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Blepharoplasty Liposuction and Brow Lift for Excess Eyelid Skin?

I am 48 yrs. old and have inherited excess skin on one of my eyelids, but as I age both are showing excess skin hanging over corners of eyes.

The opthalmologist / cosmetic surgeon that I saw recommended Blepharoplasty, Liposuction to the inside corners and a Brow lift. I am concerned this this is too aggressive and I might have regrets as I age. What are your thoughts?

Asked 31 months ago by mom1234 in ohio

Tags:

eyelids loose

Excess Skin and Blepharoplasty/Brow Lift

Eyelid rejuvenation takes more forms than we have time for now. As we age the brows will fall, excess skin develops because of the aging process and brow descent and bags under the eyes and fullness over will develop as the eyelid septums weaken and the fat pushes forward. With this said any and all of these can develop at any given time. So without a picture it's impossible to say but my suspicion is that an endoscopic brow lift may be enough. Or an upper lid blepharoplasty with... more

Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

Blepharoplasty for excess eyelid skin

It is not a good idea to have liposuction done around the eyelids since the fat is actually sculpted and manually teased out very precisely. The excess eyelid skin is addressed through a traditional blepharoplasty technique where a small strip of skin is removed from the upperlids. A browlift is only performed for people who have low brows. If the position of the brow is adequate, there is no sense performing a browlift. Surgical correction of the corrugator muscles and frontalis... more

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William Portuese, MD

Seattle Facial Plastic Surgeon

Brow lift and blepharoplasty

Dear Mon1234 The Eyebrow position is an important feature in facial aesthetics. The height of the eyebrow may change with age but more importantly the volume of the tissues around the eyes decreases in most persons. With the volume loss, the eyebrow may give less shape and frame to the eyes. Lifting the eyebrow can give a stylized look- which if you like- is a good procedure to have done. You may do the procedures separately- eyelids first - eyebrow lift later. With Warm Regards, Trevor M... more

Trevor M. Born, MD

Toronto Plastic Surgeon

ASAPS

Combination of Upper Blepharoplasty and Browlift

We certainly do not shy away from combining both of these procedures to enhance the upper portion of the face/ eye region. BUT conservatism of the browlift is important. A browlift is certainly the one procedure where the surgeon should not show how high he can lift the brows. Rather, I like to reposition the eyebrows reliably and appropriately for an aesthetically pleasing enhancement. At the time of a browlift, we have the unique opportunity to soften frown creases and forehead lines so... more

Frank P. Fechner, MD

Worcester Facial Plastic Surgeon

Treating the brow and eyelids together is a common approach

Treating both the eyelids and the brow together is a common approach, but I have not heard of liposuction to the eyelids. What your doctor may have been saying is that there is some fat there that would need to be directly removed, not suctioned (big difference between the two). If that is the case, his approach seems reasonable.

Shahram Salemy, MD

Seattle Plastic Surgeon

ASPS

Upper facial rejuvenation

While an upper lid blepharoplasty combined with a brow lift can be beneficial, I have never heard of liposuction of the upper lids or brow. First, there is not that much fat there. Second, fullness is the sign of a youthful upper face, and third, you may injure a vital structure( the eyeball) with the cannulas in that region.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Upper blepharoplasty can rejuvenate your eyelids.

I read your question, and it's difficult to comment on this combination of procedures without seeing your photos. In general, you'll look refreshed with removal of excessive upper eyelid skin. When it comes to removing eyelid fat, I tend to be very conservative or remove none at all. I'm not a big fan of brow-lifting. The endoscopic brow lift procedure can cause elevation of the middle of the eyebrow which can look unusual. You can get natural non-invasive brow rejuvenation with BOTOX at a... more

Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

This does sound a bit aggressive for excess eyelid skin

Dear Mom1234 Less is definitely more. However, this gets back to a simple issue. Not all surgeons are created equal. Doing your homework means finding a cosmetic surgeon who makes sense for you. One does not need to have the blue plate special to be improved. Did you feel your potential surgeon was listening to your concern? Did they spend time with you and address the your questions, or did you get shuffled off the the surgical counselor? You should know that it is very important to... more

Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

Eyelid rejuvenation

Aggressiveness for eyelid rejuvenation depends on the amount of excess skin and sagginess of the eyebrows. The procedures offered to you may be exactly what you need to achieve your aesthetic goals. If you have any doubts, it may be wise to obtain several other opinions to see what they would recommend. Then, choose your plastic surgeon based on your comfort level with him/her and make sure that both sides agree upon the goals to be met and how to meet them. Good luck!...

Jeffrey E. Schreiber, MD

Baltimore Plastic Surgeon

ASPS

It depends on what bothers you.

If you are only concerned with the hanging skin of the upper eyelids, then a good forehead lift will kill 2 birds with 1 stone. The brow will be placed where it used to be and this will "remove" the upper eyelid over hang. If you have bags in your lower eyelids, then you can have these removed. You might want to see an experienced plastic or facial plastic surgeon to discuss where the incision for the forehead lift should be placed. If the incision is behind the hairline, it is... more

Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

Almost always it is necessary to have both brow lift and eye lid surgery to get a good result

One of the most spectacular ways to rejuvenate the aging face is to perform a brow lift and a eye lid surgery. It is relatively infrequent in my practice to only do eye lid surgery. I see only in younger patients. I actually prefer a coronal brow lift rather than a endoscopic brow lift because I believe it give a much better and more natural looking result and is almost alway permanent. This does not seem to be the case with endoscopic brow lifts. The eye lid surgery also almost always go... more

Carl W. "Rick" Lentz III, MD

Daytona Beach Plastic Surgeon

ASAPS ASPS

Get a second opinion.

If you do not like what one doctor says, seek a second opinion - but I would go to a board certified plastic surgeon. Some doctors are more agressive than others.

William B. Rosenblatt, MD

New York Plastic Surgeon

ASAPS ASPS

Periorbital rejuvenation

Dear Ohio Mom, All of us age at different rates and certain parts of the face may age more than others. It is not uncommon for someone of your age to be a candidate for the surgery that was suggested. What you describe is just a combination of a brow lift and upper blepharoplasty, and is really rather straight forward: The brow lift will address the position of your eyebrows (elevating them to create a pleasant arch), remove some of the lines on your forehead, and also allow your surgeon... more

Michael A. Bogdan, MD

Dallas Plastic Surgeon

ASAPS ASPS

You may be right, it will get worse if you go longer

Dear Mom Naturally, I would prefer to meet you, get to know you, and what you are looking for; to ensure that we are communicating on the same wavelength. Now that I know you and can examine you, I would be looking to see if you do or don’t need your brows lifted (I am assuming you do not need a brow lift). The fact that you have sufficient skin to droop over the corners tells me that I should recommend a blepharoplasy. I could remove the extra skin, the asymmetric skin and fat pads... more