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Why would part of the Obicularis oculi muscle be removed in an upper Blepharoplasty?

Q:

Why would my OTO/Plastic Surgeon remove part of the Obicularis oculi muscle during my upper Blepharoplasty?  I am a thin person and I also have a history of dry eye.  Can this cause me additional problems with my dry eye problem?  Can the removal of part of this muscle cause unfavorable results of the Blepharoplasty?

A:

Yes, it can be completely normal for a small portion of the obicularis oculi to be removed at the time of an upper lid bletharoplasty. This usually does not interfere greatly with tearing. Most surgeons are very careful not to excessively remove too much skin or muscle during an upper lid blepharoplasty. I hope this is of assistance.

Best,

Gary R. Culbertson, MD, FACS

A:

Lower eyelid surgery is more likely to be associated with dry eye problems. Often a thin strip of the muscle in the upper eyelid is removed along with the extra skin, and possibly toward the outside of the eye to diminish crows feet. These are intended to improve the results.

R.A. Baxter, MD

Richard A. Baxter, M.D. - View Other Answers by this Doctor
Mountlake Terrace, WA

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