Upper eyelid surgery for young patients

William Portuese, MD answers: Is 18 years old too young for eyelid surgery?

My baby sister is turning 18 in a week and for the past year, she has been saving her money for an upper eyelid surgery. Her upper eyes are and have always been slightly droopy and she constantly looks tired or mad (even when she is not). The skin hits her eyelashes, which sometimes causes a rash on the skin. She is very unhappy. I’m just a little worried and I want to know if 18 years old is too young to have upper eyelid surgery. Also, what are the complications for someone this young? Will it look worse as she ages or will this be good for her? Thank you!

William Portuese, MD
5 months ago

It sounds as though from the description, that when the eyelid skin is touching the eyelashes and irritating the eye that indeed, there is an indication to perform upper blepharoplasty. Sometimes on certain ethnic eyelids there is excess fat in the upper lid that herniates over the eyelid, which can be removed. There is probably only a minimal amount of skin that needs to be removed at age 18. Indeed, 18 years of age is a bit young to have upper blepharoplasty; however, when it is interfering with vision or creating an irritation on the upper eyelid skin, there may be a medical indication for it. There are no other complications in this age group for this type of surgery other than to be very conservative with the excess skin removal.

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