Excerpt from Topic 1:
Blepharoplasty, or cosmetic eye surgery, joined mainstream plastic surgery nearly eighty years ago but was then practiced with only minimal refinement over the ensuing decades. Forty years ago, a lost approach to the lower eyelid was reintroduced and initiated rapid evolution in technique only to be overtaken near the end of the last century by any number of invasive "advances" that many facial and oculoplastic surgeons now view as overly enthusiastic.
Although aggressive eye plastic surgery may provide a dramatic change, this is seldom for the better. Results may appear harsh, windswept, sunken, and, not surprisingly, less youthful. By trading one deformity for another, overworked eye lifts can transform a person's appearance into something it never was.
Today's best cosmetic eye surgery is built around a newfound respect for the perils of disturbing orbital and eyelid fat and the eyelid's complex system of structural support. Baggy upper and puffy lower lids can now be addressed surgically with less tissue disruption, scarring, and loss of function, while hollowness can be softened with a variety of fat grafting techniques.
Not only is modern blepharoplasty more specialized and sophisticated, but so are the credentialed experts who focus their efforts on providing eyelid surgery of the highest quality
When done well, blepharoplasty is an operation that can refresh an aging face. The goal is to still look like yourself. Just better.
There's a lot here.