The eyelid is made up of four structural components: skin, muscle, connective tissue, and fat pads. In the upper eyelid, there are inner and middle fat pads, and on the outer side, you’ll find the tear gland. In the lower eyelid, fat pads are present on the inner, middle, and outer sides.
So, how is the procedure performed—kindly and with care?
Upper Eyelid Surgery
Under local anesthesia, the upper eyelid is gently numbed. First, excess skin is carefully removed, followed by a portion of the underlying muscle. This allows the surgeon to reach the inner and middle fat pads, where a part of the herniated (or protruding) fat is taken out. If the tear gland has also sagged, it is lifted back into place. Finally, the skin is closed with dissolvable stitches, and the procedure is completed.
Similarly, under local anesthesia, the lower eyelid is numbed. The skin and muscle are lifted to access the inner, middle, and outer fat pads. Any herniated fat is gently reduced. Then, any excess muscle and skin are removed. The skin is closed along the lash line using dissolvable stitches, leaving no visible external scar. And just like that, the procedure is finished.
Now, if you’d like, let’s take a gentle look at some before-and-after photos.
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