Tissue-Sparing Upper Blepharoplasty

Tissue-sparing upper eyelid blepharoplasty refers to an operative variation in which the tissues responsible for maintaining the relatively fuller volume typical of a youthful upper lid are conserved.

In contrast to techniques that emphasize skin, muscle, and fat excision, the orbicularis (closing) muscle in fully retained, fat is either fully retained or trimmed only slightly in the pocket closest the nose, and the shape and height of the skin to be removed is adjusted accordingly.

The goal is to create a low but cleanly defined platform of exposed skin above the lashes while avoiding the high, arched, and hollowed creases of years past that make a face look older.

Not only is the result aesthetically superior, but tissue-sparing upper blepharoplasty is less invasive and safer than older "standard" operations still in wide use.

Since the fat of the upper orbit provides structural support for the brow from below, conserving adequate orbital volume also helps to prevent downward migration of the brow after eyelid surgery.

 

A detailed commentary on tissue-sparing upper blepharoplasty is presented in our video section.

Don't worry if you're squeamish about viewing operations. Our videos use diagrams rather than actual surgery footage and emphasize concepts rather than surgical technique.

Actual surgery photos:
Tissue-sparing upper blepharoplasty shown step-by-step

The indications for and benefits of tissue-sparing upper blepharoplasty are summarized below.

• Hollowness After Upper Blepharoplasty