Upper Lid Blepharoplasty
(Upper Lid Lift)
People say that the eyes are the window to the soul. While the eyes can be one of the most prominent and attractive facial features, aging eyelids can create a tired, worn-out appearance. As we get older, the upper eyelids can become heavy with excess skin, thickened muscle, and protruding fat pockets. Upper lid blepharoplasty can be a very straightforward procedure to remove the excess skin, muscle, and fat to help restore a more youthful, refreshed appearance. However, it is essential to properly evaluate each patient’s eyelids and to individually tailor the technique to achieve the best results. Dr. Vipond likes to say that what is left behind after upper eyelid lifts is far more important than what is taken out. While it may sound more impressive to hear about how much skin, fat, and muscle are removed, if this is done inappropriately, patients can be left with a hollowed-out, “surprised” appearance that can actually make them look older. There are many celebrities who can attest to this. Dr. Vipond believes that the Artistry of Facial Plastic Surgery is especially vital when it comes to operating on the eyes as proper planning of the procedure and design of the incision is required to achieve the best possible result.
Recognizing the differences between male and female eyelid shape as well as the uniqueness between ethnicities is extremely important to avoid an unnatural, “surprised” or “wide-eyed” look. Dr. Vipond has considerable experience operating on patients with a variety of cultural backgrounds and is very sensitive to patients’ wishes to preserve their individuality. For the upper eyelids, the incision is camouflaged within a natural crease where the eyelid skin attaches to the eyelid. With careful technique and design, a well-healed incision is often imperceptible.
In addition to the simple removal of excess skin, fat, and muscle, there are special situations that may require advanced techniques and expertise. In some patients, the aging process can lead to upper eyelid fat protruding in some areas but leaving an overall hollowed appearance in others. Simple removal of this fat can further hollow out the upper eyelid creating a “skeletal” look. Upper eyelid fat repositioning is a technique where the bulging fat can be moved into the hollow areas to help preserve and restore volume. Upper eyelid fat repositioning is a specialized procedure that is typically performed only by very experienced Facial Plastic or Oculoplastic Surgeons.
Another situation requiring a specialized approach is upper eyelid drooping or ptosis. While this can be caused by a number of conditions, involutional ptosis is commonly seen with eyelids as part of the aging process. The tendon that lifts up the eyelid can elongate or stretch leading to a heavy upper eyelid. There are several different techniques that can be used to help lift up the upper eyelid creating a much more invigorated appearance. Again, these involve more advanced techniques that are typically performed by very experienced Facial Plastic or Oculoplastic Surgeons.
While Upper Blepharoplasty can turn back the clock on aging upper eyelids, unfortunately, the aging process will continue. Sometimes non-invasive methods may help, but often another surgery may be the best option. Dr. Vipond is well-experienced in performing secondary, or revision, eyelids surgeries to correct or improve the results from earlier operations. A careful approach and meticulous planning can help restore natural youthful beauty to features affected by age and surgical trauma.