Hiding incisions in the crease

Many people are curious to find out where the incisions are placed during an upper eyelid tuck (blepharoplasty). We'll start by examining the before and after blepharoplasty photos of this patient on whom I performed an isolated upper eyelid blepharoplasty.



It's hard to see where the incisions are isn't it? One beautiful thing with upper eyelid blepharoplasty is how we can hide the incision so well in the existing upper eyelid crease. This photograph of our patient shows the skin incision line markings just before starting her procedure.



You can see that I've marked the existing lower eyelid crease along the lower limb and extended the planned incision a bit toward the outer portion of the eyelid. This extension allows for improvement to this outer eyelid area that often has the most excess skin. The upper limb of the incision markings are created by pinching the intervening skin to create the correct level of excess skin removal.

This photo shows the same patient from an oblique angle. You can appreciate the improved upper eyelid show that helps to open up her eyes, yet appears natural. I avoid an overly sculpted look when I perform blepharoplasty by maintaining or accentuating a youthful fullness to the eye.



Want to read more?  Check out my blepharoplasty surgery section here or find more before and after blepharoplasty photos here.