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Upper BlepharoplastyThe goals of upper blepharoplasty are to enhance one's appearance without greatly altering one's identity. Our technique is tailored for each patient taking into account their specific anatomy, ethnicity and personal goals. Various amounts of skin are removed as required. Fat removal is tailored to each person's anatomic requirements. In some patients no fat is removed. In others, the medial fat pads are trimmed. In others both the medial and central fat pads are addressed.We do not excise or remove the muscle around the eyelids, the Orbicularis Oculi muscle. Preserving this muscle maintains the strength of closing and blinking and helps maintain fullness in the upper eyelid with a natural, non-surgical appearance. The one exception to this is in Asian eyelid surgery, where a thin strip of muscle is excised to help form the eyelid crease. This procedure is appropriate for both women and men, yet must be planned differently for each gender. Blepharoplasty in men must be performed differently than in women. In men the incision is usually marked lower on the upper eyelid than I women. In addition, much more conservative excision of fat is recommended in men. The Orbicularis muscle is also preserved to ensure a full, virile look to the upper eyelid. Insurance may cover some of upper blepharoplasty if the skin hangs over the eyelid margin and obscures the visual fields or the excess skin pushes the eyelashes downward to interfere with visual function. |