Upper Eyelid Surgery

Author: Dr. Gordon Sasaki

Your eyes communicate with the outside world. Excess skin folds, undesired bulges, or drooping of the upper lids close to your pupils make you look tired and older than you feel. Upper eyelid surgery, or blepharoplasty, can help address these signs of aging and improve your appearance. Dr. Sasaki, at Sasaki Advanced Aesthetic Medical Center in Pasadena, is a skilled plastic surgeon specializing in facial procedures to improve the appearance and functionality of the eyelid.

Your Upper Eyelid Procedure

Based on your physical findings and goals, Dr. Sasaki will make specific suggestions to help you achieve an age-appropriate youthful appearance. Because of his extensive experience, Dr. Sasaki can improve the aesthetic requirements around the upper eyelid areas of different ethnicities.

If you demonstrate a dropping of your eyelid towards your pupil (ptosis), Dr. Sasaki will provide you with precise surgical options to raise your upper lid from either an outside approach (tightening the voluntary elevator muscles) or an inside approach (shortening the involuntary elevator muscle).

Dr. Sasaki

Dr. Gordon H. Sasaki

Triple Board-Certified Plastic Surgeon
Few plastic surgeons can match Dr. Sasaki's combination of expertise, compassion, and experience. He's a distinguished educator and a renowned innovator whose work and research have influenced a generation of plastic surgeons. Dr. Sasaki will work with you to make the improvements you desire.

Meet Dr. Sasaki doctor credentials

If you present with extra folds of skin above your double lid line, a conservative ellipse of skin may be removed to give you a refined look. If you desire to have a more defined appearance, the doctor may suggest that both a strip of skin and underlying muscle be taken away. If you demonstrate fat bulging at the inner corner of your eyelid, a conservative removal of fat will enhance your final result. Some patients exhibit too large a bulge (hooding) under each brow that represents a separate anatomic area from that of excess skin and fat which are confined to the upper lid proper. Hooding may be optimally addressed by brow procedures rather than an upper lid blepharoplasty.

A well-designed upper lid blepharoplasty is performed through an elliptically-shaped incision, extending from the inner aspect of the lid to the outer aspect of the double lid line. Based on your preoperative discussion, the doctor will determine the exact layers (skin and/or muscle) and fat bulges to be removed to provide you a natural and beautiful appearance. Through this same exposure, sculpturing of excess brow fat can be easily accomplished to give you a contoured look to both your upper lid and brow. Tightening or shortening of the deeper inefficient muscle apparatus (that elevates the upper lid) corrects upper lid ptosis and can be added to a cosmetic blepharoplasty procedure.

Asian Eyelid Surgery

Asian eyelid surgery, also called double eyelid surgery, is a specialized technique designed to create or define the upper eyelid crease, which often appears singular in Asian men and women. When performed by a skilled surgeon, this procedure can make the eyes appear bigger and more open while maintaining ethnic aesthetic integrity.

Do You Approach Eyelid Surgery Differently for Male Patients?

Eyelid surgery is a very popular procedure among men. Shape and contour differ between men and women, and they usually are looking for different outcomes that can be delivered via nuanced techniques. Dr. Sasaki will go over all treatment options to determine the best techniques for each patient.

How Long Does Upper Eyelid Surgery Take?

Upper lid blepharoplasty may take 1 to 1 1/2 hours to perform and can be done safely under local anesthesia in our office surgical suite. You may shower and wash your face daily after surgery. Antibiotic ointment is applied twice daily over the incision site. The single buried suture is removed about 10 days after surgery.

Can Eyelid Surgery Be Combined with Other Treatments?

Crepey skin in the upper lid will not be significantly improved after an upper lid blepharoplasty. The fine wrinkling is a result of excess skin thinning from aging/sun damage and the attachments of the underlying orbicularis oculi muscle to the thin skin. The use of a fractional laser, light/intermediate chemical peels, or microneedling can result in effacement of the crepey skin wrinkling after sufficient time has permitted surgical tissue healing.

Dr. Sasaki’s Research

Dr. Sasaki’s expertise in eyelid surgery procedures goes beyond his own private practice. He has contributed multiple peer-reviewed papers to medical journals, even serving on the editorial board of the International Laser Journal, Annals of Plastic Surgery, and Aesthetic Guide. He is dedicated to furthering the study of eyelid surgery and other transformative aesthetic procedures. Learn more about Dr. Sasaki’s contributions.

Are you ready to discover all the ways Sasaki Advanced Aesthetic Medical Center in Pasadena can enhance your appearance and confidence? Request a consultation using our online form or call  (626) 796-3373 for an appointment.

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