Upper lid blepharoplasty (often called an eye lift) has been a procedure used for many years to treat loose skin on the upper eyelid, or dermatochalasis. This condition occurs naturally with aging but the extent of which it occurs often depends on genetic predisposition, ethnicity, and lifestyle choices. Over time skin loses elasticity, connective tissues weaken, and gravity takes a toll on the skin; which leads to skin folding down.
While blepharoplasty is typically considered a cosmetic procedure, it may be a medical necessity in certain situations. When the eye fold is so pronounced that it obstructs vision, or makes it impossible to wear contact lenses/ glasses, it may be time to consider a functional eye lift. It should be noted that patients of Asian ancestry have a few special considerations when thinking about this procedure. About half of all Asians already have eyelid folds, and removing them will result in a distinctively more Western looking eye. It should be discussed before surgery whether this is the end goal, or whether the patient simply wants the eyelid folds reduced or evened out. The surgery typically takes between 1 hour, and it usually takes 4-6 weeks for the final results to be seen after the eyelid fully heals. During the procedure, you may just be given local anesthesia to numb the eyes, but if the procedure is expected to be more complicated. When a blepharoplasty is performed, The doctor will also remove excess skin and fat from the eyelid in certain situations.