Upper blepharoplasty is a procedure for the removal of excess skin from the upper eyelids. As part of the ageing process, skin becomes lax and descends; eyelid protrusions (fat pads) are often observed. The reduction of fat pads is usually an integral part of the surgery.
The extent to which skin should be removed is decided with careful assessment of the eyebrow position. In fact, excess tissue in the upper eyelids may be due to brow descent. Therefore, the appropriate procedure, in this case, is a brow-lift with or without upper blepharoplasty.
In order to achieve natural results, it is crucial that excess tissue is removed only – avoiding over-correction, which can lead to a sunken or skeletonised appearance. The incision is located in the eyelid groove, which appears when they eyes are open, so scars are invisible when the eye is open and inconspicuous when closed.
Upper blepharoplasty is usually performed under local anaesthesia (the anaesthesia is administered to the eyelids only) and patients are discharged shortly after surgery.
Careful administration of pain-killers during and after the surgery ensures that post-operative pain and discomfort are kept to a minimum.
The Dr. Simone is medical director at the Campus Bio-Medico University Polyclinic of Rome, where, in addition to carrying out surgical activities, he dedicates himself to teaching and scientific research, in an international academic context.