The aesthetics of the eyes, other than color, are entirely determined by the bony and soft tissue architecture surrounding them. Variations in the bony skeleton such as underdeveloped cheek bones, when not recognized in advance of a blepharoplasty can negatively impact the final surgical result.
Current Trends in Eyelid Surgery
The upper and lower lids are complex and delicate structures with important physiological functions essential to the well-being of the eyes. During the past decade, aesthetic plastic surgeons have come to recognize that removing “too much” from the eyelids results in an aged, rather than rejuvenated, appearance – especially over time. That is why so many of the contributing experts in “Be Your Best” by Dr. Peter Fodor have noted the current trend in eyelid surgery is preservation of skin, muscle, and fat combined with selective re-positioning of tissues and, if indicated, of the outer corner of the lids. For the best result, these surgical alterations are often combined with elevation of the eyebrows, lifting or augmentation of the cheeks, or other related aesthetic procedures.
As the comments by the contributing experts clearly reflect, careful preoperative analysis and alterations in surgical technique to fit each individual patients needs, avoiding any compromise of eyelid function, are the keys to successful blepharoplasty outcomes.