The eyelid surgery procedure or blepharoplasty mostly involves the removal of excess skin and tissue. Often I like to combine this with a canthopexy (tightening up of the lower lid) and carefully placed microfat grafts.

Because periorbital ageing involves a combination of fat volume loss, loss of skin elasticity, thinning of the skin and descent of other tissue structures, sometimes skin excision alone is not enough.

Depending on the pathology I will either leave an incision just beneath the lashes or within the eyelid itself.