One major worry that patients have when thinking about eyelid or periorbital surgery is about their scars. Many people are concerned with looking overly "done" with tell-tale signs of plastic surgery.
My approach to eyelift (blepharoplasty) surgery in my New York City private practice is one that takes great care in ensuring that all scars are hidden, either inside the eye, at the edge of the eyelash border, or both. This gives patients a durable, natural result without visible scars.
Shown below are two male patients of mine, each with different concerns, but both with invisible scars and natural results.
The top patient (above) is in his 20s, with excellent skin quality and almost no wrinkles. His main concern was dark circles, tired-looking eyes, deep tear troughs, and puffy undereye bags. Because of his youth and good tissue quality, I performed his surgery with entirely hidden incisions on the inside of the pink part of his lower eyelid.
The bottom patient (below) is in his 50s, with significant wrinkles and less elastic skin quality. He was concerned with looking older, tired, and wrinkled around his eyes. In this patient, I performed upper and lower lid eyelid surgery with incisions hidden in the eyelash margin on the bottom and in the natural lid crease on the top.