Your upper lids are quite heavy. An upper eyelid lift would be an excellent choice for your situation. It takes less than an hour and can be done under local anesthesia. There is very little pain and the cost is about $2500 to $3000. Well worth it in your case.
Upper Blepharoplasty Plus Brow Lift Would Work Well
Thanks for your question. The problem that you have of
droopy eyelids at a young age is a situation I have seen many times before and
undoubtedly is inherited. The problem is most noticeable laterally, which we
call lateral hooding. The best results would come from a combination of an
upper eyelid blepharoplasty and a temporal brow lift, which involves an
incision in the temple area behind the hairline so there is no visible scar. An
upper lid blepharoplasty will not correct the lateral hooding unless the
incision is extended laterally to a point where it is visible. I have had very
good success in young patients and most commonly do this procedure in the
office. The correction will be long-lasting. Be sure to consult with a surgeon
who is experienced in eyelid and brow surgery, and good luck!
Droopy upper lids at 29
- Your photo suggests you do not have ptosis but excess skin and fat in the upper lids,
- See a Board Certified Plastic Surgeon or Opthalmoplastic Surgeon.
- Assuming the examination confirms this, you need an upper lid lift to remove excess skin and fat.
- A lateral brow lift may help as well. Best wishes.
Heavy upper eyelids
You should benefit from upper blepharoplasty and possibly brow lift. I don't think you have eyelid ptosis but it is difficult to tell from the photo. See an oculoplastic surgeon for evaluation.
Upper blepharoplasty for droopy eyelids
An upper blepharoplasty is required to remove the droopy skin on the upper lids. A combination of skin and fat is removed from the upper lids through an incision in the upper eyelid crease. The procedure is performed as an outpatient surgical procedure under brief general anesthesia. For many examples, please see the link below to our blepharoplasty photo gallery
Best Blepharoplasty for Heavy Upper Eyelids
An upper blepharoplasty would remove the excess skin of your upper eyelids. Choose your surgeon most carefully. Good luck and be well.
Ptosis and dermatochalasis
You have ptosis, but also a large amount of excess heavy skin. For this reason an external approach to surgery would be recommended so that the skin can be excised at the same time you tighten the muscle to elevate the lid. See an oculoplastic surgeon to evaluate you more completely.
I would say basic blepharoplasty would be something of benefit to you. That being said, make sure you get consultations with board-certified facial plastic surgeons or oculoplastic surgeons before proceeding. Given the amount of fullness and bloating that you have there is some potential for insurance coverage later on in life. Your healing time would be roughly 10 days and your sutures would likely come out after about 7 days.
Chase Lay, MD
double board-certified facial plastic surgeon