Where are the incisions used in eyelid surgery?
Upper eyelid incisions are placed within the natural eyelid crease (Figure 1). The scars are not visible with the eyes open. They are permanent, like all scars, but are typically very subtle after healing is complete. Lower eyelid surgery that just involves fat bag treatment does not require a visible external incision. The fat is accessed through an incision on the inside of the eyelid. If there is loose lower eyelid skin then an incision just under the eye lashes is used to tighten it (Figure 1). This incision also heals extremely well and is eventually difficult to detect.