The excess of skin originated because of the loss of elasticity of the same results in an increase of the palpebral crease, forming in some cases a kind of second eyelid resting on the line of the tabs, being responsible for visual fatigue.


In extreme cases, it can cause a visual obstacle with amputation of the visual field in the temporal zone. These two situations convert the mere aesthetic alteration in a functional deficit, to take into account when evaluating the surgical indication.


In this surgery, an elliptical removal of excess skin is performed. With it, the scar coincides with the palpebral crease and is not noticeable. For fatty bags should be removed if there is bulge.