Dear Rivera, thank
you for your question. Blepharoplasty or eyelid surgery can remove loose skin
and bulging fat pockets, and enhance the appearance of the upper face. In our
San Diego practice we often combine eyelid surgery with fat grafting or a laser
peel for best results.Eyelid surgery is
not without risks, so consult with an experienced facial plastic surgeon or
general plastic surgeon to discuss your options. Good Luck!
It is difficult to tell from the photograph shown what may or may not be required. The primary goal of an upper blepharoplasty is to remove the excess skin and a small amount of fat from the upper lid. The incision is placed in the upper eyelid crease.
The primary goal of lower blepharoplasty is to remove a portion of the 3 fatty compartments in the lower lids creating the" puffy look". A small amount of excess skin can be removed on the lower lids, when necessary by a pinch technique and closed with tissue glue.
For more information about upper and lower eyelid surgery, please see the link below to our eyelid surgery photo gallery
The eyes are the windows to the soul. All too often, however, they seem to
reveal exhaustion. The very delicate skin around the eyes tends to get crepey
and puffy due to fatigue and stress. Eyelid surgery has become one of my most
popular procedures. If excess upper eyelid skin is hooding the eye and needs to
be eliminated, an incision is made in the crease at the top of the lid and
excess fat and skin are removed. The incisions are closed and sutured on the
underside of the skin. If undereye puffiness and dark circles need to be
eliminated, an incision is made along the lower lashes that will be almost
invisable when it heals. Next, the fat below is either removed or redistributed
and the saggy and crepey excess skin is then pulled up and cut off. The
incisions is closed with tiny sutures, which are removed in four to six days.
An effective non-surgical option that might benefit you is Thermage, which
can tighten the skin around the eyes. The new and improved Thermage is a
virtually painless, non-invasive (no incision!) treatment that can tighten skin
and stimulate your body to make healthier collagen—the building block that
provides structure to your skin. Fast and easy, Thermage requires no downtime
from normal activities.
See an in person evaluation for best answers. You likely will benefit from upper blepharoplasty and either lower blepharoplasty or fillers for lower eyelids.
Irregular Trichophytic Forehead Lift for sad tired eyes is what you need. Face forward and profile photos are preferred for evaluation.
Fillers can help improve the cosmetic appearance but you
will get only a temporary and limited improvement with them. A better and long
standing correction would be achieved with a blepharoplasty of the upper and
lower lids: Conservatively removing the excess loose skin, contouring the
bulging fat pads, which are generally inherited, unrelated to weight, and tend
to protrude more with time, and smoothing the tear troughs with micro-fat
grafts or fat repositioning.
Keep in mind that
following advice from a surgeon on this or any other website who proposes to
tell you what to do based on two dimensional photos without examining you,
physically feeling your tissue, assessing your desired outcome, taking a full medical
history and discussing the pros and cons of each operative procedure would not
be in your best interest. I would suggest that you find a surgeon certified by
the American Board of American Plastic Surgery and one who is ideally a member
of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust
and are comfortable with. You should discuss your concerns with that surgeon in
Robert Singer, M.D.,
La Jolla, California
Skin removal from the upper and lower eyelids would probably yield the best result with the smallest level of intervention.
Kenneth Hughes, MD
Los Angeles, CA
Whatever you do, you want a natural result that does not harm the function of your eyelids or cause you to look like you have had surgery. My initial impression that standard eyelid surgery would not be appropriate for you. You brows are low and upper eyelid surgery would actually make this worse. A further fall in the brow will make you look very cross (i.e. angry). Also you are someone who needs a full upper eyelid fold. There is no substitute for an actual in person consultation but you look like you would do great with an endoscopic forehead lift, possibly a small anchor blepharoplasty in the upper eyelid and a lower eyelid skin pinch. Less is more.
First of all thank you for the question and pictures. Looking at your pictures it does appear that you have some ptosis of the upper lid as well as some excess skin in the lower lids. You certainly would be a candidate for a Blepharoplasty of the upper and lower lids. I would recommend consulting with a Board Certified Plastic Surgeon to find out your options and what procedure would give you the results you are looking for. Best of Luck!