Removal of Excessive Skin and Fat from the Upper Eyelids

The most common type of Oculoplastic Surgery, this procedure is generally done for cosmetic reasons, but it is considered necessary in some cases when excess skin and fat interfere with vision.

Redundant upper eyelid skin folds are the result of stretching of the skin and lowering of the upper eyelid creases. Removing extra skin and fat makes the eyelids smoother and more defined. In women, it provides more surface area for applying upper eyelid makeup.

During this procedure, the doctor can also reconstruct eyelid creases at a higher level to provide a more pleasing appearance. The same technique can impart an Occidental look to the Asian eyelid.

Before and After Photos

Before Photo		After Photo

Click any photo above to enlarge

Details of Surgical Technique

A. The excessive upper eyelid skin is pinched together to determine the amount that can be safely removed.
B. The excessive skin and underlying muscle is removed.
C. Excessive fat in the upper eyelids is removed.
D. An eyelid crease is formed by attaching the muscle that lifts the eyelid to the muscle underneath the skin.
E. The skin is united together with sutures.
Illustrations are from Dr. Putterman's textbook "Cosmetic Oculoplastic Surgery".