Eyelid Surgery - Loose Skin Fold Over Upper Lids Treated

Daniel Lanzer has retired. He is no longer a registered medical practitioner. This website is currently under review

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Case Study

Eyelid Surgery and Erbium Laser Resurfacing


Patient presented with heavy bags under her eyes and a heavy hood of skin and fat on her upper eyelid. The patient looks tired because of the heaviness of the upper lid and the shadowing caused by the lower bag. Notice the deep crease that the lower bag of fat creates. This is an ideal candidate for both an upper and lower Blepharoplasty. The skin on the lower lid had fine lines and was quite loose. To combat this problem we used the Erbium laser to resurface this area and tighten the skin.


Post surgery you can see a dramatic difference in the patients appearance. It has opened up her eyes, making her look refreshed and taken years off her appearance. The skin is no longer hanging over her upper eyelashes and she has a defined upper crease. The lower bag has been removed and after Erbium resurfacing, the skin is much tighter and smooth.

Case Study 10 – Eyelid Before & After Surgery Photos

When performing Blepharoplasty procedures, Dr Lanzer also looks at the surrounding skin and eyebrow shape. The ideal brow shape for a woman is nicely curved with a higher arch on the outer third. As we age this curve can droop and also impact on the degree to which excess skin is hanging on the upper eyelid. The eyebrow can be treated in a few ways to create the most aesthetic look. These include; waxing, plucking or threading to achieve the right shape brow, muscle relaxants which work by relaxing the muscle which holds the brow down, allowing it to spring up in the outer third, and facial fillers or fat transfer into the outer third of the brow to help elevate and shape it in to a higher sitting brow. Adding fillers or fat to the brow works in a similar way to ‘scaffolding’. If provides a base to lift and hold the excess skin.

Some patients may choose to try these techniques prior to undergoing a Blepharoplasty procedure to see how much of a result they achieve. Alternatively, they may do these procedures in combination with a Blepharoplasty to achieve an even more dramatic look. Of course these techniques would be altered when performing these procedures on a male patient to ensure a more masculine look is maintained. The brow shape of a man differs from a woman because it is less curved, and does not have a high arch in the outer third. A more subtle approach would be taken when using muscle relaxants and fillers on males. Care should also be taken when injecting muscle relaxants into the forehead of patients because if too much is used this can cause a heaviness and actually make the brow droop. The doctor or nurse performing the injections would assess the right dose for you to ensure this does not happen.

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    Surgical Warning: Every form of surgery has a possibility of a complication and these are given to you in detail by the surgeon. It is a good idea to understand your surgical procedure well, and to obtain further advice from another medical professional.

    All photographs represent one person's experience, and results may vary for each patient. All photographs are of actual patients. The visible change in these photographs has occurred as a result of the procedure/s undertaken.

    Some before and after photos shown are not exact, in that they vary in light, contrast, clothing, background, distance from camera, hairstyle and make-up.

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      Daniel Lanzer has retired. He is no longer a registered medical practitioner. This website is currently under review.









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