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I Have Heavy Upper Eyelids for my Age (I'm 23) Due to Genetics...

asked 10 months ago by Lacey K.
Latest answer by Vivek Bansal, MD
Question viewed 291 times
Tags: genetic, heavy, options

I have heavy upper eyelids for my age (I'm 23) due to genetics. I'm not sure whether the most appropriate surgery would be an upper bleph, eyelift, or possibly a canthopexy..(my outer eyelids seem to slope downards). Any advice would be very helpful!

11 answers to I Have Heavy Upper Eyelids for my Age (I'm 23) Due to Genetics...

+1

Eyelid Surgery

You may just need a simple blepharoplasty with fat removal and perhaps some muscle. A qualified Board Certified Plastic Surgeon can assist you in making the decisions ahead. The lateral downward slope can also be due to the excess skin. Delay a canthopexy until that looks like the best option.
Vivek Bansal, MD

Danville Plastic Surgeon
+1

Heavy upper eyelids

The goal of upper eyelid blepharoplasty is to remove excess skin from the upper lids. There are also two fat pads in the upper eyelids that can be partially removed to allow more eyelid show. Removing both skin and fat will increase eyelid show, eyes won't appear so heavy and patients look better rested.
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Heavy upper eye lids due to genetics can be treated with ptosis repair and blepharoplasty

Heavy upper eye lids due to genetics can be treated with ptosis repair and blepharoplasty. Canthopexy would not really be indicated until the upper lids were treated first, and you can see what the whole picture will look like. I wouldn’t recommend a canthopexy at the same time. Depending on the measurements, it looks like ptosis repair as well as careful removal of some skin may be indicated. The other option is to have a ptosis repair and put some hyaluronic... more
Joseph A. Eviatar, MD

Bronx Oculoplastic Surgeon

www.ChelseaEye.com

+1

Eyelid surgery

There are certain eyelid procedures which are straightforward and others which are not. Because of your age and subtle findings I would be careful of the decision you make regarding surgery. You have subtle degrees of lid changes (slight excess skin and ptosis - low lid height). Unless you are really bothered by this I would not proceed with any surgery at your age. If it truly is a concern than seek out an eyelid specialist to avoid... more
Guy Massry, MD

Los Angeles Oculoplastic Surgeon
+1

Upper lid fullness

Susan Different surgeons will recommend different procedures and this can leave the patient quiet confused. Following an in-person detailed consultation with a qualified surgeon will be extremely valuable in making the correct diagnosis and thus, helping you and your surgeon plan the best course of action. Simpler procedures include a very conservative upper lid blepharoplasty. It would also be important to rule out a degree of ptosis (weakened upper lid muscle) during the... more
Donn R. Chatham, MD

Louisville Facial Plastic Surgeon
+1

Mild ptosis and excess upper eyelid skin

As mentioned above, the eyelid changes can be very subtle and need a proper in person evaluation to tease out the nuances of your individual anatomy. Based on these photos, however, it seems that you have a mild degree of ptosis [droopiness] in addition to excess skin. The position of your lateral canthus maybe very minimally low compared the normal, however it is a unique attribute of your eyes and changing them can be quite a major change in most patients and I would not recommend a... more
A.J. Amadi, MD

Seattle Oculoplastic Surgeon
+1

Upper eyelid fullness

I have performed Eyelid Surgery and Brow Lifts for over 20 years and IMHO, it's much more likely that your eyebrows are low than you have true upper eyelid excess skin at 23 years of age. In person evaluation, of upper eyelid fullness in women, requires placing the eyebrows into their proper aesthetic position. If the upper eyelid fulless disappears, the eyebrows are low and a Brow Lift is required. The forehead and face age by falling from the outside towards... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Upper Blepharoplasty

You can get a very nice result with upper blepharoplasty that should last you many, many years. You have a nice shape and position of you eye brows. I would strongly say to not touch your eye brows.
E. Anthony Musarra II, MD

Atlanta Plastic Surgeon
+1

Heavy Upper Eyes in Young Patients

It's difficult to determine without an office evaluation, but one may consider a Botox brow lift to help reduce some of the heavy tissue. Results with Botox are subtle and treatments need repeating. Blepharoplasty, eyelid rejuvenation for older patients, is not performed in younger patients and avoided. While droopy eyelids typically occur with natural aging, they may also occur in young patients and teenagers as well. Droopy eyelid treatment, or ptosis repair, typically involves... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon

www.potomacplasticsurgery.com

+1

Less Will Be More

It is impossible to give a precise recommendation based on your photos, but it would appear that if any surgery is indicated, it would probably be along the lines of just removal of a small amount of upper eyelid skin. From the photos, it appears that the shape of your eyes, the position of your canthus and lower lid all appear to be quite nice and should be left untouched. It is very important that you clearly express your specific goals during your consultation... more
Paul C. Zwiebel, MD

Denver Plastic Surgeon
+1

Canthopexy will flat out wreck you.

You need a detailed oculoplastic assessment by a very experienced cosmetic oculoplastic surgeon. Your most likely need some type of complex anchor upper blepharoplasty that includes some type of ptosis procedure. Trust me, this is beyond the skill level of 97% of the surgeons out there. Because you are so young, a poorly done eyelid surgery will be with you for a very long time. Choose wisely and if you are not sure, keep looking for the right surgeon. Look at... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

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