Blepheroplasty:

“Blepherum” means “Eye Lid” and “Plasty” means “Construction”.
Attractive and youthful eyes are supposed to be Bright Eyes and bright eyes have globes framed in generously sized horizontal apertures, often accentuated by a slight upward tilt from medial to lateral.
In upper eyelid excessive skin due to loss of elasticity and sun damage is one of the major causes of an aged appearance in the periorbital area and there appear multiple folds in upper eye lid. In addition to relaxed skin changes, excessive fat herniation can cause bulging, resulting in heavy appearance of upper eye lid area. This fat is normal eye lid fat and not an abnormal accumulation, but it is herniating due to weakness of orbital septum which supports these fat columns. A repositioning and sometimes careful excision of this bulging fat helps getting a rejuvinant appearance.
In lower eye lid aging changes include wrinkling of lower eye lid, excessive show of sclera(white part of eye ball), weakness of septum resulting in fat pads herniation and hollowing of tear trough. This hollowing of tear trough(Nasojugal groove) appears as a dark circle around eye.
In both upper and lower eye lid rejuvination, also called as BLEPHEROPLASTY, an appropriate approach is used to give minimal scarring and correction of skin and supporting tissue laxity. The fat bulges are corrected by replacement of fat pads in their respective places and anchoring them with support structure plication(tightening). Excessive skin and loose muscle are excised and sometimes a minimal amount of fat is also excised. The whole procedure is tailored for each patient depending on the nature and severity of deformity. The aim is to give youthful, wrinkle free and brighter looking eyes without obvious scarring at eye lids.