Blepharoplasty can be performed on either upper eyelids or lower eyelids or both based on the pre-evaluation factors and patient expectations.
The surgery is planned and based on the patients:
- Underlying muscles and facial structure.
- Bone structure.
- The symmetry of the eyebrows.
Surgeons make precise markings to designate where excess skin, underlying muscle, and fat pads need to be removed. Photographs are taken before the surgery.
These are removed with scalpels, surgical scissors, radio-frequency cutting devices and sometimes cutting lasers. Sutures are placed carefully to smooth areas around the eyebrows and eyelids.
Surgeons have to be precise while removing excess skin because over-excision or under-excision both can deteriorate the end results.