Variations in Upper Blepharoplasty

1- “Tissue Sparing Upper Blepharoplasty” is used to avoid high creases and eyelid hollowing. In this surgery orbicularis muscles are not thinned and orbital spectrum are left integral. Very little orbital fat is removed if necessary.
2- In recent years, Laser Blepharoplasty has received much attention. During upper blepharoplasty a laser is used with traditional scalpel and scissors. Laser blepharoplasty reduces the operating time and has benefits for the surgeon. There are other techniques which used for incising and excising like electrocautery, heated scalpels, heat cautery and radiofrequency energy.
3- “Deep Fixation” in upper blepharoplasty may be used for some selected patients to deepen the eyelid creases. This will give a better support for drooping eyelashes and stable platform of skin to apply cosmetics.
4- To close the upper eyelids incision, “Tissue Adhesive” may be used resembling super-glue. In this process few sutures are placed. This technique is seldom used in upper blepharoplasty.
5- If tear gland dropped down inside orbital rim of the bone from its normal position. This may creates a bulge at the lateral side of upper eyelid that mimics eyelid fats. The tear gland may need resuspension, if severe.
6- In upper blepharoplasty, “Transconjunctival Incision” may be considered. If there is no excess skin and only nasal fat pocket bulging. Fat removal may be undertaken from the inside surface of upper eyelid without making any external scar.