Jaffe Cosmetic Eyelid Center

Mark R Jaffe, M.D., P.A.

Office: 214-276-0039

Fax: 469-484-4076

Blepharoplasty

 

What is a Blepharoplasty?

Blepharoplasty can be both a functional and cosmetic surgical procedure intended to reshape the upper eyelid or lower eyelid by the removal or repositioning of excess tissue as well as by reinforcement of surrounding muscles and tendons.

-Eyelids (and your eyes) are, perhaps, what other people notice first.

-Eyelid surgery to improve the appearance of the eyelids is often called 'eyelift' or 'blepharoplasty'.

-As we age, your eyelids (both upper and lower) may become 'droopy' or 'baggy'. The eyelid skin stretches and muscle tone weakens

-In addition, your eyebrows may also droop.

-Your droopy upper eyelids and droopy brows may give you the appearance of being sleepy, tired and aging prematurely

-In addition, this sagging, may lead to brow/eyelid strain

-Excess skin can hang over the eyelid and interfere with vision

When an advanced amount of upper eyelid skin is present; the skin may protrude over the eyelashes and causing a loss of peripheral vision. The outer and upper parts of the visual field are most commonly affected and the condition may cause difficulty with activities such as driving or reading. In this circumstance, upper eyelid blepharoplasty is performed to improve peripheral vision.

If the patient will be undergoing an upper eyelid surgery, Dr. Jaffe will create an incision that will follow the natural eyelid lines. Through these incisions, the he will remove a crescent of excess muscle, any fat accumulation, and skin. Once this has been done, Dr. Jaffe will then close the incision with sutures.

In performing a lower eyelid surgery, Dr. Jaffe will make an incision that will also follow the natural lines of the lower eyelids. These incisions will be made below the lashes located in the lower lids. He may either remove the fatty deposits from inside of the lower eyelid, or he may also reposition these deposits. When there is a need to remove excess skin, he will perform a skin pinch by making an incision under the lashes in order to prevent leaving a visible scar. Dr. Jaffe will then close the incision using fine sutures. Back to Top

 

What is a Transconjunctival lower lid blepharoplasty?

Sometimes Dr. Jaffe will perform the procedure from the inside of the eyelid, which leaves no visible scar on the skin (a transconjunctival blepharoplasty). This approach is associated with a lower risk of postoperative lower eyelid retraction. The eyeball is protected during the surgery by covering the eye with protective shields.

Orbital fat is distributed in the upper eyelid in two compartments, medial fat pad and preaponeurotic fat pad. Prolapse of the brow fat pad may contribute to form a preseptal fat pad in the upper eyelid. Orbital fat in the lower lid includes three compartments: medial, central and lateral fat pads. Resection of fat in the lower lid may be performed for cosmetic reason via a transconjunctival approach with no cutaneous scar visible. Back to Top

 

Asian blepharoplasty/Western Crease

Western crease eyelid surgery is the most common cosmetic procedure in China, and East and South Asia. The typical Asian eye is characterized by puffiness and lack of a supratarsal fold in the upper eyelid.

About several Asian patients posses an upper eyelid with a low but defined eyelid crease and another half have no sign of crease formation. Even when present, Asian crease differs from typical Western crease as it is closer to the eyelashes and is shaped differently.

Double eyelid surgery is one of the most common plastic surgery procedures for Asians. Asian and western eyelids have different anatomy, and thus traditional upper eyelid surgery techniques do not apply. Asian eyelids often do not have the usual attachments between the upper eyelid muscle and the skin that western eyelids contain. This results in an absence of an upper eyelid crease. Some Asian eyelids do, indeed, contain creases, which are frequently located lower (closer to the eyelash line). Asian eyelids also often appear "puffier" or fuller than western eyelids due to an increased fat layer under the skin and from orbital fat protrusion.

The goal of the surgery is to create a pleasing upper eyelid fold that does not rob the patient of his/her ethnicity. In the past, surgeons have had a tendency to "overly Westernize" eyelids by placing folds too high. This concept of "westernization" of Asian eyelids has now undergone a welcome paradigm shift. The current emphasis is to accentuate and enhance a typically Asian eyelid - not to completely alter it. We also focus on patients' particular desires to help tailor the surgical outcome. Some want defined, higher creases, while others simply want minimal refinements without noticeably changing the eyelid's characteristics. Other important considerations are the contouring of the eyelid by removal of excess skin or fat, preservation or elimination of the inner eyelid fold, differences between male and female aesthetics, and ethnic eyelid variations between Koreans, Japanese, Chinese, etc. Back to Top

Registration:

We have our New Patient Information form available to download here. You can complete the form at your convenience and bring it with you on your first visit. This will help expedite your wait and reduce paperwork necessary when you come in.

©2018 Jaffe Cosmetic Eyelid Center