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.
Actual surgery photos:
