Inside the Eyelid: Upper Blepharoplasty Explained
What happens beneath the skin during upper eyelid surgery? In this Inside the Eyelid walkthrough, Dr. Jon Mendelsohn of Advanced Cosmetic Surgery & Laser Center explains upper blepharoplasty from the first measurements to the final sutures.
Why the measurements come first
Dr. Mendelsohn begins with the differences between the two eyelids. He explains how he measures from the eyelash margin, plans the markings and uses the examination to decide how much tissue to address on each side. The walkthrough shows why planning for symmetry deserves careful attention before the incision.
A closer look at the layers inside the eyelid
Using enlarged anatomy visuals, Dr. Mendelsohn moves from the skin to the muscle beneath it, then to the orbital septum and the fat compartments. He explains local anesthesia and preparation, and follows the sequence of the procedure as those layers come into view.
What to preserve matters, too
The discussion of fat focuses on judgment rather than simply removing everything that is visible. Dr. Mendelsohn explains the different compartments and why preserving volume is part of his planning. The video follows that discussion through treatment of the fat and checking for bleeding.
Closing the incision
The walkthrough ends with the sutures, how the incision is closed and a discussion of suture removal. Dr. Mendelsohn also shares his perspective as someone who has had upper eyelid surgery himself.
Explore more
- Learn about upper eyelid surgery at Advanced
- Watch Dr. Mendelsohn’s day-by-day eyelid surgery experience
- Request a consultation
This video offers an educational explanation of the procedure. A consultation is needed for advice about your own eyelids.
