Summary of Eyelid Surgery

Upper Eyelid Surgery in Bangalore

Any one or combination of the following conditions may indicate that you may be need eyelid surgery

* Excess skin obscuring the natural fold of the upper eyelids
* Loose skin hanging down from the upper eyelids, perhaps impairing vision
* A puffy appearance to the upper eyelids, making the eyes look tired
* Excess skin and fine, “crepe paper type” wrinkles of the lower eyelids
* Bags and dark circles under the eyes
* Lower eyelid droopiness

Typically, aesthetic eyelid surgery addresses these issues, but additional treatments may be necessary. If the upper eyelid issue coincides with eyebrow sagging, a forehead lift might be suggested. Crow’s feet can be smoothed with Botox®, chemical peels, or laser resurfacing. Dark circles under the eyes due to pigmentation can be treated with fillers like Hyaluronic Acid or fat, alongside bleaching solutions or chemical peels.

Double Eyelid Surgery (Asian Blepharoplasty)

Double eyelid surgery is the most popular of all facial plastic surgery procedures performed on patients of Asian descent in the Orient and West.

Upper eyelid surgery in Bangalore is a procedure tailored to establish or enhance the upper eyelid crease, resulting in larger-looking eyes and a more open appearance. While Asian eyelid structures share similarities with Caucasian lids, their unique alignments, lengths, and thicknesses contribute to distinct features like the epicanthal fold and crease.

Eyelid surgery is often regarded as one of the most challenging plastic procedures, with patient satisfaction surprisingly low due to its complexity. Results greatly depend on the doctor’s expertise, with potential issues including asymmetry, scarring, misaligned eyelashes, excess skin, hollowness, unnatural outcomes, and crease loss, highlighting the importance of skilled practitioners.

Surgical Methods

Among many different techniques, wide undermining the lid skin and aggressive removal muscle technique deliver most attractive result

Requires incision
Leave scar
Healing and recovery takes longer
Revision surgery may be difficult occasionally
Requires skill from surgeon
Deliver permanent result
Good for thick skin
Good for fatty eye
Able to prevent puffy crease
Less fold failure rate

Shape and Size of the Fold

Taper

For those seeking a typical Asian appearance with a highly natural-looking fold, upper eyelid surgery in Bangalore offers an ideal solution. This style, favored by around 50% of patients, is particularly popular among younger individuals. It typically features a smaller crease, often measuring less than 6mm, and can be achieved using non-cutting techniques.

Parallel

Somewhat larger than tapered crease and resemble Caucasian fold. It is somewhat larger than tapered look and also 50% natural crease belong to this style.

Medial Epicanthoplasty

Epicanthal fold is sometimes called as a Mongolian fold and it is small web like skin covers the inner corner of the eye. Removing this fold is called medial epicanthoplasty and it enlarges the eyes in horizontal direction. 10 to 15 % of the eyelid surgery requires this procedure. This procedure is recommended to someone’s horizontal length of the eye is less then 2.5 cm and if the size belong to between 2.5- 2.7cm then occasional recommended. Anyone whose eye is larger than 2.7cnm then usually this procedure is not necessary. For general information Caucasian eye size is somewhat 3cm in length.

There are numerous techniques such as V-Y advancement, W plasty, Z plasty, and modified Z plasty V-W plasty but due to high incidence of the scarring I recommend

This technique gives least chance of scar formation but every epicanthoplasty need to be performed with very careful consideration. Contura is one of the best Upper Eyelid Surgery in Bangalore