Question : In cases where excess skin needs to be removed during eyelid surgery, is it necessary to make an incision on the inside of the eyelid?
Answer : In the upper lids, the incision is always in a crease in the skin. In the lower lids, I rarely remove any skin. I tighten the skin with a laser. The incision inside the eye, transconjunctival incision, carries less risk of distortion of the lower lid.