Guy Massry, MD

Hi and thanks for your great question.  I think that surgery can be done but you may have a suboptimal result as you have more hollow than fat (substrate) to reposition and fill the hollow. After surgery don't be surprised if you still need filler as a top off.  Filler only avoids the need for surgery and may do the trick for now. Get a good evaluation and don't be pushed into surgery - best...

Good question - no evidence based (factual) answers.  It is thought that cold compresses constrict (squeeze closed) blood vessels immediately after surgery to reduce swelling.  After a few days using warm compresses to do the opposite (open vessels to suck in fluid) may help.  It is best o do what your surgeon suggests based on their experience.  Certainly no harm comes from this.  Is it a benefit - maybe??

I am so sorry this occurred.  Sometimes scars can be revised and hidden better, and sometimes they can be tattooed the color of your skin.  Why not see an eyelid specialist to identify optons

Be careful with adds regarding this - there is no known efficacy.  However, if the only issue is fat - then transconjunctival blepharoplasty - from inside the lid can help - even with no elasticity.  Good luck

The only way to answer this is with an evaluation.  Both procedures when done by an experienced surgeon are safe and effective,  There tends to be a fear of browlift surgery which is mostly unfounded.  In face a straightforward brow lift often yields less bruising and swelling than traditional eyelid blepharoplasty.  Have an evaluation by a specialist and ask good questions

These vary from the upper to the lower lid.  The most common is more than expected bruising and swelling.  Chemosis or swelling of the skin of the eye can occur, as can dry eyes. eyelid closure issues, and irritation.  Worse complications are changes in the shape of the eye, pain, chronic redness and tearing.  These are less common unless heling is delayed (rarely occurs).  These are the basics but the discussion requires a lengthy review.  You can go over this with your surgeon prior to surgery.

To answer this requires an evaluation.  Dark circles are caused by many things.  Shadowing, eye bags above, and the dark color of the muscle and its blood vessels below (under the skin). Usually fillers, lasers or other energy based devices can help.

It is not unusual to swell for weeks and even up to a few month after surgery.  Also, swelling is more evident in the morning - also not unusual.  When you lay down at night you are horizontal and fluid builds up.  When you are up during the day you are vertical so fluid goes to your feet in a dependent fashion.  If this really concerns you please see your surgeon to reassure  

So a laser can be used like a knife blade (scalpel) or scissors to make an incision and do surgery.  In the end the result is the same - the recovery may be quicker with a laser.  A laser can also be used to improve the texture, quality and "tightness of the skin". This is called skin resurfacing. Sometimes both procedures are needed.  Just know true surgery can be done either with a laser or non-laser to cut tissue.  Hope this helps

So at 37 the odds are probably against you - but each insurance company has specific requirements for defining and showing visual deficit related to heavy upper lids.  You can see you eye doctor wo help who may refer to you an oculoplastic surgeon.  Make sure the accept insurance prior to seeing them