Trying to Decide Between Madonna Eye Lift or Blepharoplasty? (photo) Doctor Answers, Tips
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Trying to Decide Between Madonna Eye Lift or Blepharoplasty? (photo)

Hello. I am a 38 yr old woman that is trying to decide between having upper and lower blepharoplasty or the co2 factal laser. I am also struggling with loss of elasticity in lower face and neck, what can be done for this? Thanks!

9 Doctor Answers | Asked by Melaniekay
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Blepharoplasty vs Laser Resurfacing

In your case surgery is best. It can difficult to decide between the many surgical and non-surgical rejuvenations options available. Eyes are the first place to show signs of aging and therefore the reason patients first come to a plastic surgeon’s office. The cause of an aged appearance to the eyes can vary. Textural changes of the skin can be addresses with lasers to tighten the skin and improve the skin surface. The other cause is contour irregularities... more
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Trying to Decide Between Madonna Eye Lift or Blepharoplasty? (photo)

Your best bet to rejuvenate your eyelids is to have surgery. CO2 laser will probably not do enough in your case. Your eyebrows are also drooping so you should be seen in consultation to go over all your options. Your lower face needs to be evaluated in person to decide what the best treatment is.
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Madonna Eyelift vs. Blepharoplasty

You look tired ! Brow position is borderline but upper and lower lids (with fat transposition ) will definitely have to be done. Watch out for some malar edema (puffiness) you have, which may not improve with surgery and that may be the result of allergies, sinus problems or fluid retention.

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Trying to Decide Between Madonna Eye Lift or Blepharoplasty?

Based upon the posted photos in my opinion only surgery will improve the appearance of the eyes and face.
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Browlift or blepharoplasty.

Your facial aging isore than average. You need a forehead lift and a lower blepharoplasty. The skin can be done with a mini lift to remove the excess skin.
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Blepharoplasty eyelid surgery

Your posted photos show some brow drooping, excess upper eyelid skin hanging down on to the upper eyelid lashes on forward gaze, deep tear troughs and palpebromalar grooves, moderate nasolabial folds, loss of facial fat around the cheek bones and early jowling from descent of the remaining cheek soft tissue. The neck cannot be assessed from your posted photos.`Fractal laser will not affect tissues deep to the skin so it alone cannot improve most of what I have described and it certainly... more
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Aging eyes and face

Based on your pictures, you look older than your years. Blepharoplasties and perhaps a fac lift could make you look much better.
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CO2 laser vs. eyelid surgery.

Not much grey area here. If you're talking about CO2 laser of the eyelid skin to tighten it you're not going to get the results you're looking for. Just get the excess skin and possibly conservative fat removal performed for your uppers. The lowers you could do non-surgical with volume (fat, filler, or plasma) and CO2 laser. The link has some information about fat and plasma for your lower eyelids and cheeks. Recovery for upper eyelid surgery is about a... more
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Blepharoplasty

Upper blepharoplasty is probably the best procedure for your upper eyelids. In regards to your lower eyelids, you can benefit from lower blepharoplasty (fat repositioning or remval) and skin tightening with peel or laser. See an oculoplastic surgeon.
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Comments (1)

Melaniekay 23 Sep 2012
thank you all for your answers. it seems that the bleph is the way to go vs. the laser. my neck is bothering me also, so perhaps doing something there too....seeing these pics are hard for me. i have actually never seen myself look so bad! its been a bit hard on my self esteem. these pics are particularly bad i think

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