Upper Blepharoplasty- Eyelid Surgery Without Crease Formation

The upper eyelids may emerge baggy in Asian people. Bagginess is usually due to the occurrence of excess fat and skin. Some people may wish to reduce their upper eyelid bagginess through blepharoplasty while conserve the current eyelids creaseless. Asian people have a special anatomical feature in their eyelids, so, "standard" Asian double-eyelid blepharoplasty surgery can run a specific risk of varying the current state of the crease and noticeable scar.
There are certain new techniques developed in Blepharoplasty for such cases:
• In this upper blepharoplasty, the skin generally incised a few millimeter above lashes. The incision is external and does not tend to the orbicularis muscle. A plane then established between skin and orbicularis muscle expanding upward. After this a flap having skin only is elevated without unsettling the eyelid structure.
• For upper eyelid bagginess, the excess fat needs to be removed to decrease a marked convexity in the eyelid. The orbicularis muscle is incised slightly a highed level in blepharoplasty. The orbital septum is then opened at little higher level. After that in blepharoplasty, a small amount of fat is trimmed out and removed. The orbicularis muscle and orbital septum left to close naturally without any suturing. However this step is not required, unless excess fat is offensive.
• If fat pocket nearby to the nose, bulging enough to visible, the transconjunctival approached is considered for blepharoplasty i.e. the area closet to nose approached from the backward of the eyelid. After this a small incision created to remove any excess fat. In this way, No noticeable external scar is created.
• Lastly, the skin flap is wrapped over the original incision marked in eyelid and extra skin trimmed conservatively. Now the skin edges will be closed with few sutures without useing any kind of deep fixation.
This upper blepharoplasty procedure is performed by not removing any orbicularis muscle or orbital septum and creation of a noticeable crease is avoided and the healing exterior scar is convincingly well camouflaged.