In upper eyelid blepharoplasty, a fine incision is made in the pre-existing crease above each eye. A crescent of excess skin and a small strip of muscle are removed in addition to fat (puffiness) that is present. The incisions are closed with fine stitches, which are removed in one week.
In the lower lids, the fatty deposits are typically removed from the inside of the lid so that no external incision is made. In some instances, when there is excess skin and muscle that needs to be removed, an incision can be placed in the natural smile line under the lashes to avoid a conspicuous scar. As with upper lids, fine stitches are used to close the incision.