The upper-eyelid or upper blepharoplasty approach offers greater versatility and enhanced accessibility to the superolateral rim compared to the lateral eyebrow approach. The soft tissues of the upper lid are thin, resilient, so that the incision site can be easily maneuvered onto the bony surfaces. In addition the incision can be extended laterally across the lateral orbital rim above the lateral canthus insertion without aesthetic drawbacks. Particularly the lower portion of the lateral rim
is exposed more readily and the lateral orbital wall can be inspected more widely.
The upper eyelid in East Asian patients does not as readily lend itself to the use of the upper eyelid approach to the lateral orbital rim. In such patients, the lateral eyebrow approach may be a better surgical approach.