Upper Blepharoplasty for Puffy, Sagging Eyelids?

asked 3 years ago by tingmm in Malaysia
Latest answer by William Portuese, MD
Question viewed 2,405 times

I have very puffy eyes, sagging towards sideway. It is hard and tiring to open my eyes big. Sometimes, I unconsciously raise my eyebrows so that my eyes look brighter and energetic. Continuously raising eyebrows causes me headache. Are my eyelids becoming heavier and affecting my vision due to aging? Will Upper Blepharoplasty help? What are the risks of this procedure? Any other alternative?

9 answers to Upper Blepharoplasty for Puffy, Sagging Eyelids?

Upper blepharoplasty could help

When there is excess skin laxity in the upper lids, it causes the tired look. Excess skin hanging on the upper eyelids creates heaviness and weight on the upper lids. Therefore, patients tend to lift their eyebrows to be able to see better. This can cause frontal headaches from muscle contraction. The goal of upper blepharoplasty surgery is to remove primarily excess skin on the upper lids and a small amount of fat that creates the puffy look. This will improve both appearance and... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Asian blepharoplasty is an art

Asian blepharoplasty certainly can help you, but you need to find an expert who has experience with this procedure. Many American plastic surgeons create an open Occidental look which destroys the natural beauty of the Asian eyelid. From your picture I think your brow position looks normal but I cannot be certain without examining you. Only very conservative fat removal should be done for if too much fat is removed the upper eyelid will look hollow and unnatural in the Asian eyelid. A small... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

Blepharoplasty will help

Blepharoplasty will help you, but you need to go to a surgeon who specializes in asian eyelids. You would likely benefit from the double fold surgery. Good luck.

David Shafer, MD
New York Plastic Surgeon

Asians can get brow lifts, too!

In review of the many suggestions that you have received from the doctors below, the credible suggestions include double eyelid procedures. Stay away from Thermage and fancy creams with doctors' names on them. The best things in life are surgical! You can also consider a browlift as part of the double eyelid procedure. It will especially help relieve the stress that is giving you headaches.

Robert M. Freund, MD
New York Plastic Surgeon

Perhaps.

You have Asian eyes which has a slightly different anatomy than the western eye. Never the less, you are noting that the upper lid is starting to block vision, and countermeasures are causing headaches. I recommend a visit to a plastic surgeon. You may be experiencing these things due to drooping of the forehead/brow as well as aging of the upper lid. I think that surgery may help, but it must be determined which procedure is indicated. If it can be documented that you have... more

Scott E. Kasden, MD
Dallas Plastic Surgeon

Upper eyelid surgery

you complain about fullness and extra skin on your upper eyelid can be resolved with upper blepharoplasty . This will remove extra skin and also extra fatty tissue. The may concern is that your ethnic look may change. Make sure to get consultation with a board certified plastic surgeon with previous experience with asian eyes. Ask for pre and post op picture and make sure you are comfortable with the changes.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Brow position and upper eyelid fold heaviness are related

Dear Tingmm, You are absolutely working your forehead to elevate the upper eyelid fold. The signal to work the forehead is caused by the awareness of the upper eyelid fold resting on your eyelashes. Elevating the forehead surgically would reduce the amount of work your forehead muscles need to do. However, as noted by Dr. Yuan, you have a single fold configuration upper eyelid. This results and eyelid that is difficult to apply make up on because you lack a visible eyelid platform, the... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Double eyelid surgery

Your appearance is probably due to the lack of attachment of your levator muscle, the muscle that lifts your upper eyelid, to a crease in the skin. This allows the skn to fall over your lid. You can have a so-called double eyelid procedure to alleviate this. There a many methods to achieve this. It is usually very safe with the main complications being asymmetry of the crease and loss of the double fold due to inadequate fixation of the muscle to the skin. You should be aware if you have... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Upper eyelid surgery

The eyes are the windows to the soul. All too often, however, they seem to reveal exhaustion. The very delicate skin around the eyes tends to get crepey and puffy due to fatigue and stress. Eyelid surgery has become one of my most popular procedures. If excess upper eyelid skin is hooding the eye and needs to be eliminated, an incision is made in the crease at the top of the lid and excess fat and skin are removed. The incisions are closed and sutured on the underside of the skin. Topical... more