What is Good for Droopy Eyelids and Sunken Lower Lid?

Is it possible to have both lids done at the same time? I feel that my lower lid needs filling up, can this be done from my own fat? What is the best way to go about this? Thank you.

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6 Doctor Answers | Asked by LCLC in New York city area

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Addressing sunken and droopy eyelids

Upper Eyelid Drooping can be the result of: 1- Sagging eyebrows 2- Sagging lacrimal glands (tear producing glands) 3- Too much fat and skin in the upper eyelids 4- Stretched or injured muscle that lifts the upper eyelid Treatment for the Eyebrow sagging is one of the many types of browlifts. Treatment for the sagging lacrimal glands, excess fat and skin is the upper blepharoplasty. Treatment for the injured or stretched muscle is repair of the muscle by several different approaches... more

Droopy eyelids and sunken lower lids

I prefer to do upper and lower eyelids at the same time. Usually for the upper eyelid, I remove the excess skin that's creating the "hooding" effect. For the lower eyelids, the sunken appearance may be a result of aging, weight loss or less than ideal health. This can sometimes be improved by the cheek lift procedure which does restore volume in the area. I occasionally use filler like Juvederm or, less frequently, fat grafting, but the distinction between which procedure will... more

Fat injections best for hollowed lower lids.

Hi. You have come up with your own very good plan. We usually do upper and lower blepharoplasty together. The droopy upper lids are corrected, and fat injections fill out and smooth the lower lids.

Transconjunctival blepharoplasty with open fat grafting best for sunkenlower eyelid

The transconjunctival lower eyelid blepharoplasty with open composit fat grafting is the best approach to correcting the hollowmor sunken lower eyelid. I do not use fat injection or injection of soft tissue fillers to correct the hollow or sunken eye because these injection techniques often produce lumps in the eyelid and often need to be repeated, creating additional trauma to the lower eyelid-a very delicate structure. The drropy upper eyelid can be corrected with an upper blepharoplasty... more

Droopy eyelid surgery

There are multiple reasons for droopy eyelids. The procedure to correct droopy eyelids varies depending on the cause. Make sure you seek an oculoplastic surgeon with expertise in ptosis (droopy eyelid) surgery. If your lower eyelids are drooping as well they can be repositioned and operated at the same time you are having your upper eyelids done. see video

Eyelid Surgery A Conservative Approach Yields a More Natural Result

Excessive or 'redundant' upper eyelid skin is a very typical aging change that leads people to seek eyelid surgery. In many patients, this surgery can be performed under light sedation with local anesthesia as an outpatient office procedure. In a few cases, protruding fat behind the eyelids is also removed. My approach to upper eyelid surgery is to be conservative with skin excision, and to reserve excision of fat for patients with significant fat excess. In my opinion, aggressive... more