Upper Eyelid Blepharoplasty

Upper eyelid blepharoplasty involves removal of excess skin and soft tissue in the upper eyelid, symmetrization of the eyelid creases and upper eyelid skin fold, and simultaneous protection of the ocular surface and preservation of normal eyelid position and mechanics. Upper eyelid blepharoplasty is often combined with forehead lifting and temporal brow lifting because of the interrelationship between eyebrow position and upper eyelid skin. As an ophthalmologist, Dr. Walrath pays particular attention to the health and safety of the ocular surface during this, and any, procedure.

Upper eyelid blepharoplasty is individually tailored. In general, Dr. Walrath adopts a “tissue-sparing” approach for some younger patients and for men, as most men find that excessive removal of tissue from the upper eyelid leads to a feminine appearance. In fact, some patients have come to our practice, after having surgery elsewhere, with the desire to regain the youthful fullness in their upper eyelids.  Dr. Walrath also performs upper eyelid blepharoplasty on Asian patients, after careful discussions about the exact nature of the crease and skin fold that they desire.  For a recent discussion of the eyelid crease, please look here.  If you would like to see a panel of images that demonstrates the typical healing process, please look here.

Dr. Walrath has recently been invited to lecture on the topic of blepharoplasty.

If you would like to learn about the difference between ptosis repair and blepharoplasty, read here.

Many patients have questions about the “down time” required for upper blepharoplasty.  A rather extensive upper eyelid and eye socket procedure was performed on a patient who was kind enough to supply photos of his healing process through the first postoperative week here.

If you would like to learn about the surgery for upper eyelid droop that can be covered by insurance, look here.




In my experience, the eyelid crease is something that most non-oculoplastic surgeons simply ignore, or at best take for granted.  I take care to establish a crease in the proper location and with proper symmetry, by careful measurements intraoperatively;  more importantly, this requires careful discussions with the patient preoperatively, particularly if the patient is Asian.  Loss of eyelid crease fixation can occur after blepharoplasty, leading to the appearance of excess skin on one side: this is a trap.  The real treatment is reformation of the crease, and not simply re-excision of the skin.  Removing too much skin creates the REAL problems that we occasionally see in upper eyelid surgery.