Eyelid Surgery Q&A

75%

WORTH IT RATING

477 Reviews

Ask a Question

View Before and Afters

Average Eyelid Surgery Cost: $3,875

Learn about Eyelid Surgery

2,260 people and 796 doctors are talking about Eyelid Surgery

Get Free Email Updates

Am I a Candidate for an Upper Blepharoplasty?

asked 1 year ago by 704869anon in Seattle
Latest answer by Francis R. Palmer, III, MD
Question viewed 561 times
Tags: upper eyelids, female, candidate

I feel like my eyes could be more attractive if I reduced the heaviness of my upper eyelids (I also want to reduce the hollowness under my eyes with injections) What do you think? Am I a candidate for an upper blepharoplasty?

18 answers to Am I a Candidate for an Upper Blepharoplasty?

Candidate for eyelid surgery?

NO, NO, NO! Don't let anyone touch them. You don't need a browlift or eyelid surgery. They look great and you can find someone to operate on you and it would be the worst mistake you could make.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Are you a candidate for upper blepharoplasty

If the photo is a good one, your lids are perfect and my vote is against surgery. I would not even consider a filler if the picture is true to you. You are bound to make other readers jealous, just get out and enjoy. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

Not a candidate for upper eyelid surgery

Actually, No. From your photo, your eyebrows appear low and that's what's causing the fullness of your upper eyelids. If this fullness is removed from the upper eyelids, the eyebrows will be pulled lower in position after the upper eyelid surgery. This, of course, should be confirmed during a consultation for Eyelid Surgery with a well experienced plastic and cosmetic surgeon. If you hold your eyebrows into the proper aesthetic position and the... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Upper Eyelid Options for Cosmetic Enhancement

Hi 704869anon, Thank you for sharing a photograph. Based on the single photograph, I agree with other plastic surgeons and specialists that you are not an appropriate candidate for eyelid surgery. A upper eyelid that is full is generally considered youthful & attractive. You may consider Botox Cosmetic to help smooth the Crow's feet wrinkles. Only after a comprehensive evaluation can a cosmetic specialist help determine appropriate options for you. Best of luck. Dr.... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

www.potomacplasticsurgery.com

Upper Blepharoplasty

It would be hard to improve on what I see in your picture. I would, therefore, suggest doing nothing. Look at some of the models in the fashion magazines and compare them to yourself. You compare very favorably.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Upper blepharoplasty candidate

The best candidate for an upper blepharoplasty is someone whose upper eyelid skin is touching the eyelashes. The incision is hidden right in the upper eyelid crease, a small amount of excess skin and fat is removed from the upper eyelids to give more definition to them. We do not recommend any injections underneath the eyes since we have seen too many complications in this area from other offices. It is best to just leave them alone.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

14 different doctors, 14 different answers??

As you can gather by the many different answers listed above, often there are many different approaches to the same problem. As a plastic/reconstructive surgeon, it is just as important to assess patient expectation, as well as properly assess the underlying anatomic concern. Most would agree that your eyelids have a full, youthful appearance and that surgery is not the way to go. A subtle "chemical browlift" with botox may be all you need. A formal evaluation by a surgeon... more

A.J. Amadi, MD
Seattle Oculoplastic Surgeon

Eyelid surgery, #blepharoplasty, #tiredeyes, #fatgrafting

Dear Anon Thank you for your question! Your upper eyelids/eyebrow have a nice youthful shape and fullnes- so no to surgery. You may lose some volume in these areas as you age- so if it is removed now it may prematurely age your appearance. If you have hollows under your eyes- ( hard to tell from the photo) - then Restylane or micro fat grafting work well to soften the hollow and make the eyes look fresher. With Warm Regards, Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon

Blepharoplasty not always indicated with full upper eyelids

Judging from your photo, you have a full upper eyelid but not a significant skin excess. Removing any skin will unlikely improve your appearance and possibly lower the brow. Elevation of the lateral brow with botox will reduce a small amount of the lateral brow hooding. Botox could also be used into the crow's feet and a small amount to the lower eyelid to soften the muscle activity. A surgical approach will most likely cause more harm than good. more

Glen Brooks, MD
Springfield Plastic Surgeon

Blepharoplasty vs browlift

You have beautiful eyes, however they are hidden and not in full view. Blepharoplasty would be helpful if you desire a more defined upper lid or desire an eyelid crease. A browlift would elevate the brows and eliminate some of the hooding seen which mkes your brows appear heavy. It's purely a matter of taste. The best thing to do is go for a consult and explore the options.

David V. Martini, MD
Elkton Facial Plastic Surgeon

Upper eyelids

If the photo is the true you, I would not touch the upper lids. A full upper eyelid is attractive. If on exam the upper eyelids sit on the eyelashes, then perhaps a conservative bleph is in order.

Steven Wallach, MD
Manhattan Plastic Surgeon

Based on your photo, you should consider holding off on upper eyelid blepharoplasty surgery.

I read your concerns and reviewed the photo you posted. You do not appear to have too much skin in your upper eyelids, and in my view, upper blepharoplasty could be avoided. If you want to look younger, you may want to consider Botox to gently raise your eyebrows, and reduce your crows-feet. You could also have your lower eyelid grooves filled by a physician experienced in the delicate art of filling lower eyelid hollows. I hope this is helpful for you. Regards from NJ: more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

A brow lift may help your eyelid appearance

It is difficult to tell from one photograph, but you may benefit from a brow lift rather than a blepharoplasty. A brow lift may be acchieved with surgery or by injecting Botox to weaken muscles that pull your eyebrows down.

Michael McCracken, MD
Boulder Oculoplastic Surgeon

Am I a Candidate for an Upper Blepharoplasty?

The reason the upper eyelids are heavy is due to low set forehead. The best procedure is endoscopic forehead lift which elevate your entire forehead and therefore correct the fullnes of upper eyelids as well as raising the eyebrows. Upper blepharoplasty will pull the brows down further. Filler injection of the lower bony ridge will improve the hollowness. You also have hypertrophic lower eyelid muscles which roll up when you smile, exaggerating the hollowness in that area. more

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon

Upper Blepharoplasty

Based on your pictures, I would suggest leaving you just as you are. If anything, just a touch of Botox at the lateral corners of your eyes to smooth the skin slightly and open the eye a bit. Good Luck.

David Shafer, MD
New York Plastic Surgeon

Upper eyelid surgery will most likely damage your upper eyelid folds.

You have beautiful eyes and eyelids. Your aesthetic concerns are minor. Therefore the punishment needs to fit the crime. Upper blepharoplasty removes some or all of the upper eyelid fold. Your upper eyelid fold heaviness is compensated by brow lift that you are not aware of. When the upper eyelid is cut, the eyebrow will relax down. This tends to defeat the surgery. As a result, surgeons fix this tendency by being over aggressive in resecting the upper eyelid fold. The creates an... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Candidate for upper bleph?

I agree with the above poster, but also suggest that you do have good skin quality and tone and beautiful upper lids. I would hesitate to recommend a procedure for your upper lids based on your photos. Only an face to face examination will give you a better idea. You do have an accentuated nasojugal fold on your lower lid on the pictures you present. However, in these pictures, you are smiling which tends to increase to visibility of this depression. If this... more