Low anchoring of the crease

Problem: There is a problem with anchoring of the eye crease in this patient. The small multiple creases on her eyes caused concern for her. Additionally, her eyes appeared tired due to mild sunken eyeballs

Process: It is necessary to remove excess skin from the long incision technique due to the excess fat on her eyelids. The excessive fat must be relocated in order to improve the appearance of her eyes. This procedure allows a surgeon to preserve the patient’s fat to prevent sunken eyeballs in the future.  

Operative technique

• Step 1: The incision lines for eyelid surgery are drawn. 
• Step 2: Using a scalpel blade, scissors, and forceps, the upper eyelid skin is removed.
• Step 3: In this case, the fat is repositioned without removal.
• Step 4: The fat around the orbits appears bulging, so it is repositioned to the medial side as repositioning fat can result in a younger appearance.
• Step 5: The levator fixation procedure is completed.

Final outcome: The final outcome is that her problems have been resolved after surgery. By relocating the bulging of the orbital fat to the medial compartment, she is able to achieve a more universally appealing eye shape. Similarly, the anchoring of her eye crease has been raised to a more appropriate height.

Details of the procedure

Duration: 30-40 mins

Anesthesia: Local anesthesia

After surgery, the sutures will be removed in 5-7 days

Two follow-up visits are recommended after surgery: one week and three months.