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 older techniques that emphasize skin, muscle, and fat excision, orbicularis 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 defined platform of exposed skin above the lashes and avoid the high, arched, deep creases of years past.

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