The incision is made, and excess fat, muscle, and loose skin are removed. Fine sutures are used to close the incision to minimize the visibility of any scar. A variation of this surgery is the double eyelid procedure for patients who seek to add a crease to their upper eyelid. The surgery may also be used to correct ptosis, a drooping upper eyelid that is congenital or develops with age. Patients whose field of vision is limited due to ptosis may be able to seek insurance reimbursement since the procedure is medically necessary.
Most people seek lower blepharoplasty to eliminate the bags under their eyes.
There are two approaches for lower eyelid surgery. Again, scarring is hidden in the inherent folds. This method works best for the patient who has a pocket of fat beneath the lower eyelid with no sagging skin. Transconjunctival blepharoplasty is usually performed on younger patients with thicker more elastic skin. The incisions may be closed with self-dissolving sutures, or they may not be sutured at all.