One of the most talked-about areas in any beauty magazine is the eyes. The eyes (or the skin and tissue around the eyes) often display the first signs of aging as we grow older. As such, much of plastic surgery literature is devoted to the rejuvenation of this delicate but beautiful part of the face. The eyelids include both the upper and the lower eyelids. Believe it or not, this relatively small area of our bodies has intricate anatomical details that require precise adjustments, often as small as one millimeter!
As people age, they sometimes get extra skin on their upper eyelids that can look loose and crepey. With an upper eyelid lift, we’re not actually lifting anything. The procedure involves removing this excess skin (sometimes only 1–2 mm of skin), possibly removing fat, occasionally adjusting the position of the tear gland, and sometimes adjusting the attachment points of the eyelid to the deeper structures. An upper eyelid lift is done first by making an incision in the crease of your eyelid, followed by the delicate procedures described above and then suturing the skin together.
The same adjustments can also be made with extra skin and “bags” that form underneath the eyes in the lower eyelid area. A lower eyelid lift is done through an incision made right underneath the lid if the doctor is removing loose skin. If the doctor is only removing extra fat that’s causing bags, he/she can actually hide the incision on the inside of the eyelid, where it will be invisible.
As you can imagine, eyelid lifts can be extremely complex procedures if someone is not intimately familiar with the anatomy. Thankfully, much of a plastic surgeon’s training is focused on this area.
Learn more about what questions to ask regarding this procedure in my book, “Making the Cut” available for purchase on Amazon.
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