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UPPER EYE LIFT | BLEPHAROPLASTY EXPLAINED
By Seattle's Upper Eyelift Expert Dr. Philip Young & Vanderbilt Trained Plastic Surgeon Dr. Rikesh Parikh

First Watch this Video to Learn About Our Eyelift Secrets Revealed in this Must See Plastic Surgery Video. Also find out about the Basics of the Upper Eyelift you should know before considering an Upper Eyelift | Blepharoplasty:

Click here to Learn More about The Eyelift Procedure by watching our videos with our Eyelift Blepharoplasty YouTube Playlist!

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


This page was created to help you understand the eye lift procedure which is technically called a blepharoplasty. As you age, you lose volume in your eyebrow and eyelid area. What happens next is that the skin draws inward and downward creating what looks like extra skin. Really the skin was always there it just is adapting to less volume in this area. An eyelift is a procedure that takes away this extra skin.

Eyelift | Blepharoplasty with Double Eyelid Crease Formation:

In the picture above, one of our patients received an eye lift. The eyelift incision happens where the eyelid crease is located. The location of this incision is convenient because the incision becomes camouflaged when your eyes are open. The picture below shows where the incision is placed:

Note also that this is where the eyelid crease is located. In the picture, some of the things to think about when you discuss your eye lift is whether you like where your crease is currently or if you would like a different location or height for your future crease.  With a traditional standard eye lift, your eyelift surgeon will typically remove skin and muscle from this area. This will maintain your current crease and just basically remove the extra skin and muscle. This is the usual way that you do an eye lift 95% of the  time. Your surgeon will go over this with you, but if you want your crease higher along with taking out skin and muscle, you will need your creased reformed. We have a discussion related to Asian Blepharoplasty that goes into this particular variation of the upper eye lift: Asian Double Eyelid Crease Procedure. You should also notice that the blue line goes a little beyond the eye area. This is important to blend the removal and most all surgeons carry the incision out laterally there. Note the person in the pictures above had also a crease forming procedure along with removing skin.

Below is an example of an Upper Eyelid Lift:


Before Upper Blepharoplasty | Eyelift and Sutures to Recreate the Upper Eyelid Crease

After Upper Blepharoplasty | Eyelift and Sutures to Recreate the Upper Eyelid Crease

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

"I absolutely love the change in my eyes that Dr Young did. People tell me: 'Wow, I cant believe your eyes and face look so good – I don't know what it is, but you look so much better!' Dr Young you really did a great job!"

—VW

Removing Muscle with Skin or Just Skin | Eye lift: There may be a point that your surgeon will talk to you about whether to take muscle that is underlying with the skin when doing an eye lift. The difference can be seen in the photos below. Based on the pictures you are about to see you can determine if you would like to have muscle taken out or not:

Both of these photos show an upper eyelid area that is more sculpted. If you wish your eyes to look more sculpted you should request getting the underlying muscles removed as well as the skin. The removal of muscle will clear more tissue and open up this area more.

Sculpted Look:

Now take a look at the photos below of 2 other eyes. The eyes below have more volume of tissue above the eyelid crease. If you prefer this more than the photos above I would have you ask your surgeon to leave the underlying muscle for a fuller look.

Fuller, Less Sculpted Look:

Blepharoplasty | Eyelift Sutures: Typically we like to use non absorbable sutures. This is better because they give you a better resulting incision line with less scarring. We usually like to remove the sutures 5-6 days later, enough time to heal and not too long to cause bad healing. If you leave them in much longer this could lead to bad healing.  Removal of the eye lift stitches are usually pretty painless most of the time. There are ways that we can make it more comfortable for you. Our nurses and surgical technicians are experts at removing these stitches. Also there are different ways to suture the incision line. A running Sub Dermal stitch, is a stitch that is weaved under the skin in such a way that it closes the skin incision without having to go in and out on the outside that is like the way it was traditionally done through a running non locking stitch. The pictures below will illustrate what we are talking about:

Running Non Locking Stitch:

Running Sub Dermal Stitch:

Brow lift or Blepharoplasty?: A big question that I always get is whether someone needs a browlift or blepharoplasty | eye lift. It usually depends on what a person looks like, of course. The rule that I go by is if the distance from the bottom of the eyebrow to the eyelid margin is less than the width of the colored part of your eye, you could benefit from lifting the brow. If it is about this distance or higher, no brow lifting should be considered. After deciding this, you can think about the eye lift. Sometimes, a brow lift and blepharoplasty | eyelift can be done together. The way this is done, is that you lift the eyebrow to where you want it to be lifted and then you test how much skin to take from the eyelids. Usually you take less from the eyelids to be on the safe side after your do the browlift.  Browlifting however is something I choose as a second option after shaping the forehead and temple region with fillers. The fillers I use are fat, and the injectibles that are on the market including Radiesse, Restylane, Perlane, Juvederm, etc. The YoungVitalizer is a great option that I often choose first to rejuvenate the upper eyelid and brow, forehead and temple area. The YoungVitalizer is the Breakthrough Incision Less Face Lift developed by Dr. Philip Young.