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Upper Eyelid Surgery (Blepharoplasty)

The medical term for removal of excess skin and fat pockets in the upper and lower eyelids is “blepharoplasty.” In the upper eyelids, specifically, this excess skin can result in a tired appearance to some patients and in others, it can be the cause of vision impairment (difficulty in seeing the top gaze of your vision). This side-effect of upper eyelid blepharoplasty is also known as limitations in the super visual field. 

Upon arrival to Dr. Abedi’s office, she will meet with you and perform a comprehensive oculoplastic exam in order to accurately identify your natural crease and with precision make a hairline incision over that natural crease. Most individuals are born with a natural crease, however, in some cases, the crease is either too high and not accessible or it’s non-existent which is sometimes the case in patients of an Asian descent. If that is the case, Dr. Abedi will sit down and work with you through the options to change the existing lid crease. 

The Doctor utilizes a modified legacy technique in order to remove the excess hooding of the skin; by curving the lateral markings upward which helps in removing the lateral hooding while also opening up the eyelid and keeping the eyebrow elevated. There is only a hairline incision made which heals well and stays within the confines of the crows feet wrinkles. The legacy method which involves curving downward oftentimes results in a much more visible incision that leaves residual skin behind and lowers the eyebrow. Dr. Abedi, however, makes certain to focus special attention on the wound closure by using very fine, non-absorbable sutures, which she removes in under a week.

The Upper Eyelid Surgery Procedure

Dr. Abedi will first perform a full examination and then sit down with you and go through what to expect from a blepharoplasty surgery. Often times an upper eyelid blepharoplasty where the only skin is being removed will be performed in our offices using local anesthesia. Under local anesthesia excess, skin and fat pockets can be removed at the same time via a painless procedure. There are cases in which additional surgery is required, where Dr. Paris will perform the surgery in a full operating room. Most commonly an upper lid blepharoplasty procedure is performed alongside a lower lid blepharoplasty where excess skin and fat pockets from both the upper and lower lids are removed by the Doctor. Upper eyelid surgery is not meant to help with the wrinkles on the sides of your eyelids however Botox can be used in conjunction with upper eyelid surgery to improve these wrinkles.

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