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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.

Eyelid surgery tutorial >> Upper eyelids >> page 2
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The woman pictured above has had an upper eyelid blepharoplasty.  In the after picture, above right, you can see the platform of her upper eyelid, whereas it was impossible to see in the before picture above left.  Below, I've colored the platform pink.

Click on any image in this tutorial to see a greatly-enlarged version
The incision that allows us to perform this operation is hidden in the upper eyelid crease, an excellent place to hide the scar.  The incision also comes out to the side of the eye a bit, to hide in the crow's feet.  In the diagram above right, I have traced her incision in black.  It's very hard to spot the scar in the color photo above left.

When the eyelid opens, the excess skin of the eyelid bunches up above the lashes, and over the years, with the bunching and the loss of elasticity that normally occurs with aging skin, the eyelid skin develops what we call "crepe paper" wrinkling.  "Crepe paper," because the skin has those tight cross-hatchy wrinkles reminiscent of crepe paper.  Removing the excess skin takes away much of that crepe paper appearance to the eyelids.  Her upper eyelid skin appears smoother in the after picture.


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All surgery depicted in this essay, except where noted, was performed by Dr. Denenberg