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Slightly Crepy Upper Eyelids

asked 1 year ago by CheCha in West Palm Beach, FL
Latest answer by William Portuese, MD
Question viewed 623 times
Tags: age 65-74, eyelids, female, crepey skin

i am 67, look really good, could pass easily for 50.. olive skin tone and very clear skin with very little sagging. My upper eyelids are crepy, not severe at all but could use a tiny adjustment to rid me of this..bottom no bags at all. Would fraxel work for upper lids or what would you suggest? Ive had no face surgery-just injectible fillers (great success-long lasting on me) botoix (3 times-failures doesnt work for me)

15 answers to Slightly Crepy Upper Eyelids

+2

Upper eyelid crepiness

Removing extra eyelid skin will reduce crepiness, especially in patients who have never had surgery before. Fractionated laser resurfacing will also tighten skin, just not to the extent that an upper bklepharoplasty does. Of the fractionated lasers, low leverl erbium, heavy erbium, light CO2 and heavy CO2, the effectiveness increases but so does the downtime and swelling. The recovery after an upper eyelid lift (blepharoplasty) is actually quicker and more effective than... more
Brent Moelleken, MD

Beverly Hills Plastic Surgeon
+2

Slightly Crepy Upper Eyelids

It is hard to comment on your specific case without seeing you in person.  However, from your description, you sound like an ideal candidate for fractional CO2 laser resurfacing.  Although it may seem less invasive then surgery, it is not..  An over correction can be devastating and I have seen and treated them. You should see a physician who does a lot of eyelid lasers and surgery.  Other options may be available to you as well.
Sam Goldberger, MD

Beverly Hills Oculoplastic Surgeon
+1

Crepy upper eyelids

Crepey upper eyelids is a difficult problem to deal with. If there is excess skin, this can be removed through an upper blepharoplasty incision. If there is no extra skin, then consideration for a fractionated laser procedure should be performed to remove the crepiness.  
William Portuese, MD

Seattle Facial Plastic Surgeon
+1

Upper eyelid crepy skin

A photo of you would be very helpful in answering this question.  For the best results to eliminate excess skin and smooth the upper eyelid skin, there is nothing better than an upper blepharoplasty.  It is easy to do (office procedure with local anesthesia and some sedation) and predicatable in its outcome, and quick to recover from (sutures out in 4 days).  Results are long lasting and satisfaction is very high.
Jeffrey M. Darrow, MD

Boston Plastic Surgeon
+1

Treatment for "crepey" upper eyelid skin

Laser treatment may help improve the appearance of your eyes but it can be difficult to predict if it will provide the results you desire.  Upper eyelid blepharoplasty is a surgical option that may more predictably give the results you are looking for.
Keshini Parbhu, MD

Orlando Oculoplastic Surgeon
+1

Slightly crepy upper lid skin

Slightly crepy upper lid skin should respond to regular or fractional CO2 resurfacing. Redundant skin may need upper blepharoplasty and/or forehead lift.
Peter T. Truong, MD

Fresno Oculoplastic Surgeon
+1

Upper eyelid crepiness treatment.

You probably need both removal of the extra skin and a laser or chemical peel to further tighten the skin. Make sure you don't need any forehead (brow) lifting first. Very often I see patients who could have " killed " 2 birds with one stone with a forehead lift and instead had there upper lids done. Once that skin is gone you probably won't be aable to lift the brow since the skin has been removed already, 
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+1

Upper eyelid bleharoplasty will provide most predictable results for removing extra upper eyelid skin

An upper eyelid bleharoplasty will allow removal of that extra upper eyelid skin. This can be performed in the office or under sedation. The incision heals incredibly well and hides in the eyelid crease. While this is "surgery" the downtime is relatively limited and will provide you with a very predictable result. Best, Stephen Weber, M.D., Ph.D. Portland Facial Plastic Surgeon 
Stephen Weber, MD

Lone Tree Facial Plastic Surgeon
+1

Upper Eyelid Excess Skin

Slightly Crepy Upper Eyelids i am 67, look really good, could pass easily for 50.. olive skin tone and very clear skin with very little sagging. My upper eyelids are crepy, not severe at all but could use a tiny adjustment to rid me of this..bottom no bags at all. Would fraxel work for upper lids or what would you suggest? Ive had no face surgery-just injectible fillers (great success-long lasting on me) botoix (3 times-failures doesnt work for me) The best procedure would be... more
Farbod Esmailian, MD

Orange County Plastic Surgeon
+1

Upper eyelid loose skin options

For very mild loose upper lid skin, Fraxel may work but don't expect long term results. Other nonsurgical options include chemical peels (TCA) or fractionated laser. However, based on what you describe, removing the loose upper lid skin can be done as an office procedure using a local anesthetic with only a slightly longer recovery and cost than the other options. The results of surgery are likely to last much longer. Be sure that it is in fact the eyelid that is the... more
Karol A. Gutowski, MD

Chicago Plastic Surgeon
+1

Loose upper lid skin

Fraxel is not the best choice for the skin of the upper eyelid. You are probably better to have some skin removed.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Slightly Crepy Upper Eyelids

I recommend over the FRAXEL the Cynosure Smart Skin laser. If fact Dr Shino Bay in Broward has this laser. From MIAMI Dr. Darryl j. Blinski
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Treatment of “crepey” upper eyelids

Lasers do smooth skin, but in the eyelids, the margin of error is very small and the risks great. The most reasonable way of correction is with blepharoplasty or brow lift. Occasionally brow descent causes bunching of the upper eyelid skin giving a crepe like appearance. If this is the cause, brow lift is all that you would need. The risks are very small and the rewards great. See a board certified Plastic Surgeon with significant experience with the eyes.  
Robert T. Buchanan, MD

Highlands Plastic Surgeon
+1

Give resurfacing a try!

If there is no excess skin of the upper lids, then you are dealing with an issue of skin quality. Resurfacing with a Fraxel laser or a chemical peeel would be worth a try. I have seen it work well for some of my patients. I would not foresee any worsening of your crepinesss with resurfacing. You may require several treatments to obtain the result you want, though.
George Sanders, MD

Los Angeles Plastic Surgeon
+1

Crepey eyelids are best treated by blepharoplasty!

Not every patient with crepey eyelids require blepharoplasty, but most do. You could be a candidate for periorbital peel or laser, but the eyelids have extremely thin skin that is forgiving for incisions (great scars), but not so forgiving for lasers (and I have taught laser surgery for two decades). I would only consider laser treatment if the doctor who is recommending this is also qualified to perform blepharoplasty, and truly thinks laser is best for you. Otherwise, if the doctor only... more
Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon

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