Excess of skin is removed by making an incision a few millimetres above the eyelashes in a natural skin fold (the palpebral fold) This incision leaves practically no scarring because the skin of the eyelids heals perfectly.
The incision is used to remove excess skin and the fat responsible for swelling next to the nose.
This is a very exacting procedure which is often carried out under a magnifying glass.
However, the apparently redundant skin is also caused by the progressive loss of the structures present in a young face as the fat under the skin is absorbed by the body. This is why we usually combine eyelid surgery with fat grafting (micro fat grafts) to support the emaciated eyelid from the inside. The external angle of the eyelids can also be lifted to accentuate the « almond » shape of the eye.