Every eyelid must be viewed individually to determine the proper treatment to address the patient’s concerns. A complete examination must be performed to determine proper lid positions whether fat should be removed, added or transposed. Determinations must also be made as to whether skin should be excised or tightened and whether the eyelid itself needs to be tightened.
The primary function of the eyelids is to protect the eyes. In order to accomplish this, the eyelids must “hug” the eye closely when the eyes are open and close completely when blinking and while sleeping. Any surgery on the eyelids, whether cosmetic or functional, must not compromise these essential functions of the eyelids. Above all, the eyelids must function properly and be able to close fully after surgery.