Where are upper eyelid surgery incisions placed?

8 West ClinicVancouver and North Vancouver
October 24, 2026

Key takeaways

  • The incision for upper eyelid surgery follows the natural crease of the eyelid.
  • That crease usually sits 7 to 10 millimetres above the lash line.
  • If you don't have a natural crease, one can be created.
  • With your eyes open, the skin sits over the crease, so the scar is hard to see.

The incision follows your crease

In upper blepharoplasty (upper eyelid surgery), the incision is placed where your skin naturally folds: the supratarsal crease. Dr. Thomas Buonassisi, MD, FRCSC, a facial plastic surgeon with over 25 years of experience, usually uses the crease you already have, which typically sits 7 to 10 millimetres above the lash line.

If there is no crease

Some people don't have a natural upper eyelid crease. In that case one can be created as part of the surgery, which is what double eyelid surgery does.

Will people see the scar?

The incision is visible up close. With your eyes open, though, the skin sits over the crease, so the scar is hard to see.

Planned for your eyes

Where the crease sits and how much skin is removed is planned for your eyes in your consultation. Read more about eyelid surgery at 8 West Clinic in Vancouver and North Vancouver.

The incision follows your crease

In upper blepharoplasty (upper eyelid surgery), the incision is placed where your skin naturally folds: the supratarsal crease. Dr. Thomas Buonassisi, MD, FRCSC, a facial plastic surgeon with over 25 years of experience, usually uses the crease you already have, which typically sits 7 to 10 millimetres above the lash line.

If there is no crease

Some people don't have a natural upper eyelid crease. In that case one can be created as part of the surgery, which is what double eyelid surgery does.

Will people see the scar?

The incision is visible up close. With your eyes open, though, the skin sits over the crease, so the scar is hard to see.

Planned for your eyes

Where the crease sits and how much skin is removed is planned for your eyes in your consultation. Read more about eyelid surgery at 8 West Clinic in Vancouver and North Vancouver.

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