Upper and lower blepharoplasty. Techniques

 

People with loose skin and eye bags undergo an upper and lower lid blepharoplasty with skin and fat removal and/or partial re-insertion of the removed fat for a smoother result.
People with inherited eye bags but no loose skin, undergo a lower lid blepharoplasty via the conjunctiva, on the inside part of the eyelid, and no external incision is required since there is no excess skin to be removed.
Upper lid blepharoplasty

Upper lid blepharoplasty


loose skin on the upper lid

planning the incisions

the final result

First of all we plan the incisions, including the loose skin of the upper lid. Local anesthesia and sedation are also applied at this stage.

The excess skin is removed, along with a stripe from the eyelid sphincter muscle. If there is any fat present, it is carefully removed. Hemostasis is performed and the skin is sutured.

The final incision is performed on the crease of the upper lid and is thus invisible.

Lower lid blepharoplasty


loose skin on the lower lid

planning the incisions

the final result

removed skin and fat

 

Lower lid blepharoplasty starts with planning the incisions, 1mm below the eyelashes.
Local anesthesia and sedation are also applied at this stage. Then, we lift the skin and the muscle to detect the bags (the fat), where needed. If there is fat, and depending on the individual case, it is removed or partially re-inserted.
Any excess skin and muscle are removed with the proper handling.

Transconjunctival blepharoplasty

Access is performed via the conjunctiva.

The technique is used in young patients with inherited eye bags on the lower lids and without loose skin. The procedure is performed with a minor incision on the conjunctiva to remove the orbital fat causing the problem.
The incision is sutured or left to resolve spontaneously. It is a very quick procedure performed under local anesthesia and sedation.

 

 

 

 

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