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Will I Benefit from Blepharoplasy or a Less Evasive Surgery? (photo)

asked 5 months ago by mz.understood
Latest answer by A.J. Amadi, MD
Question viewed 338 times
Tags: lower eyelids, upper eyelids, female, alternative, candidate

I have huge fat pockets above both of my upper lids. One eye is more pronounced than the other(cant remember which one lol). My eyes throw my entire face off. I have big eyes and I think they have potential, but not with these fat pockets hanging around. In addition, my lower lids sag downwards a little to me. I have about one or two small wrinkles underneath both eyes as well. (Horrible pics but all I had right now lol).

7 answers to Will I Benefit from Blepharoplasy or a Less Evasive Surgery? (photo)

This is likely lacrimal glands.

Sorry for the late post and I think you may have reposted another picture. But It is likely that the abnormality that you see is prolapsing lacrimal glands. See my response to your other post.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon

Blepharoplasty

Your posted photos show a prominent role of eyelid muscle under the lower eyelashes but no protruding fat or excess skin in the lower eyelids and some prominence above the upper lid skin in the outer halves. I don't think your a candidate for a standard blepharoplasty procedure that involves skin and/or eyelid fat removal. The prominence above the upper eyelids is either an enlarged tear gland, bulging muscle analogous to the lower eyelid muscle or more likely some extra fat lying... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Huge fat deposits or something else?

To my surprise, I find myself disagreeing with many others who responded. While I am not sure you are a candidate for a blepharoplasty, I certainly do agree that there is excess tissue above each eye. To me, it looks like you have swelling of each lacrimal gland and that this is what is causing the problem. Although this is hard to say without seeing you, bilateral swelling of the lacrimal gland is usually due to dacryoadenitis which may be entirely asymptomatic... more

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon

www.kassmd.com

From the photo, it does not appear that you need eyelid surgery.

Dear Mz The primary issue is: What is your concern? Bottom line is that this consultation cannot be performed online. There is just no substitute for a personal consultation. However, standard cosmetic eyelid surgery addresses excess skin and fat. You do not manifest these issues. For this reason, I do not believe that blepharoplasty is what you need if you need anything at all. Happy New Year.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Blepharoplasty not needed at this time.

Your photos are very helpful and show a very youthful appearance where I am not able to see any asymmetry between the 2 eyes. I noted you aren't sure where the asymmetry is either and therefore it must be small and difficult to see. Small differences are normal and are usual, not unusual. The fat deposits you spoke of would best be evaluated by a face to face exam. As for removing them, I would be very cautious about this as the general trend is to maintain as... more

Jeffrey M. Darrow, MD
Boston Plastic Surgeon

Blepharoplasty vs less invasive procedures to improve eyelids

From your photos you appear quite young, and I'm not certain I would suggest a blepharoplasty in your case. I agree with Dr Aldea, that your eye asymmetry is probably due to structural asymmetry of the bone of the orbit and would not be corrected by a blepharoplasty. Please understand that nobody's face is perfectly symmetrical and your face and eyes are well within the norm. In the future, as you age, you may become a candiate for a blepharoplasty, but,... more

Vincent D. Lepore, MD
San Jose Plastic Surgeon