My eyelids are lacking rather than the usual problem of too much skin and tissue. Can my eyelids be filled out rather than reduced during a blepharoplasty?
No. A standard blepharoplasty removes skin and/or fat and as a rule gives you less upper eyelid skin to work with after surgery than before surgery. If you are lacking in skin or have what is called lagophthalmos, I would certainly consider doing nothing with your eyes that would add to the problem such as a blepharoplasty. Correction of this problem unfortunately is not easy and usually involves skin grafts and visible scars. My recommendation is at this time that you do not do a blepharoplasty.
Posted by Richard Galitz, MD, FACS