73%

439 reviews

Worth It Rating Our index shows the percentage of community members saying this was "Worth it". See cosmetic treatment rankings

Eyelid Surgery Cost ≈ $4,300 average cost

Write a review | Ask a Question

Upper Blepharoplasty Candidate?

Hi, I am a 26 yr old who always seems to have puffy eyes. I have considered Blepharoplasty in the past and am now considering it again. I used to think I needed it for the upper and bottom, but now I'm not sure. I feel like I always look tired, especially without make up on. Is Upper Blepharoplasty right for me? What other treatments would help?

I've always feel like I look tired and it's hard to look at people in the eyes because i'm self conscience about them. Eyebags run in my family. Help.

Asked 34 months ago by ki10danielle in Metairie, La

Tags:

upper eyelids

Upper blepharoplasty

From your pictures, it appears as though your globe (eyeball) is prominent. that results in a characteristic appearance of the eyes. Upper blepharoplasty helps greatly, but doesn't change the configuration of the globe within the orbital rim. So most patients with your eye configuration note improvement with upper blepharoplasty, but not a complete improvement. Patients should also be evaluated medically for thyroid conditions prior to undergoing surgery. In patients with a prominent globe... more

Doctor's Website

Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Eyelid surgery might help.

Dear Ki10danielle There are several issues I would like to touch on for you. First it is very helpful to have your photos but obviously this is no substitute for an actual in office consultation. The photo you have provide is taken with a short focal length lens. This distorts that axial length of your nose. For this reason we usually use a longer focal length lens in taking pictures of faces (the equivalent of a 90-105mm lens in 35mm photography). You are working to lift your eyebrow... more

Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

Likely candidate for upper eyelid blepharoplasty

From the photograph it looks as if you might very well be a candidate for upper eyelid blepharoplasty. Of course, this kind of photo does not tell the entire story and I cannot really evaluate the lower eyelids with this lighting and view. Make sure you see someone with a reputation of doing lots of good blepharoplasty work. They should tell you if you need anything else. Be aware that blepharoplasty is designed to remove excess fat and sometimes skin, depending on the technique employed.... more

Phillip Langsdon, MD

Germantown Facial Plastic Surgeon

I agree with the above

I also note that you have some drooping of the brow, or ptosis. When this happens, it causes the upper eyelid skin to become redundant, the eyes to appear smaller, and the person to appear tired. You also have a tall forehead. A brow lift would help give you a more alert appearance, but would make your hairline move back, so I would not suggest brow lift at this time, but be aware of it. One other option might be a trans-bleph brow lift using endotines. I think an upper bleph would help... more

Scott E. Kasden, MD

Dallas Plastic Surgeon

ASAPS ASPS

Be very careful

You are only 26. Be careful that you go to an experienced surgeon with an aesthetic eye. At your age I would be very cautious in recommending any type of upper eyelid surgery in that it is not required for rejuvenation and might change the way you look. A transconjunctival (no external incision ) removal of prolapsed fat (bags) performed in a conservative fashion might be helpful for the overall appearanc e of the lower lid area although it is a little difficult to tell from the picture... more

S. Randolph Waldman, MD

Lexington Facial Plastic Surgeon

Good candidate!

Yes, your issues are ones that certainly would be remedied by a upper and possibly lower blepharoplasty. There is no non surgical treatment for this that is anywhere as long lasting. The upper lid surgery is simple, just removal of the excess skin folding over the crease above your eyelashes. It is difficult to see how extensive the bags are on your lower lids as a camera flash washes out the shadows cast by the bulging fat pads. If the bags are significant, I recommend a lower lid fat... more

Leslie H. Stevens, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

A good cantidate for upper lid blepharoplasty

It's all about eye contact! The middle third of your face is who you are--it is the identifiable "finger print" that you and only you have. I think an upper blepharoplasty would help a lot. By the way, from your picture, it appears you have allergic sequillae in your lower lids.

