Very commonly, individuals seeking advice from a plastic surgeon about their aging appearances first focus their attention on their eyelids. Their concern is drawn to their droopy upper eyelids and baggy lower lids. Although corrective surgery for these problems will be discussed during their consultations, it is also important to address the adjacent facial zones because they directly affect the eyelid appearance. The eyes are like islands surrounded by the rest of the face. Their appearance is strongly influenced by what is going on around them. When the forehead sags, it spills more skin into the upper lid zone making them look considerably worse than they really are. On the opposite side of the eyes, gravity draws the cheeks down leaving a depression in the lower lid zone. These anatomical relationships must be thoroughly considered first prior to focusing the consultation on the upper and lower lids.
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Upper blepharoplasties involve removal of excessive fat and skin. The incisions are placed in natural skin folds so that the resultant scars are rarely noticed once appropriate healing has occurred. Almost all the patients in the Facelift Gallery have had Lower Lid Blepharoplasties.
Lower lid blepharoplasties are more complex due to anatomical concerns and individual differences in presentation. Several factors must be weighed during this procedure. Attention must be given to the existing lower lid supporting structure if postoperative sagging is to be prevented. If laxity is noted in the lower lid preoperatively, added support to the lid must be accomplished before removing the excess skin. Additionally, numerous options arise when dealing with the lower lid fat. At times the excess fat is simply removed. At other times it is transposed from one position to another to fill out hollowed areas that frequently exist. Sometimes no surgery is appropriate for the fat.
Unlike their Caucasian counterpart, some Asian upper eyelids lack a curvilinear skin crease above the lash line technically known as the supratarsal fold. When this fold is surgically produced, it substantially alters the presentation of the eyes in a way that many Asians desire. The eyes appear larger, an effect that many consider a cosmetic asset. Creation of the supratarsal fold is known as an Asian blepharoplasty.
If you have questions regarding eyelid surgery or other procedures offered here at Fremont Plastic Surgery, or if you would like to schedule a consultation with Dr. Eric Okamoto, please contact us today.