Opening the Eye Without Changing It
Excess upper eyelid skin removed surgically, which is the one thing no injectable can do.
Removing Tissue, Not Relaxing It
Upper blepharoplasty removes excess skin, and where appropriate a small amount of muscle or fat, from the upper eyelid. The incision sits in the natural crease, which is why a well done scar becomes very difficult to see once healed.
It is on this menu because it is the honest answer to a specific problem. When upper eyelid skin has genuinely become excess, no neuromodulator, filler, thread or energy device removes it. Treating hooding with a brow lift injection when the issue is redundant skin produces a raised brow and the same hood.
Done properly the eye looks open and rested rather than different. Done too aggressively it looks hollow and surprised, which is far harder to correct than being conservative in the first place. That is a strong argument for taking less rather than more.
A Good Fit If Any of This Sounds Familiar
A proper examination distinguishes eyelid skin from brow position. They look identical in a mirror.
Three Steps, Start to Finish
We Examine Properly
Eyelid skin, brow position and any underlying asymmetry. Treating the wrong one of those is the most common error here.
Surgery Under Local Anesthetic
You are awake and comfortable. The incision sits in the natural crease of the lid.
Sutures Out and Follow Up
Removed within about a week, then reviewed as swelling settles over the following weeks.
No Injectable Removes Skin
When the problem is excess tissue, the honest answer is surgical, and pretending otherwise wastes your money.
Two Weeks to Presentable, Months to Final
Why the Crease Hides the Scar
The upper eyelid crease forms where the levator muscle attaches to the skin. Placing an incision within that natural fold means the resulting scar sits inside a line that already exists and is concealed when the eye is open.
Eyelid skin is the thinnest on the body, which is why it heals with unusually fine scarring and also why it shows swelling so dramatically in the first days.
The decisive judgment is how much to remove. Taking too little leaves the concern unresolved. Taking too much causes difficulty closing the eye fully, dryness and a hollow appearance, and correcting that is considerably harder than the original operation. Risks include dry eye, asymmetry, delayed healing and, uncommonly, changes in lid position. We will go through all of it before you decide.
What People Ask Us First
A well placed scar in the natural crease is very difficult to see once healed. What people usually notice is that you look rested.
Yes. It is done under local anesthetic and most people find it far less daunting than they expected.
Most people feel presentable at around two weeks, though this varies with bruising. We will help you plan around anything important in your calendar.
Sometimes, where hooding measurably obstructs the upper visual field. That requires specific documentation and testing, and we can tell you whether it is worth pursuing.
No. It treats the upper lid only. Lower lids and crow's feet are different problems with different answers, and we will discuss those separately.
Often Considered Alongside This
Find Out Whether It Is the Lid or the Brow.
They look the same in a mirror and need completely different treatment. An examination settles it in minutes.
4211 N. Buffalo Road, Suite 15, Orchard Park, NY 14127
