Category: blepharoplasty

Many Asians upper eyelids do not have a discernible crease due to the absence of connecting fibers between the levator aponeurosis and the underside of the dermis of the skin. Other eyelid anatomic findings include an excess of preaponeurotic fat and a lower fusion point of the orbital septum and the levator aponeurosis. These unique Read More…

The lacrimal glands are paired small sacs of exocrine glands that are normally located just under the edge of the lateral orbital rim in, appropriately called, the lacrimal fossa. They are responsible for secreting the aqueous layer of the tear film. While small, about 1 x 1 cm in size, it has two distinct lobes Read More…

Undereye hollows are a bothersome aesthetic deformity. They occur for a variety of reasons with the cost common being aging with loss of fat and a congenital infraorbital bone deficiency with a negative orbital vector. This creates for the patient a look of aging and tiredness and even a pseudoproptotic appearance. The most common treatment Read More…

Blepharoplasty remains the cornerstone of facial rejuvenation surgery. This is not only because the eyelids show the first and most visible signs of facial aging but because each patient has two sets of them. Of the two eyelids the upper eyelid is often the most frequently treated because it develops skin redundancies that are usually Read More…

Festoons are a unique lower eyelid condition that appears as bags below the more common location of infraorbital fat herniation on the cheek. Also known as malar bags they are perceived as being abnormal collections of lymphedematous fatty tissue below the lid-cheek junction. They are particularly resistant to being removed with traditional lower blepharoplasty surgery Read More…

  Like the rest of the face, the eye area undergoes numerous well known age-related changes. Besides the extra skin that develops on the eyelids one of the classic changes is that of infraorbital fat herniation or lower eye bags. While it does not occur in everyone (some people develop hollowing rather than a soft Read More…

While cosmetic eyelid surgery is very common, there are major differences between the upper and lower blepharoplasty procedure. This is primarily due to the much more static but suspensory nature of the lower eyelid. This makes it much more unforgiving than the upper eyelid and even slight disruptions of support or scar contracture creates lid Read More…

The lack of a well defined upper eyelid crease in combination with an epicanthal fold is the most common aesthetic Asian eyelid ‘deformity’. I put the word deformity in parentheses because it is very common to have a monolid in Asians and it is not really a true deformity in the biologic sense. But it Read More…