Steven G. Pratt, MD, FACS

I have done 1000's of eyelid operations over the last 40 years. My first choice now is a "light" general anesthesia. This does add some additional expense, but patients experience NO pain and are always happy they paid the extra money. In my pre-op consultation, I discuss the options with the patient, and together we make a decision. If patients exhibit "anxiety", or have a history of claustrophobia, hypertension, cardiovascular disease, neck or other body pains/issues such as lying still on their back, then a "light general" is always best. Happy patients that experience no pain or medical issues during their surgery send their friends !

Without a photo it is difficult to comment. My advise, make an appointment for a eyelid consultation, bringing with you photos that were taken prior to the first operation. In general, a 2nd blepharoplasty can be done by a well experienced eyelid surgeon, and many times issues which a patient has with the results from the first operation can be corrected during the 2nd operation. Pre-op photos from before the first surgery are essential.

Your brows are fairly symmetric. The upper eyelids are a little "different". It looks like removing a small amount of skin from your right upper eyelid should make you happy. Your eyes are somewhat "prominent", however, be happy with this as someone in the family tree has a similar look and should embrace it as "that's me".

I really need to see a photo. There are surgical procedures which are designed to correct and normalize the junction of the eyelids and cheek. Fillers and implants are not as safe for correction in such cases, but do play a roll.

Your issues can be corrected by surgically getting your eyebrows to the same height. At present, your right eyebrow is high compared to the left one. In such cases, your face and eyelids will not look the same. Good news, this can be corrected by forehead/brow surgery. There may also need to be after the aforementioned surgery, a upper eyelid "touchup".