Appropriate Eyelid Procedures For 50 Year Old With Heavy Hooding? (photo)

Hello!. I am 50 years old woman and i would like some medical advice. Would a simple upper eyelid blepharoplasty be enough to correct the excess fat and the heavy hooding on my lids or should i also consider other alternative treatments like a brow lift? Thank you.

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12 Doctor Answers | Asked by ino

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Functional eyelid surgery

Hi Ino, That is some significant hooding and laxity you have there. You'd benefit from both a brow lift and upper eyelid blepharoplasty. You would heal within a week but it would be another 1 to 2 weeks before your incisions are inconspicuous. I should point out that if your eyelid laxity is bad enough it may be covered by insurance as you may have a visual field deficit. Make an appointment with an ophthalmologist or an Oculoplastic... more

Chase Lay, MD

18 reviews

Bay Area Facial Plastic Surgeon

www.chaselaymd.com

Appropriate eyelid procedure for heavy hooding

If the main concern is hooded and puffy upper eyelids, the best option is an upper blepharoplasty. The goal of a brow lift is to soften the vertical creases between the eyebrows, elevate the eyebrows to make them look more symmetrical, (especially when one eyebrow is higher than the other). The brow lift involves an incision in the scalp through which the adjustments to the eyebrow position and eyebrow muscles are made. Both of these procedures are performed under general... more

Eyelid Blepharoplasty Canidate

Thank you for your photos. I think you would do well with upper eyelid blepharoplasty. Artistic removal of the excess skin will restore the true shape of your eyes.

Appropriate Eyelid Procedures For 50 Year Old With Heavy Hooding?

An upper eyelid lift (blepharoplasty) would remove the redundant skin on your upper lids. An incision is made in the crease of your upper lids and a wedge of skin is then removed. You could also consider a brow lift to futher open your eyes and correct symmetry of the eyebrow position and also to minimize the furrow between the eyes by clipping part of the muscle. Lower eyelid surgery is also an option to remove the fat pads and tighten the skin. more

Upper blepharoplasty

Upper eyelid droopiness can be due to 1)excess upper eyelid skin or 2)brow drooping or 3)a combination of these 2 processes. All are a natural part of the aging process. It is really a spectrum with only eyelid skin excess at one end & then increasing brow drooping up to only brow drooping at the other end. To see where you lie in this spectrum you can look in a mirror while elevating the eyebrow to a point 5mm above the bony rim above the eye. If the entire droopiness resolves then it... more

Treatment of eyelid hooding is either by blepharoplasty or endoscopic brow lift.

Just like it says, a brow lift will lift your brow. It may help make your upper eyelids look better but it may raise your eyebrows too much. Blepharoplasty will remove excess skin of the upper eyelids. Some people need both. During a consultation both can be demonstrated to see which is best for you. Some people get a nice improvement in brow height from Botox but this is certainly not as effective as surgery.

Appropriate Eyelid Procedures For 50 Year Old With Heavy Hooding?

Thanks for the posted photos. Easiest operation combination is upper lid blepharoplasty with BOTOX. Seek in person evaluations.

Correction of the upper eyelid hooding

Based on your photos, you have a both brow ptosis and upper eyelid skin excess which is accentuated by brow ptosis. Also, your right brow seems to be lower than the left, which explains larger skin excess over the right upper eyelid. While it is possible to achieve a good improvement by blepharoplasty alone, a combination of blepharoplasty and brow lift will give you the better result.

Upper third of face issues

It looks like from your photos that you have significant upper eyelid hooding from brow descent. A proper evaluation in person would certainly be helpful. A brow lift and upper and lower eyelid surgery may be the best solution for you. Good luck.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Appropriate Eyelid Procedures For 50 Year Old With Heavy Hooding?

Aesthetically speaking, from the photo, your eyebrows are very low as well having upper eyelid fullness. A Brow Lift combined with upper eyelid surgery would be recommended to achieve not only an open upper eyelid but restore a more almond shape to the eyes by lifting the eyebrows into a more aesthetic position.