What else is done in addition to removing the excess skin?
Typically, surgeons also remove fat and some muscle. Overly aggressive removal of fat can aggravate the natural hollowing of the eye socket that occurs with aging. Excess fat removal can also change the position of the eye in the socket by removing the supportive “padding” that cushions the eye and helps to maintain its position. Conservative fat removal can improve some “bulges” or “fullness” of the upper lids. Removal of muscle with the skin is typically done to further shape the final result. Muscle resection rarely, if ever, causes problems. What are the surgical options? The most commonly performed operation is removal of the “extra” lid skin, or blepharoplasty. It is a popular procedure due to its simplicity and rapid recovery. For the reasons noted above, it also may not be the most appropriate or definitive operation. Many surgeons do not have the training or background to perform surgery to raise the brow, and so apply only the limited choices of operations is their personal a