dr. J. VANDEPUTTE

Plastic Surgery

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upper eyelid correction (blepharoplasty)

The most classic operation on the upper eyelid is the removal of excess skin and fat. However, current techniques have more to offer.
In Caucasian and African people there is a skin crease at about three to eight millimetres from the eyelid border. Between the border and that crease the skin is attached to the deeper layers. The rest of the skin can slide and fold up when the eyes are opened. The incision is made in that natural skin crease. The ageing process causes the attached part of the skin to slide down like a curtain and to rest on the eyelashes. When this weight becomes too heavy a tired feeling and even visual disturbance may ensue.
The skin can be reattached to the deeper tissues. This restores the natural skin fold and less skin needs to be removed for lid rejuvenation.

The first and the last images of the following animations are "before" and "after" pictures. The transition has been rendered digitally. After an upper eyelid correction the face frequently looks more relaxed, as the eyebrows do not need to be raised any more to see properly.

In some people there is no true skin excess in the upper lids but only downward displacement of the skin by the sagging eyebrows. Here an eyebrow-lift is a more appropriate treatment. Both operations can be combined.

outer corners of the eyelids:
Through the incision for upper lid rejuvenation the outer corners can be repositioned or tightened. This way stretched, aged eyelids are repositioned against the eye.