An upper eyelid lift (blepharoplasty) is a surgery carried out to remove excess skin from the upper eyelid that is drooping over the visual axis and causing an obstruction.
In some cases, lower eyelids require removal of excess skin and fatty tissue; however, this is usually only done for cosmetic reasons and not for functional reasons. An evaluation by the oculoplastic surgeon may find that a lower blepharoplasty is maybe unnecessary and that the use of synthetic hyaluronate fillers in the lower eyelids and tear troughs (TearFill) can indeed sufficiently resolve the issue.
During the blepharoplasty surgery, tiny incisions are made in the natural folds of the eyelid, in the crease of the upper eyelid and just beneath the lashes or behind the lower eyelid (if lower lid blepharoplasty is also required). This way, the incisions are totally unnoticeable after the healing period.
During blepharoplasty surgery, the oculoplastic surgeon will assess how much skin, muscle, and/or fat removal is required. This evaluation is entirely based on an evaluation of a few factors, including facial muscle structure, bone structure, and the symmetry of the eyebrows.
Patients who also suffer from dry eyes normally require less tissue to be removed to avoiding the exposure of more of the eye to the air, as this can ultimately cause symptoms to worsen.