Eyelid Surgery Cases

This case demonstrates upper eyelid blepharoplasty; a simple one hour procedure that can give back a refreshing look to the face!

Blending lid cheek junction hollow and keeping eyes looking natural are the two main priorities in modern Blepharoplasty. I accomplish this with very little fat removal, but rather with combined  fat relocation (transposition), lateral cheek lift, and on occasion, additional filler or fat grafting. A fine result.

This patient presented with a combination of eyelid findings including lid skin excess, wrinkles, fat bags, and lid cheek interface hollowing. A combination of fat removal, fat repositioning, fat grafting, skin removal and lifting was done to create this dramatic improvement. An excellent result.

This patient presented with a combination of challenging findings. Thick loose wrinkled skin of the upper lids, combined with sagging lower lids, fat bags and hollows below the bags. Not just a simple “eye lift”, this case requires selectively moving fat around the lower lid cheek interface, filling the hollow with fat to blend the lid cheek interface, strengthening the weak lower lid, and elevating the cheek pad by canthal suspension. A very nice result.

Aging around the eyes leads to bulging fat bags, skin laxity and excess, lid cheek junction hollow, and cheek ptosis (sag). Correction of these problems requires the artful removal of excess skin and manipulation of the fat pads by repositioning them (fat transposition) while releasing the hollows and adding additional volume (fat grafting or comingling fillers directly into the transposed fat) and lifting the lateral cheek back over the orbital rims. An amazing, youthful transformation!

Puffy bags, skin laxity and volume loss can create an aged appearance.

Here is a dramatic transformation after upper and lower eyelid blepharoplasty, fat transposition, and mini cheek lift, shown only four weeks later! Note the youthful smooth transition between lid skin and cheek skin. A very nice outcome.

Combining eyelid blepharoplasty with foreheadplasty (brow lift) with lateral cheek lift can yield powerful aesthetic outcomes without a complete facelift.

Gentle elevation of brows, elimination of lines, and cheek lift combined with fat transposition across lid cheek junction yields dramatic, yet subtle results.

This is a good example of fat transposition during lower eyelid blepharoplasty.  This means separating the fat out than re-positioning it in the lid-cheek interface hollow. The result is a far better aesthetic outcome than typical blepharoplasty. Also done: upper lid blepharoplasty. A fine result.

This patient underwent bilateral upper and lower eyelid blepharoplasty with fat transposition and lateral cheek lift. (Shown only 6 weeks after surgery).

Now this is a real work of art!  Here I combined upper lid blepharoplasty with lower lid blepharoplasty and lower lid bilateral cheek lift.

In the lower lids, I remove very little fat, instead, I release the three fat bags completely, take out the fat, preserve most of it still attached to its blood supply, remove some excess, release the tissues over the lower orbital rim (bone), tuck the lower eyelid fat bags down over the lower rim, then elevate the cheek pad back over the transposed fat. Finally, then remove the excess skin. The results are light years ahead of average eyelid surgery – a youthful face with preserved almond-shaped eyes! A beautiful result!