Crepey eyelid skin help

Upper eyelid skin redundancy (with or without some fat pseudoherniation) is generally best treated with blepharoplasty. A crepey lower eyelid skin can also be treated with a blepharoplasty via subciliary (or external) approach, but most surgeons today recommend addressing this problem by tightening the skin.... more

The crepy eyelid skin is a surface problem on the skin. Blepharoplasty is designed to remove excess skin on the upper eyelid and to remove bags on the lower eyelid. The blepharoplasty achieves the above but does not change the quality or superficial appearance of the eyelid skin. Modern fractional erbium laser... more

There are several options for the removal of crepy upper and lower eyelid skin. If there is significant amount of skin only, often times this can be removed with a simple pinch excision under local anesthesia for both the upper and lower eyelids especially if there are no issues of excessive fat. If there is... more

Not only are there other options, these may be preferable, depending on the degree of skin laxity, lid laxity, fat pockets.  Fractional ablative lasers offer a controlled way to tighten skin in this area with relatively little downtime.  Other options include a phenol peel, which can give an... more

There are a good number of facial aesthetic concerns in which non-surgical and surgical options compete effectively with each other. The type of concern you have with your upper eyelids is not really one of them. By far, the best option you have is a surgical upper blepharoplasty. That’s not to say... more

Hi Dan, Based on your description, you may fit within the guidelines for insurance-covered upper blepharoplasty (surgery to remove the extra skin of the upper eyelids.)  Generally, if there is skin hanging over the lashes, and there is a demonstrable loss of the superior visual field (as shown on visual... more

Hello, Eyelid surgery can be simple or complicated. Simple surgery to tighten lax eyelid skin is very well-tolerated and reliable. Best Regards,   John Di Saia MD          

Based on your description it is likely that the best approach would be an upper eyelid blepharoplasty as many have suggested. This can be done under oral or IV sedation and usually takes less than 45-60 minutes. As long as blood pressure is controlled and the patient is off blood thinners (such as aspirin,... more

A 69-year woman who has never had surgery will most likely benefit from an upper blepharoplasty. Fortunately, almost all upper blepharoplasties can be done under local anesthesia or local anesthesia with light sedation.  The risk of the local anesthetic should be very low in competent hands, even in... more

Greetings Betty, The answer to your question depends on where the skin is. For upper eyelid excess skin, surgery is probably the best solution. For lower eyelid skin, you can consider surgery or depending on the amount of skin possibly laser resurfacing or a deep chemical peel. Fortunately the surgery to... more