Barry H. Dolich, MD

Bronx Plastic Surgeon

ASAPS ASPS

Full eye exam necessary

Be careful of making decisions based on one static frontal photograph. You should have an experienced plastic surgeon exam your eyes and take photos from various angles. It is quite possible that fat removal from the lower eye lid would help a lot but fat is not the only thing that can cause the bags. Lack of support from below, especially position of the bones around the orbit, is important. The upper eyelids appear as is they are lacking in fat and sometimes this gaunt appearance can make... more

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

Blepharoplasty for tired eyes should remove dark circles under and loose skin above eyes

Looking at your photo I first notice the dark circles under your eyes, worse on the left. Most people I speak with feel that dark circles make them look tired and they are often asked if they slept well the night before. Correction of dark circles under the eyes requires a very specific procedure called a transconjunctival blepharoplasty with arcus marginalis release and fat grafting or repositioning. A standard incisional blepharoplasty with fat removal may make the dark circle worse.... more

Doctor's Website

Brooke R. Seckel, MD

Boston Plastic Surgeon

ASAPS ASPS

Blepharoplasty for tired eyes

Thanks for your question - An upper lid blepharoplasty may be indicated in your case. Looking at your photograph you have some upper lid asymmetry with the right upper lid having more skin than the left. An upper lid bleph could be a quick way to give you a more refreshed look. A lower lid bleph would address the tear trough area but you may wish to wait on this until the area is worse. As always our opinions are no substitute for a visit to your doctor. Be sure to find a board... more

Steven H. Williams, MD

San Francisco Plastic Surgeon

ASPS

Do your upper lids.

Hi! I think you are a great candidate and will look a lot less tired. I would only do an upper blepharoplasty for now. That's what will make a big difference, and it is very safe.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Blepharoplasty surgery will benefit you

As with many other circumstances blepharoplasty surgery can be considered irrespective of age if the surgery is going to benefit the patient and make them happier with their appearance. In your circumstances upper blepharoplasty will address your concerns but I would not recommend lower blepharoplasty.

Doctor's Website

Richard Gentile, MD

Cleveland Facial Plastic Surgeon

Blepharoplasty will help

It's definitely not unheard of for people in their 20's to need blepharoplasty. There are a few things that I can tell from the picture. First for the most part you have good brow position. Although your medial brows are a little low. Not enough to do anything about at this time. Your upper lids definitely have extra skin which is weighing on the lids causing that tired look. There does not appear to be any fat pseudoherniation of the upper lids. Your lower lid margins are good but... more

Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

Tired appearance

Hello, thank you for your question! It is very difficult to tell from a photo as to what is contributing to your feeling of having a 'tired appearance'. Several factors can be responsible- lower eyelid shape, lower eyelid hollows, lower eyelid dark skin color upper eyelid skin excess, shape of the bone structure around the eyes, eyebrow position, and color of your eyes! At 26 you are young for an upper eyelid procedure. Perhaps doing some shaping around your eyes will help brighten your... more

Trevor M. Born, MD

Toronto Plastic Surgeon

ASAPS

Excellent candidate for upper lid blepharoplasty

It looks like you are an excellent cadidate for an upper lid blepharoplasty, and that would be the best place to start. Also, a transconjunctival bleph would help with your "puffy" lower lids by removing some of the fat pads. There have been several mentions of a browlift. While it is diffficult to tell from the picture whether you are strainig to lift your eyebrows and what their true position is, you have a very high forehead. This means that if and when you should undergo a... more

W. Tracy Hankins, MD

Las Vegas Plastic Surgeon

Blepharoplasty candidate

One photo isn't enough information to make an accurate diagnosis for you, but a general answer can be given and then use that information to educate yourself before a consultation. Your brow in my opinion is fine. I would not recommend a forehead lift. You do appear that you could benefit from a conservative upper eyelid blepharoplasty, however I cannot truly appreciate what that would involve in your case. The procedure would involve an incision in the natural eyelid crease and some... more

Edward Buckingham, MD

Austin Facial Plastic Surgeon

Blepharoplasty Candidate?

Hi Danielle, Your upper eyelid excess skin can be removed in an office procedure with local anesthesia. This would correct the majority of your concerns. Your lower eye lids would benefit from precisely placed Restylane. Now even when you get a full night's sleep you feel that you look tired. After your treatment, you will look rested even after being up all night (not recommended unless you are a surgical intern or resident). Choose your physician carefully. Good luck and be well... more