This 45 year-old hispanic female with thyroid ophthalmopathy (bulging eyes) wished to smooth out the lower lids and make the eye appear more “normal.” She did not want to have a more invasive surgery to drop the eye deeper and lower into the bony orbit.
This 59 year-old Hispanic gentleman had upper lid excess skin that caused lid droop, difficulty with upward gaze, and easy fatigue with reading. His ophthalmologist recommended functional and aesthetic blepharoplasty and repair of lid droop.
This 68 year-old female had eyelid surgery when she was in her 20’s but wanted revision surgery to remove the fullness near the corners of her upper eyelids. In addition, she wanted to get rid of the left lower lid bag. Because of her past history of Bell’s Palsy, and a prior resection of right lower eyelid skin for cancer, she had some resultant asymmetry. She wanted to attain more symmetry.
This 52 year-old female wanted to rejuvenate her upper lids. She didn’t like that the skin hung onto the lash line and made it hard for her to apply her makeup. She also didn’t like that the excess skin covered the lower part of her upper eyelid.
This 69 year-old female had a complicated past medical history that contributed to her lid droop. First, she had a tumor removed from the front of her skull that left her with a bony depression in her forehead. During the surgery to remove the tumor and repair the bony defect, there was an injury to the nerve that stimulates the elevation of the brow muscle. An ophthalmologist mistakenly attributed the drooping to excess upper eyelid skin, and performed a blepharoplasty to remove some skin. In fact, the problem was not extra eyelid skin, but a drop in brow position. When I saw this patient in consultation, I recommended direct brow lift surgery to restore proper brow position.