With age, upper-eyelid skin sags and the eyes can look smaller or heavier. The procedure most commonly considered is upper blepharoplasty, but depending on skin thickness, where the sagging sits, brow height and the strength of eye opening, a different operation may suit you better.
Advantages of upper blepharoplasty
The incision scar overlaps the eyelid crease and is not very noticeable, and sagging skin and the crease can be corrected at the same time.
Who is a good candidate?
It suits people whose skin sagging is not severe, whose existing crease has dropped or become hidden, or whose skin is relatively thin. If the strength of eye opening is also weak, ptosis correction may need to be combined.
When upper blepharoplasty may not suit you
If the skin at the outer corner has sagged a lot, thick skin is concentrated in the upper part of the eyelid, or the eyebrows themselves have descended considerably, the incision may need to be longer or the crease may look thick.
Other ways to address eyelid sagging
- Sub-brow lift: preserves the thin eyelid skin while reducing the thick skin above.
- Forehead lift: raises the forehead and eyebrows together when the eyebrows themselves have descended considerably.
Splitting the correction across two sites
If there is a large amount of sagging skin, a combined operation that corrects it at two sites — under the brow and at the crease — can be considered.
Judging whether upper blepharoplasty suits you means checking not only the skin sagging but also brow position, skin thickness, the strength of eye opening and the extent of the incision.