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Droopy Eyelids - Alternatives to Eyelift Surgery?

I know an eyelift would work for my sagging eye lids....but what about non surgical ways to improve eye lids?

Sort 29 expert answers by:
+2

Nonsurgical eyelifts

When significantly more eyelid skin is there than needs to be (sagginess), surgery is the best option to remove this. For patients who do not want surgery, it is possible to resurface the eyelid skin with a laser. This will produce some tightening. Ironically, it tends to produce much more swelling than a blepharoplasty would. Botox to the corners of the eye allows the eyebrow to rise somewhat, giving the eyes a more rested appearance. This effect of the Botox tends to wear off fairly... more
Brent Moelleken, MD
Beverly Hills Plastic Surgeon
+4

Treatment options for sagging lids

Sagging eyelids are usually associated with advancing age, but the truth is, many different underlying conditions may affect the appearance of the eyes. As Dr. Gaborieau has mentioned, getting plenty of sleep, adequate hydration, and avoidance of salt may help some of the common causes of sagging eyelids. Other important ones are allergies, and chronic edema or swelling that is non-allergic in nature. In the case of the upper eyelids, BOTOX injections placed correctly can result in a... more
Behrooz Torkian, MD
Beverly Hills Facial Plastic Surgeon
+4

The best non-surgical way to reduce the appearance of...

The best non-surgical way to reduce the appearance of sagging eyelids is to avoid salty food, drink loads of water and get lots of sleep. This is especially useful to reduce the sagging of the lower lids. Botox can raise the upper eyelids. Any other form of rejuvenation would require surgery.
Henri P. Gaboriau, MD
Seattle Facial Plastic Surgeon
+3

Alternatives to Surgical Blepharoplasty

Any responsible decision about alternatives to Blepharoplasty require a consultation and evaluation with a well experienced and qualified Board Certified surgeon. Alternative considerations might include: Adequate sleep good nutrition skin care BOTOX Injectable fillers chemical peel laser resurfacing If you have truly droopy upper eyelids, surgical Blepharoplasty and/or brow lift are probably best considerations.
Paul C. Zwiebel, MD
Denver Plastic Surgeon
+3

A quick alternative to Eyelift Surgery for upper eye lid hooding: The Ten Minute Eyelift

Hooding of the upper lids is a fairly common problem with aging. Shrinkage and the downward displacement of the supporting fat pads under the eyebrows, coupled with an overall loss in both the amounts and quality of collagen and elastic fibers are contributing factors. While blepharoplasty remains the gold standard for treating this problem, many people wish to avoid the expense, risks and downtime of traditional eyelift surgery. For these people, the Ten Minute Eyelift, a minimally... more
Nelson L. Novick, MD
New York Dermatologic Surgeon
+2

BOTOX®/Dysport®, Eyebrow Lift Surgery or Injectable tissue fillers create eye lift

When you refer to “eyelift” surgery, perhaps you really mean “eyebrow lift” surgery. While surgery is often the best lasting approach to droopy eyelids, temporary resolution of this problem can quickly and easily be accomplished using injectable materials. BOTOX®/Dysport® can be used to elevate the eyebrows by de-functioning the eyebrow depressors, so that the unopposed muscles in the forehead will raise the position of the eyebrows and, secondarily, will also... more
Michael R. Macdonald, MD
Bay Area Facial Plastic Surgeon
+2

Medical alternatives to droopy eyelids

Surgery is the definitive treatment. On the internet, there are sold eyelid crutches which lift baggy skin out of the visual axis. I have had one patient use it. I thought it looked terrible on them and quite strange but they were not a surgical candidate at all and were happy with the glasses. I wouldn't recommend it to a family member as a first choice but that option is there. 
Chris Thiagarajah, MD
Washington DC Oculoplastic Surgeon
+2

Alternatives to eyelid surgery. The non surgical blepharoplasty

There really is no substitute for eyelid surgery. There are poor substitutes. There is a crease on the upper eyelid at the level of the tarsal plate of the upper eyelid. A long time ago before surgeons perfected the modern blepharoplasty, strips of double sided stickey tape (about 1/8 inch wide) were applied just above the fold and the patient would appy the strip with the eyes closed and once in place they would open their eyes. This maneuver woud create... more
Gary H. Manchester, MD
San Diego Plastic Surgeon
+2

Nonsurgical approaches to droopy eyelids

Droopy eyelids can be improved non surgically with the use of neuromodulators like botox or Dysport which can raise your eyebrows lifting some of the droopy lids as well. Results typically last from 3 to 6 months. Other alternatives include fillers like restylane or juvederm strategically placed to elevate the corners of the brows pulling the lids with them. Finally, you can do an endoscopic browlift that helps to raise the brows which can create some mild elevation of the lid skin as well.... more
Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
+1

Non surgical eyelid lift

The most reliable option would be the use of Botox to elevate the lateral eyebrow and take up some of the skin excess there. The more medial part is more difficult to correct with Botox, but as long as only the depressors of the eyelid are injected medially, that will help for the medial portion also.
Julio Garcia, MD
Las Vegas Plastic Surgeon
+1

Options if you don't want upper eyelid surgery

Unfortunately, there are no other options that work good, if you do not want upper eyelid surgery.  There is no way to shrink skin on the upper eyelid.
Bivik Rajnikant Shah, MD
Columbus Plastic Surgeon
+1

Non surgical options for eyelids

If you are opposed to surgery for the eyelids, then other considerations would be laser resurfacing of the eyelids for fine wrinkles and skin laxity.  If there are heavy bags and dark circles from these bags under your eyes, another consideration would be filler injection with Restylane or Juvederm to fill the hollowed region below the "bags".  However, if there is significant skin laxity and bulging of the fat of the lower lids, surgery is likely the best... more
Etai Funk, MD
Houston Facial Plastic Surgeon
+1

