I Have Heavy, Puffy Upper Eyelids. Are the Non-surgical Alternatives to Fix That?

Dear Nklimovi

Your heavy eyebrow is an important facial feature.  Cutting the upper eyelid skin actually causes the eyebrow to fall and is generally not ideal.  The best nonsurgical option for this is my patented microdroplet BOTOX forehead lift. Follow the link below for more information on this.  This is a nonsurgical forehead lift.  You also have a relatively prominent midcheek groove and midcheek/deep cheek filler would help restore youthfulness to your face.  I agree you do not need surgery at this time.

Thank you nklimovi for your question.  Typically puffy upper lids can only be addressed with surgery because we need to remove the fat pocket and potentially extra skin.  There typically isn't much down time with the procedure and sutures are removed within 5-7 days.  Make a consult with a board certified surgeon to see if your a candidate for this procedure or if there is anything else that can be done. 

Thank you for your question.  Botox would be a non surgical option to try and raise your eyebrow to make the appearance of less heaviness.  If you have loose skin and puffiness then surgery would the only option to remove.  Extra skin and fat on the upper eyelid can cause the eyes to feel and look tired. Taken to the extreme, the extra skin can hang so much that it can hamper your vision and cause discomfort. Eyelid surgery combined with Eyebag Removal can effectively reduce the excess skin from the upper and lower eyelids to leave you with wider more youthful looking eyes.  If you look tired when you're not, and can’t put eye shadow or mascara due to excess skin covering your eyelids, then you can benefit from upper eyelid lift or Upper Blepharoplasty.  Please make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  All The Best 

This is no easy solution to puffy eyelids which are congenital and not related to excess skin.  One of the few things that seems to work is the use of Thermismooth to tighten the skin and the underlying tissues which can reduce the puffy appearance.RegardsDr. Janjua

Although blepharoplasty surgery is the only treatment that is long lasting there are a few things you can do that are of temporary help. Make sure you have an exam to make sure that you do not have weak eye muscles, ptosis, as your cause by an exam by a board certified specialist. Lower lids: Ceramide creams for the lower lids which in minutes as they dry the clear membrane tightens the lower lid skin minimizing bags and wrinkles. This lasts from 4-8 hrs and can be reapplied as needed. Radiofrequency, laser and peels tighten the skin with minimal downtime. Fillers for fat transfer #lipoinjection, to the lower lid to fill in the cheek-lid depression that casts shadows also helps many. For the upper lids, Botox in the crows feet area just below the brow will gently lift the lateral brow and lift a bit of the hooding on the side of your eye. This lasts about 3-4 months. Make sure you go to an expert injector associated with a Plastic Surgeon, Facial Plastic Surgeon, Dermatologist, or Ophthalmologist skilled in injections.#NonSurgicalEyeliftAlternatives#NonSurgicalBlepharoplastyOptions

Botox or Dysport could help if the brow is pushing down on your eyes, causing the droopiness. However, you appear to be younger and this might not be effective. Either way, you should see a board certified plastic surgeon for an exam to determine what would help in your situation.