Sam Speron, MD, FACS

There are many nonsurgical options like skin tightening and all sorts of injectables to consider although surgery usually gets the most improvement specifically of the chin and lower face. There are various combinations from a mini facelift, mid facelift, and neck lift that can address different areas. One surgical option may include a short scar facelift/ mini facelift to address the crepiness on the lower face and neck. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts and neck lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

This is a common question. Eyelid puffiness and hollowness may be corrected with blepharoplasty or cosmetic eyelid surgery. It is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your unique anatomy as well as what exactly is bothering you. Injectables such as neuromodulators or filler as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

This is a common question. Eyelid puffiness and hollowness may be corrected with blepharoplasty or cosmetic eyelid surgery. It is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your unique anatomy as well as what exactly is bothering you. Injectables such as neuromodulators or filler as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

This is a common question. Lower eyelids may be rejuvenated with lower blepharoplasty or cosmetic eyelid surgery. Lower eyelid surgery is performed to correct eyelid wrinkles below the eyes. It is one of the first cosmetic surgeries people usually get to address features that make you look older, more tired than you feel, and may interfere with your vision. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your unique anatomy as well as what exactly is bothering you. Injectables such as neuromodulators or filler as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations.

 A mini facelift or midface lift is another great option for many people to correct eyelid wrinkles and other signs of aging around the eyelids. 

 I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. 


Thank you for sharing your question and photos. Every person has asymmetries. There are many ways to correct these asymmetries. Every single person is asymmetric throughout their body and this includes the eyes. Eyelid unevenness can be corrected with blepharoplasty or cosmetic eyelid surgery. If you choose to get this eye issue fixed, eyelid surgery is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your genetic makeup and anatomy in addition to what exactly is bothering you. 
That said, even after surgery I always warn patients that there will still be asymmetry and things will not look 100% perfect even because some asymmetries cannot be corrected unless you reposition bone, remove muscle etc. and some things are just not worth doing. Surgery is one option to consider. In today's day and age, there are also many nonsurgical options to consider. Botox injections as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations. I would recommend that you see a board-certified plastic surgeon who is a member of both ASPS & ASAPS and has plenty of experience in eyelid surgery. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. I hope this helps answer your question. If it does, please take a moment to up vote this answer on the “respond” button on the top right. Have a great day.