What Incision Techniques Are Used in Upper & Lower Blepharoplasty?

Eyelid surgery (blepharoplasty) remains one of the most effective ways to rejuvenate tired or aging eyes. However, not all eyelid surgeries are the same—the location and technique of incisions are carefully chosen to achieve the most natural result with minimal scarring. At Khan Eyelid & Facial Aesthetics in Plano, Dr. Tanya Khan customizes each blepharoplasty based on the patient’s anatomy, aging pattern, and desired outcome.

Understanding Blepharoplasty

Blepharoplasty is a surgical procedure that removes or repositions excess skin, fat, and muscle around the eyes. It can be performed on the upper eyelids, lower eyelids, or both. The incision approach is critical for achieving seamless, natural-looking results that blend with the eye’s natural creases.

Upper Eyelid Incision Techniques

In upper eyelid blepharoplasty, the incision is typically made within the natural crease of the eyelid, where it is hidden when the eyes are open. Through this incision, Dr. Khan carefully removes excess skin and, when needed, trims or repositions small amounts of fat. The skin is then precisely closed to restore a youthful, defined upper eyelid contour.
Key goals of the upper eyelid incision approach:

• Maintain symmetry and natural eyelid shape

• Avoid excessive skin removal, which can cause tightness or difficulty closing the eyes

• Preserve the natural fold for an elegant, rested look

In cases of significant drooping (ptosis), Dr. Khan may combine blepharoplasty with ptosis repair, tightening the underlying muscle that lifts the eyelid for improved function and appearance.

Lower Eyelid Incision Techniques

Lower eyelid surgery can be performed using two main approaches: transconjunctival and subciliary incisions. Dr. Khan selects the technique based on whether the concern is excess fat, loose skin, or both.

1. Transconjunctival Incision:

• The incision is made inside the lower eyelid, leaving no external scar.

• Ideal for patients with fat bulging but minimal skin laxity.

• Allows Dr. Khan to remove or reposition fat to smooth under-eye contours.

2. Subciliary Incision:

• The incision is made just below the lash line, allowing access to both fat and excess skin.

• Perfect for patients with puffiness and skin laxity.

• The incision heals beautifully and becomes virtually invisible over time.

Dr. Khan’s approach often combines precise fat repositioning with gentle skin tightening to rejuvenate the area without creating a “hollow” or operated look.

Customizing the Procedure

Each patient’s anatomy and goals determine the incision type. Younger patients or those with minimal skin laxity often benefit from a transconjunctival approach, while those with more advanced aging or crepe-like skin texture may require a subciliary incision. Dr. Khan also uses advanced closure techniques to minimize tension and optimize scar healing.

The Importance of an Oculoplastic Surgeon

Because eyelid surgery involves delicate anatomy near the eyes, choosing an oculoplastic specialist is essential for safety and precision. As a board-certified ophthalmologist and fellowship-trained oculoplastic surgeon, Dr. Khan has extensive experience performing both cosmetic and reconstructive eyelid procedures. Her dual expertise allows her to enhance aesthetics while preserving eyelid function and eye health.

Schedule Your Consultation with Dr. Khan

If you’re considering eyelid surgery, understanding your incision options is the first step toward achieving your ideal result. Schedule a consultation at Khan Eyelid & Facial Aesthetics in Plano, TX, to learn how Dr. Tanya Khan can tailor your blepharoplasty with precision, artistry, and natural beauty in mind.

For more information about procedures and treatments at Khan Eyelid and Facial Aesthetics by Ophthalmic surgeon Dr. Tanya Khan. Click here to contact us.

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