DR. PHORNRAK
Evidence-base eye care
LONG INCISION BLEPHAROPLASTY
A Comprehensive Solution for Aging or Heavy Upper Eyelids
Long incision blepharoplasty is designed to remove excess upper eyelid skin, reshape the eyelid crease, and reduce puffiness caused by protruding fat. The procedure restores a brighter, more refreshed appearance while preserving a natural-looking result tailored to your facial anatomy.
Long Incision Blepharoplasty
The eyelid crease is carefully designed and the incision is made.
Excess skin is precisely removed.
Excess fat is removed or repositioned to improve the eyelid contour.
The incision is closed with fine sutures to create a natural-looking eyelid crease.
My Philosophy
Beautiful eyelid surgery should never look obvious.
My approach is conservative and personalized, removing only what is necessary to achieve a brighter, more youthful appearance while maintaining the natural harmony of the face.
— Dr. Phornrak Sriphon
Step for Procedure
Step 1 : Design and discuss with doctor
Step 2 : Anesthetic injection into the upper eyelid
Step 3 : Cut skin along eyelid
Step 4 : Fat removal will be performed as needed
Step 5 : Create permanent crease with small suture
Step 6 : Can add many procedure such as ptosis correction or anything
Long incision Blepharoplasty Real Case Review
Preoperative Instructions
✓ Stop blood-thinning medications (such as aspirin or clopidogrel) 7–10 days before surgery, as advised by your physician.
✓ Shower, wash your face, and shampoo your hair on the morning of surgery.
✓ Do not wear makeup, false eyelashes, or contact lenses on the day of your procedure.
✓ Arrange for a family member or friend to accompany you home, and avoid driving after surgery.
✓ Wear comfortable clothing, preferably a button-up shirt.
✓ Eat a light meal before your procedure unless otherwise instructed by your doctor.
Postoperative Instructions
✓ Sleep with your head elevated at a 45-degree angle for the first 2–3 days and apply cold compresses to reduce swelling.
✓ Take all prescribed medications as directed and attend your follow-up appointment within 7 days.
✓ Avoid touching, rubbing, scratching, or picking at the surgical wound until it has completely healed.
✓ Avoid wearing makeup for 1 week and contact lenses for 2 months (if muscle correction was performed).
✓ Eat your regular meals but avoid spicy foods during the early recovery period.
✓ Swelling usually peaks 2–4 days after surgery and gradually improves until the stitches are removed.
WHAT TO EXPECT
01
Consultation
A comprehensive eye examination and treatment planing
02
Surgery
The procedure is performed safety with modern techniques.
03
Recovery
Follow-up to monitor healing
Who May Benefit from Long Incision Blepharoplasty?
✓ Moderate to severe excess upper eyelid skin causing a heavy or tired appearance
✓ Significant eyelid skin laxity with or without visual field obstruction
✓ Prominent upper eyelid fat prolapse requiring fat removal or repositioning
✓ Patients with multiple or asymmetric eyelid creases who desire a more defined eyelid contour
✓ Individuals seeking a comprehensive and long-lasting improvement in upper eyelid appearance and function
Why consider long incision blepharoplasty surgery?
Excess Skin Removal
Improved Vision
Puffiness Reduction
Brighter Appearance
Removes moderate to severe excess upper eyelid skin.
Enhances the upper visual field when drooping skin obstructs vision.
Removes or repositions excess fat for a smoother eyelid contour.
Restores a more open, refreshed, and youthful look.