on the right track. Male patients who sign up for cosmetic surgery without ensuring that their plastic surgeon has an appreciation for male facial aesthetics can be unhappy with the result. The techniques for male and female blepharoplasty and browlift procedures are similar. However, the surgeon must plan a male cosmetic procedure more conservatively and remove less tissue to maintain a masculine appearance. If an eyelid has been overly operated, fat transfer, dermal filler or a small revision procedure can often be performed to improve upon a feminizing result. I hope this information is helpful.Stephen Weber MD, FACS

A conservative resection will avoid the type of appearance you are referring to. It is important for the plastic surgeon to be sensitive to the architecture of the face in planning an operation.