Upper Blepharoplasty in San Jose

Upper blepharoplasty addresses excess skin and, when appropriate, excess fat in the upper eyelids, while lower blepharoplasty primarily addresses under-eye bags, excess skin, and contour irregularities beneath the eyes.

Upper eyelid surgery is commonly performed to improve a heavy or hooded upper eyelid appearance, creating a more refreshed and rested look. In some patients, excess upper eyelid skin may also interfere with peripheral vision.

Lower eyelid surgery focuses on improving the transition between the lower eyelid and cheek by addressing prominent fat pads, loose skin, and under-eye hollowing when appropriate.

Depending on the patient's anatomy and aesthetic goals, upper and lower blepharoplasty can be performed independently or together.

Upper blepharoplasty is generally appropriate when excess skin in the upper eyelid creates a heavy or hooded appearance, while a brow lift is designed to elevate a descended eyebrow that contributes to upper eyelid heaviness.

These conditions can look similar but involve different anatomical structures. In some patients, brow descent pushes excess tissue downward over the upper eyelid, creating the appearance of hooding even when the eyelid itself has relatively little excess skin.

During evaluation, Dr. Yang assesses eyebrow position, upper eyelid skin redundancy, eyelid function, and overall facial proportions to determine which procedure is most appropriate.

Some patients benefit from upper blepharoplasty alone, while others may achieve a more balanced result with a brow lift or a combination of both procedures.

Blepharoplasty results are generally long-lasting, although the duration varies depending on the patient's anatomy, skin quality, age, and natural aging process.

Upper eyelid surgery can provide results that last many years, often 5–10 years or longer. Lower eyelid surgery may provide particularly long-lasting improvement because the fat pads responsible for under-eye bags tend to remain relatively stable following appropriate surgical correction.

Although blepharoplasty does not stop the aging process, it can create a more refreshed and rested appearance that patients enjoy for many years.

Maintaining healthy skin and protecting the delicate eyelid area from sun exposure can help preserve results.

Excess upper eyelid skin, known as dermatochalasis, occurs when loose or redundant skin accumulates over the upper eyelid. Eyelid ptosis is a separate condition in which the upper eyelid itself sits lower than its normal position due to weakness or dysfunction of the muscles responsible for elevating the eyelid.

Although both conditions can create a heavy or tired appearance, they require different surgical approaches. Upper blepharoplasty addresses excess skin and, when appropriate, fat, while ptosis repair focuses on repositioning or tightening the eyelid-elevating mechanism.

During consultation, Dr. Yang evaluates eyelid position, muscle function, skin redundancy, and overall eye anatomy to determine the appropriate treatment.

Upper blepharoplasty involves an incision placed within the natural crease of the upper eyelid, allowing the resulting scar to blend with the existing eyelid anatomy.

As the incision heals, the scar typically becomes less noticeable over several months. Most patients find that the incision is well concealed when their eyes are open, although scar appearance varies depending on individual healing characteristics, skin quality, and postoperative care.

Careful surgical planning and precise incision placement are important for achieving a natural-looking result while preserving normal eyelid function.