As the skin ages, it gradually loses its elasticity. This lack of elasticity and the pull of gravity cause excessive skin to collect on the upper and lower eyelids. Upper eyelid skin redundancy may also be associated with excess fat that protrudes under the redundant skin. Upper eyelid skin redundancy may also be associated with a sagging brow. Dr. Toriumi will discuss this with you if it is a problem.
Excess skin on the lower eyelid leads to wrinkles and bulges. The tone of the lower eyelid may be also become loose and result in rounding of the shape of the eye. This can contribute to dryness of the eye and may complicate lower eyelid surgery. In most cases, Dr. Toriumi will tighten the lower eyelid to help prevent postoperative complications.
Eyelid surgery (also called an eye lift or blepharoplasty) helps to decrease bagginess from lower eyelids and remove excess skin from the upper eyelids.
This procedure is typically done for cosmetic reasons. However, it may also be an effective way to improve sight in older people whose sagging upper eyelids are obstructing their vision.
An eye lift does not work by itself for eliminating dark circles under the eyes, crow's feet, or other facial wrinkles. Often, it is performed alongside complementary procedures such as laser resurfacing, chemical peel, filler injections, Botox or browlift.
Dr. Toriumi will frequently perform fat injections to the area around the eyes to further enhance the rejuvenation of the eyelid area.
Dr. Toriumi will examine your eyes and take into consideration your specific requests or concerns. He will look for puffiness in the skin around the eyes and the creases along your eyelids. In upper eyelid surgery, he will make a small incision along the natural crease of the upper eyelid. For lower eyelid surgery, the incision is made along the lash line and smile lines. After incisions are made, Dr. Toriumi removes the excess fat and skin and re-contours and tightens the underlying muscle. Finally, he will carefully close the incision so that the scar is not visible.