Eyelid Surgery (Blepharoplasty)

Muse Plastic Surgery in Atlanta performs upper and lower blepharoplasty (eyelid surgery) to address excess skin, herniated orbital fat, and skin crepiness around the eyes. Dr. Wright A. Jones MD FACS offers all three surgical approaches — upper blepharoplasty, subciliary lower blepharoplasty with skin resection, and transconjunctival lower blepharoplasty without external incision — with technique selection determined by the patient's anatomy and the degree of skin laxity and fat prolapse present.

Eyelid surgery (blepharoplasty) at Muse Plastic Surgery in Atlanta is performed by Dr. Wright A. Jones MD FACS, addressing one of the most aesthetically impactful areas of facial ageing — the periorbital region — where excess upper eyelid skin, prolapsed orbital fat creating under-eye bags, and fine surface crinkling of lower eyelid skin collectively create a fatigued or aged appearance that can persist regardless of overall health or skin condition. Upper blepharoplasty addresses the redundant skin that accumulates on the upper eyelid as the brow descends and the eyelid tissue loses elasticity over time. The procedure involves an incision placed precisely within the upper eyelid natural crease, through which a calculated amount of excess skin and, where required, a strip of orbicularis oculi muscle is removed. Conservative reduction or repositioning of herniated orbital fat from the medial and central fat compartments further refines the upper eyelid contour, removing the puffiness that can accompany skin redundancy. Where excess skin overhangs the eyelid margin sufficiently to obstruct the superior visual field, upper blepharoplasty may qualify for partial insurance reimbursement, which the practice can document through formal visual field testing and photographic evidence. Lower blepharoplasty addresses the three orbital fat compartments of the lower eyelid — medial, central, and lateral — that herniate forward through the weakened orbital septum with age, creating the bulging pouches commonly described as under-eye bags. The transconjunctival technique, in which the entire procedure is conducted through an incision on the inner surface of the lower eyelid with no external skin incision, is appropriate for patients with good lower eyelid skin tone who present primarily with fat prolapse without significant surface skin excess. The fat may be reduced conservatively or repositioned over the inferior orbital rim to fill the tear trough concavity that often accompanies lower eyelid fat herniation. Where lower eyelid skin crepiness, horizontal laxity, or festooning is also present, a subciliary (external) approach through an incision placed immediately below the lash line allows simultaneous skin resection and lateral canthal support. Eyelid surgery at the Atlanta practice is frequently combined with facelift, brow lift, and other facial procedures in a single anaesthetic event to comprehensively address all zones of facial ageing.