Where the incision will be made in upper eyelid cosmetic surgery: A guide with Chris Thiagarajah MD
- Chris Thiagarajah MD
- Mar 28
- 5 min read

Upper eyelid blepharoplasty, also known as eyelid surgery, is a popular cosmetic procedure designed to improve the appearance of the eyes. This surgery can address concerns like excess skin, drooping eyelids, and under-eye puffiness, ultimately resulting in a more youthful, refreshed look. One of the most important aspects of the procedure is where the surgeon makes the incision, as this directly affects the outcome, healing, and appearance of the eyelids.
For patients considering upper eyelid blepharoplasty, understanding the incision process is crucial. In this article, we’ll explain where the incision is typically made during the procedure, what to expect after the surgery, and how a skilled surgeon like Dr. Chris Thiagarajah in Denver, Colorado, ensures that the incision remains discreet and produces natural-looking results.
The Location of the Incision in Upper Eyelid Blepharoplasty
When performing upper eyelid blepharoplasty, a skilled surgeon, such as Dr. Chris Thiagarajah, aims to create an incision that is as discreet and natural-looking as possible. The primary goal of the surgery is to remove or reposition excess skin, fat, and muscle while preserving the natural contours of the eyelid area.
In most cases, the incision for upper eyelid surgery is made within the natural fold of the upper eyelid, also called the **supratarsal fold**. This fold is the natural crease of the eyelid, and the incision is carefully placed along this line to ensure that the scar will be hidden in the natural crease after healing. This strategic placement helps minimize the visibility of the incision and contributes to a more natural, aesthetically pleasing result.
Why the Supratarsal Fold?
The **supratarsal fold** is the ideal location for an incision because it is a natural part of the eyelid’s anatomy. When the incision is made here, the resulting scar is effectively concealed within the fold. This fold also acts as a natural barrier that helps mask any changes that may occur after the incision heals.
Using the natural eyelid fold for the incision also allows the surgeon to remove or reposition excess skin, fat, and muscle in a way that mimics the natural contours of the eyelid. The goal is to maintain the eyelid's natural shape, ensuring the procedure provides a rejuvenated look without making the eyes appear "worked on" or artificial.
What Happens to the Incision After Surgery?
While the incision is made within the eyelid fold during the surgery, it’s important to understand that the fold may shift or change slightly during the healing process. This is a normal part of the surgical procedure and is due to the natural healing and scarring process.
In some cases, the eyelid fold may appear slightly different or may shift after surgery as the skin tightens and the healing process takes place. For example, the fold may become more prominent or less noticeable, depending on the amount of excess skin and fat that was removed. However, with a skilled surgeon like Dr. Chris Thiagarajah, the goal is always to create a result that looks natural and harmonious, with minimal changes to the overall appearance of the eyelid.
It’s important to note that the scar from the incision should be virtually invisible once the healing process is complete. Dr. Thiagarajah takes great care in placing the incision precisely within the fold, and this allows for the scar to blend seamlessly with the surrounding skin. Additionally, the natural tension of the eyelid skin helps the incision to heal in a way that minimizes any visible scarring.
Factors That Can Affect the Healing of the Incision
Several factors can influence how the incision heals after upper eyelid blepharoplasty, including:
1. Surgeon Skill: The precision with which the surgeon makes the incision plays a significant role in how well the incision heals. Dr. Chris Thiagarajah, a highly experienced oculoplastic surgeon in Denver, is skilled at creating incisions that are as small and precise as possible, leading to less scarring and a more natural result.
2. Post-Operative Care: Following the post-operative instructions provided by your surgeon is critical to achieving optimal healing. This may include recommendations for keeping the area clean, avoiding certain activities, and applying any prescribed ointments or medications. Proper care can help reduce the risk of complications and promote faster healing.
3. Individual Healing Factors: Every patient heals differently, and factors such as skin type, age, and overall health can influence the healing process. Some patients may experience more swelling or bruising than others, but this generally resolves within a few days to weeks after surgery.
4. Sun Exposure: Protecting the incision from the sun’s harmful UV rays is crucial during the healing process. Sun exposure can cause scarring to become more prominent and delay the healing process. Dr. Thiagarajah will advise patients on how to protect the eyelid area during the recovery period.
5. Surgical Techniques: Dr. Thiagarajah uses advanced techniques to minimize trauma to the eyelid skin, reducing the risk of complications and promoting a smooth, even healing process. His focus on precision ensures that the incision is as small as possible, further helping the scar to fade and blend into the natural eyelid fold.
The Benefits of a Skilled Surgeon
Choosing a skilled and experienced oculoplastic surgeon like Dr. Chris Thiagarajah is essential for achieving the best possible results with upper eyelid blepharoplasty. Dr. Thiagarajah’s expertise in eyelid surgery, combined with his commitment to achieving natural and aesthetically pleasing results, ensures that his patients receive the highest quality of care.
His precision in making the incision within the natural eyelid fold is just one example of his meticulous approach. Dr. Thiagarajah works closely with each patient to understand their specific goals and concerns, tailoring the surgery to create the best outcome for their unique anatomy. Whether you are seeking to address droopy eyelids, excess skin, or fat bags around the eyes, Dr. Thiagarajah has the experience and skill to provide beautiful, long-lasting results.
Why Dr. Chris Thiagarajah is the Right Choice for Your Eyelid Surgery in Denver, CO
Dr. Chris Thiagarajah is a leading oculoplastic surgeon in Denver, CO, specializing in eyelid surgery and other facial cosmetic procedures. His extensive training in both aesthetic and reconstructive surgery allows him to provide his patients with a balanced, natural-looking outcome. Dr. Thiagarajah’s expertise in performing blepharoplasty ensures that the incision is placed in a way that minimizes scarring and maintains the natural contours of the eyelid.
If you are considering upper eyelid blepharoplasty, Dr. Chris Thiagarajah offers personalized consultations where he takes the time to answer all of your questions, address your concerns, and guide you through the entire process. From the initial consultation to post-surgical care, Dr. Thiagarajah and his team provide exceptional care to ensure that your experience is comfortable and your results exceed expectations.
Conclusion
The location of the incision in upper eyelid blepharoplasty is an essential aspect of the procedure that directly impacts the final results. By placing the incision in the natural eyelid fold, Dr. Chris Thiagarajah ensures that the scar is discreet and blends seamlessly with the surrounding skin. While the eyelid fold may shift slightly during the healing process, a skilled surgeon can achieve a natural and balanced result that rejuvenates the eyes and enhances the overall facial appearance.
If you are considering upper eyelid blepharoplasty in Denver, Colorado, Dr. Chris Thiagarajah is a trusted expert who can guide you through the process and ensure that your surgery is performed with the highest level of care and precision. Contact his office today to schedule a consultation and learn more about how upper eyelid surgery can improve your appearance and boost your confidence.
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