Upper Lid Blepharoplasty is usually done to:
- remove excess skin from the upper eyelid
- crease an upper lid crease
The droopy skin is more obvious at the outer corners of the eyes (called lateral hooding). It is a mis-conception that this can be corrected by aggressive skin removal from the upper eyelid.
The usual result is a face where the eyebrow moves closer to the eyes and the upper eyelid skin looks excessively folded. It appears that the person is frowning. To avoid this, a browlift needs to be done to fix the position of the eyebrow before the Upper Lid Blepharoplasty. To read more, visit the page on browlift.
Besides correcting changes due to aging, an upper lid blepharoplasty is also done to create an upper lid crease - the so-called "double eyelid". There are many advertisements for surgery without incisions by doing the "stitching" type of blepharoplasty. Some are even done illegally in somebody's living room!
This procedure is not useful when there is too much excess upper eyelid skin. Instead of removing skin, the crease is made higher than normal to allow more room for the skin to fold over, creating an unnatural appearance. The photo below shows an example of attractive Asian eyes.