Male upper blepharoplasty can be performed for medical reasons, cosmetic reason, or both. Upper lid position becomes medical when it obscures vision. A good rule of thumb is that if the upper lid tissue encroaches on the visible pupil, upper…
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Dr. Walrath continually getting awards from vitals.com for compassionate care and regularly receives the “Patient’s Choice Award”! (Well, except for 2015, when compassion was apparently in short supply! LOL!)
This patient complained of visual obstruction from the upper lids.
The upper lid tissue folded over the lashes and into the visual axis. It was appropriate to consider upper lid surgery to be medical in nature, and formal visual field testing was performed. The upper blepharoplasty was covered by insurance.
Further discussion with this patient centered on the cosmetic impact of his brow position. The angulation of the brow gave him an angry appearance. The patient elected a cosmetic direct brow lift. The brow incisions were placed directly above the brow, centered on the inner portions. (This technique leads to very good incision camouflage in patients with thick brows.)
The bottom photo was taken a few months after surgery. The brow position is now more neutral. There is no angry appearance. The incisions have healed, and the symmetry is excellent.
This 51 year old patient presented with complaints of upper eyelid tissue obscuring her vision. She also was unhappy with the appearance of her lower lids. She had significant laxity of the lower lid tissue that mandated an open lower…