Will A Lower Blepharoplasty Improve Scleral Show?

Q: Dr. Eppley, I am considering a lower blepharoplasty as well to reduce sclera show. Do you also offer fat grafting on the upper eye region to reduce upper eyelid exposure?

A: A lower blepharoplasty in the traditional sense is not an effective method for treating scleral show. Improving sclerai show requites a multitude of procedures which could include infraorbital rim augmentation, spacer grafts and lateral canthopexy/plasties.  It is a challenging problem to improve for which no one or simple procedure will work.

While fat grafting can be done to the upper eyelid to improve the depth of the fold it will not necessarily reduce upper eyelid exposure. It depends on what you mean by upper eyelid exposure.

Dr. Barry Eppley

World-Renowned Plastic Surgeon