Lidlift Kenneth D. Steinsapir, M.D.
Cosmetic, Facial & Eye Plastic Surgery

Too much of my upper eyelid folds were removed at the time of upper eyelid surgery leaving my upper eyelid sulcus hollow and the eye skeletonized. What can be done?

It was once taught to eyelid surgeons that it is impossible to take too much upper eyelid skin with the blepharoplasty. However, this is not the case. It is essential to consider the position of the eyebrows in assessing how much spare skin exists in the upper eyelid. A conservative approach is to position the eyebrow anatomically, and then determine how much excess skin exists in the upper eyelids. When too much skin and underlying tissue are removed from the upper eyelid, the upper eyelid fold is compromised. This results in a hollow space below the eyebrow where the upper eyelid fold once existed. The upper eyelid fold is an important anatomic feature. Failure to conserve the upper eyelid fold, as part of the upper blepharoplasty, is a major cause for an over operated appearance. It is also important to understand that it is virtually impossible to create more upper eyelid fold with secondary surgery.