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?

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14 answers to “Blepharoplasty Liposuction and Brow...”

A: Excess Skin and Blepharoplasty/Brow Lift

Christopher L. Hess, MD

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... more

A: Blepharoplasty for excess eyelid skin

William Portuese, MD

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... more

A: brow lift and blepharoplasty

Trevor M. Born, MD

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... more

A: Combination of Upper Blepharoplasty and Browlift

Frank P. Fechner, MD

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... more

A: Treating the brow and eyelids together is a common approach

Shahram Salemy, MD

 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... more

A: Upper facial rejuvenation

Steven Wallach, MD

 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... more

A: Upper blepharoplasty can rejuvenate your eyelids.

Eric M. Joseph, MD

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... more

A: This does sound a bit aggressive for excess eyelid skin

Kenneth D. Steinsapir, MD

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... more

A: Eyelid rejuvenation

Jeffrey E. Schreiber, MD

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... more

A: It depends on what bothers you.

Toby G. Mayer, MD

 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... more

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