Eyelid lifts, botox, brow lifts

Prior to any treatments or surgeries to the eye area, brow position, eyelid skin and fat excess, lid movement, and vision should all be evaluated. Droop upper lids can be caused by many different issues. Low brows can cause it, and in that case a browlift is best. Sompe patients choose Botox treatments to elevate their brows. On some occasions, this non-surgical approach may temporarily creat some eyelid lifting, however, this is very temporary, and problems with asymmetry can occur.... more
Patti A. Flint, MD
Scottsdale Plastic Surgeon
+1

Alternatives to surgery for drooping eyelids

Drooping eyelids can be more than excess skin. Without an exam it is hard to offer sound advice.  In general I could not recommend any non-surgical alternative that I have any faith in. Wishing you all the best. Tal Raine MD
Talmage J. Raine, MD
Chicago Plastic Surgeon
+1

Botox injections into your brow may eliminate the need for surgery.

In the majority of cases there is no substitute for a surgical excision of the excess upper lid skin called upper lid blephroplasty. In some select cases the upper lid skin redundancy can be taken up as part of an operation designed to restore the arch to the eyebrow called a brow lift. This surgery pulls up the brow and simultaneously takes up the slack in the corresponding upper eyelid. You can try this yourself by pulling up your brow and observing the effect is has on your loose... more
David  A. Ross, MD
Chicago Plastic Surgeon
+1

Droopy eyelids-Treatment options

There are not many alternatives besides surgery for someone with true droopy eyelids.  One must distinguish whether it is a true ptosis (droopy eyelid) or if it is dermatochalasis (excess skin hanging over the eyelid).  The best way to repair either problem would be with surgery.   There are a few different ways to repair a ptosis depending on its severity so it is important that one receives a complete eyelid exam before undergoing surgery. Some patients have both a... more
David Freilich, MD
Englewood Oculoplastic Surgeon
+1

Non-surgical treatment for sagging eyes

My favorite way to help patients who have droopy eyes is to use a neuromodulator. Botox and Dysport can be used in a way to give the patient a chemical brow lift. The effect is usually good for approximately 3 to 4 months. The use of Botox and Dysport in this method is not FDA approved but has been used safely for well over 10 years. Of course you should ask your doctor about this if you are interested. Good Luck
Carlos Wolf, MD
Miami Facial Plastic Surgeon
+1

Non-surgical alternatives to drooping eyelids

Drooping upper eyelids are best treated with surgery (or blepharoplasty). A temporary alternative that may achieve a degree of eyelift is to inject the lateral orbicularis oculi muscle. This muscle is a strong depressor of the eyebrows, and selected weakening of this muscle can raise the eyebrows and hence give an appearance of an eyelift. One must understand the results are not as dramatic as surgery, and only lasts a few months.
Corey S. Maas, MD
San Francisco Facial Plastic Surgeon
+1

Botox, Dysport, Thermage as alternatives for eyelift

Always consider the brow when evaluating droopy upper eyelids. Neuromodulators such as Dysport and Botox can give a temporary chemical browlift to give you an idea of the effect of a browlift. Also for those not considering surgery, Thermage can often give a subtle brow and upper eyelid elevation without the costs or downtime.
Lee Kleiman, MD
Annapolis Facial Plastic Surgeon
+1

Drooping eyelids

If the eyelids are drooping, then surgery is really the only answer. If it is the upper lids, you may actually need not only a skin excision but also a browlift.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Surgery might be the solution for drooping eyelids

It is natural to want to avoid surgery. It is self evident that with all the miracle creams and "non-invasive" procedures that a practice such as mine sees so many people who require surgery. In my practice, we have ben successful in minimizing the stress and difficulties associated with having surgery such that I feel that we've made it less stressful than most dental procedures. It's important to spend your time and resources intelligently. I see too many people who bought into... more
Amiya Prasad, MD
New York Oculoplastic Surgeon
+1

Eyelid surgery alternatives

When considering rejuvanation of the orbital region one has to take in consideration: 1. the position of the brow 2. The position of the lids 3. the laxity of the lids 4. The amount of excess skin and the quality of the skin 5. any herniated fat (BAGS) 6. The tear trough. Then we can recommend the treatment and their alternatives from fillers and Botox to fat transfer and then surgery.
Samir Shureih, MD
Baltimore Plastic Surgeon
+1

Alternative to surgery for droopy eyelids

The upper eyelid blepharoplsty is the best way to treat this problem. Laser results are unpredictable and in my opinion, Laser surgery for the eyelids is a poor alternative. If there is minimal skin excess and the patient could benefit from a brow lift. This operation can also improve the upper eyelid appearance. Botox when used judiciously can create a brow lift and improve the appearance of the upper eyelids, especially the lateral hooding.
Farhad Rafizadeh, MD
Morristown Plastic Surgeon
+1

Not many alternatives

If the problem is redundant skin and wrinkling, a laser resurfacing might be of help. It does not deal with fat herniation or redundant muscle. In my estimation, it is a harder recovery than surgical correction. As with any problem, the treatment has to fit the issues involved. Short cuts usually lead to dissatisfaction.
Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
+1

Alternatives to Eyelid Surgery

All of us wish that there were good alternatives to droopy brows and eyelids other than surgery. Although there can be many underlying issues that affect eye appearance, sagging eyelids are very common to getting older. Some dietary considerations like salt reduction and good hydration, as well as getting plenty of sleep can help at least a little bit with puffy lower eyelids but are unlikely to help with drooping brows or upper eyelid issues. Botox injections can slightly raise the brow,... more
Scott W. Mosser, MD
San Francisco Plastic Surgeon
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