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Before and after upper and lower blepharoplasty in a 55 year old woman. She previously had only a right-sided lower blepharoplasty for a single-sided baggy lower eyelid. Years later, her upper lids and the left lower lid caught up. She now wished to have her remaining three eyelids lifted to fully rejuvenate her eyes.

She had scheduled another Plastic Surgery procedure to be done concurrently that required general anesthesia, so she went to sleep for surgery instead of having surgery under local anesthesia, as would occur if blepharoplasty was done alone.

A strip of skin measured by the “pinch” technique was removed from both of her upper lids and her left lower lid, but deep pockets and fat and orbicularis oculi muscle was left alone. The last image shows the skin removed from her lids – due to elastin in the tissue removed, it has contracted 2-3 times its width.

Postoperatively, she used cool packs against her eyes to limit swelling and bruising for the first several days. Her bruising resolved within two weeks. She found the blepharoplasty recovery much easier than her liposuction!

Follow up photos are shown 5 months after surgery. She looks normal and natural, which is always the goal for facial aesthetic surgery.

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*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.

Dr Karen Horton