The skin on my upper eyelid platform is wrinkled and loose. I can’t seem to keep makeup on without it smudging. Is there anything that can be done to help this?

When upper blepharoplasty is performed, simply removing extra skin is not enough to create a great result. Beautiful blepharoplasty results require what Dr. Steinsapir calls a structured blepharoplasty. For the eyelid platform skin this means making the eyelid crease at just the right height and anchoring the eyelid platform skin to the levator tendon, which raises the upper eyelid. This places the upper eyelid skin on a slight stretch resulting in a smooth platform for makeup. Crepey upper eyelid skin can be addressed after unsatisfactory upper blepharoplasty by a carefully planned reexcision of the excess skin left on the eyelid platform. With the eyelid open, the upper eyelid skin is anchored to the levator tendon to create a long lasting adhesion to the eyelid elevator. Recovery is usually shorter than standard upper blepharoplasty. Generally, this type of revisional procedure can be performed in an office procedure setting with local anesthesia.

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