Recommendation for Blepharoplasty? (Photos)

I'm a 22-year-old male, and for some time I've felt embarrssed about my eyelids - they're both droopy, and the and they're also asymmetrical. (I usually feel bad about how I appear in pictures.) So that's... dermatochalasis with mild ptosis? I'm thinking about having an upper blepharoplasty done; there appears to be a pretty good oculoplastic surgeon in my area (central Massachusetts) who I could visit. What are your opinions/recommendations?

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8 Doctor Answers | Asked by Noskat in Worcester, MA

Doctor Answers (8)
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Go see an Oculoplastic surgeon!!

Hello, I think you are smart to see an Oculoplastic surgeon about your concern. You don't seem to have extra skin on your upper lids in your pictures. I doubt that an upper lid blepharoplasty is necessary. A ptosis repair, however, is a different matter. The Oculoplastic surgeon that you are planning to see will help you determine what surgery, if any, is best for you. Good luck, Dr. Shah

Drooping heavy eyelids in young people

Dear Noskat, Eyelids are very complicated, and that is coming from an Oculoplastic Surgeon. And when it comes to drooping eyelids, I have learned to have a healthy amount of humility with regards to surgical repair. I agree with the first doctor's response that it would be highly unusual to have the need to remove skin from the lids of a 22 year old. The drooping is another story. You need to be evaluated for the evolution of this droop. Were you born... more

Will Botox Take Care of Glabellar Lines with Thin Skin?

Will Botox Take Care of Glabellar Lines with Thin Skin? I have performed Blepharoplasty for over 20 years and IMHO, no 22 year old needs an upper Blepharoplasty to remove excess skin. Your photo is not as clear as it could be but it does appear that you have some minor degree of true eyelid ptosis. Please consider seeing the occuloplastic surgeon in your area that you mentioned for a full evaluation of this issue.

Upper eyelid ptosis

A posterior approach ptosis surgery (mullerectomy) might be a great option for you. A visit with an oculoplastic surgeon will allow them to put a drop of phenylepherine in each eye and show you how it might turn out.

American Society for Ophthalmic Plastic and Reconstructive Surgery had a directory.

ASOPRS (asoprs.org) maintains a geographic directory that can help you find highly qualified eye plastic surgeons in your area. Good luck.

Kenneth D. Steinsapir, MD

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Los Angeles Oculoplastic Surgeon

Ptosis v. dermatochalasia

Be certain that your surgeon is appropriately evaluating you for ptosis. Occuloplastic surgeons do ptosis repair commonly, but facial plastic surgeons routinely do it as well. It is the more difficult, but more important part of your repair (assuming it is indicated). The skin removal is more straight forward, however, looking at your pictures--if you want the more open eyed appearance in photo two--that is likely to require a "transconjunctival muellerectomy"... more

Eyelid surgery

An excellent facial plastic surgeon who can either treat your eyelids or help you with the right decision in the Worcester area is Dr. Min Ahn

Ptosis and dermatochalasis

If you prefer the more open appearance of the second photograph, then you should see an oculoplastic surgeon in your area. Ptosis surgery alone (without blepharoplasty) would give you the opportunity to have a similar appearance. I would caution against upper eyelid blepharoplasty based upon your age and the chance that upper lid blepharoplasty will femanize your eyelids (show more of the front portion of the eyelid). Good luck.