Eyelidplasty, also known as blepharoplasty, is done to remove excess skin, muscle and fat from the eyelids that make them look baggy, giving the patient a "tired" look.
Eyelidplasty can be performed using external incisions on the upper eyelids through skin creases, on the lower lids through incisions just below the eyelash line. Selective excision of eyelid muscle of the lower lid reduces the appearance of ridges caused by thick, or excessive orbicularis occuli eyelid muscles sometimes seen in younger patients seeking eyelid surgery.
Another eyelidplasty technique uses internal incisions through the inside of the eyelid. This operation is called a transconjunctival eyelidplasty. The incision is made on the inner surface of the lower eyelid through conjuctiva layer, and fat is removed or repositioned without the need for external incisions. A dissolving suture may, or may not be used to close the inside the eyelid incision, so it is sometimes called a sutureless eyelidplasty.
The eyelidplasty may be combined with a canthoplasty, an eyelid tightening procedure, in cases where the eyelid is lax.
Eyelidplasty is often performed in conjunction with a facelift and/or a brow lift to provide balance and harmony.