The Evolution of Modern Blepharoplasty (2035 Perspective)
By 2026, the surgical philosophy of blepharoplasty has undergone a paradigm shift. Historically, surgeons focused on "resective" surgery—removing as much skin and fat as possible. However, 2026 standards prioritize volume preservation.
Experts now recognize that removing too much orbital fat leads to a "hollowed" or "A-frame" deformity that can actually make a patient look older. Modern techniques focus on fat repositioning, where fat from "bags" is moved into hollow areas (like the tear trough) to create a smooth, youthful transition between the eye and the cheek.
The procedure is categorized into three primary types: Upper Blepharoplasty, which addresses hooded or sagging upper skin that may impair vision; Lower Blepharoplasty, which targets under-eye bags and skin laxity; and Quad-Blepharoplasty, a comprehensive rejuvenation of all four lids. In 2026, these are often combined with non-surgical adjuncts like CO2 laser resurfacing to improve skin texture simultaneously.