Is Blepharoplasty something to consider for me? Will it have strong potential to ameliorate the appearance of my eyes? (photo)
Doctor Answers 11
You appear to have ptosis which can be addressed through specialized surgery by an oculofacial/ oculoplastic surgeon
When I look at your photo, I noticed that the creases are very high and there is a slight difference of skin between the two eyes. If you could imagine, if that skin was removed which is what is typically done in an eyelid blepharoplasty, I think there would be no significant difference. As a cosmetic oculofacial plastic surgeon, which has a combination of background training in eye surgery followed by specialized training in plastic surgery of the eyes, I can tell you that I’ve seen many patients who had upper eyelid surgery where the plastic surgeon removed skin in the upper eyelids and yet the person still looked tired. A significant percentage of those cases were due to the fact that the patient actually had ptosis or drooping of the eyelid.
Before you move forward, I think it’s important that you get a proper diagnosis so you can come up with a plan of how to address this ptosis. There are some critical elements of the examination that have to be done. We assess the marginal reflex distance and then look at the activity of a muscle called the levator muscle which is responsible for most of the function of the elevating your eyelid.
I think your next step would be to meet with an ophthalmologist or an oculofacial plastic surgeon to get an evaluation. A proper examination to diagnose your situation is critical, otherwise you may end up getting a cosmetic procedure that does not address the problem. You may need a combination of a levator muscle procedure otherwise known as a ptosis correction to help you improve that tired look. In addition, it’s very important when evaluating ptosis that you look at your history such as looking at old photos and determine if there is a change in your appearance. I hope that was helpful, I wish you the best of luck, and thank you for question.
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Ptosis, not blepharoplasty
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Earl Stephenson, Jr, MD, DDS, FACS
Is Blepharoplasty something to consider for me?
Blepharoplasty is the wrong surgery for you!
Upper eyelid surgery in a male patient
Upper eyelid surgery in males requires different approach than in females. Youthful male lids do not have hollow appearance. Prior to performing any surgery it is imperative that the surgeon properly assess individual patient to determine the best surgical approach. Even though definitive diagnosis must be made in person consultation, it appears that in your particular case you have an eyelid ptosis, which requires a very specific type of surgery, different from a standard blepharoplasty. Make sure you seek out an experienced and talented surgeon to properly diagnose and treat your condition.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.