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Eyelid Surgery How is cosmetic eyelid surgery performed? The specific method used for your eyelid surgery will be determined by your features and your surgeon's preferences. Upper eyelids Typically, the incision begins within the natural crease of the eye's inside corner and extends slightly beyond the outside corner into the crow's feet or laugh lines. Through this incision, excess skin and fatty tissue are removed. The incision line follows the natural contour of the upper eyelid, and is camouflaged when healed. Lower eyelids Usually the incision is concealed just below the lower lashes. Through this incision, excess skin, muscle and fat are removed. Your surgeon may also make special adjustments. For example, the fat beneath the eye can be redistributed to eliminate puffiness or bulges. In some patients, the underlying muscle will be tightened. Your surgeon may decide that the best approach for removing fat from the lower eyelid is with a transconjunctival blepharoplasty. In this procedure, an incision is placed inside the lower eyelid. This technique requires no external incision, but it cannot be used to remove excess skin. Laser resurfacing or chemical peel is sometimes used in conjunction with this procedure to minimize fine wrinkles near the eyes.
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