27 Yr. Old Female with Crows Feet, and Droopy Hooded Eyes- What Are My Options?

Question

What procedure is best for me? looking into Aluma, Botox, restylane, titan, surgery,?? I notice my eyes dropping more and hooded with an extra line in the crease. I have crows feet when I smile and I have done botox once on it and going to do it again. however, I am starting to feel self conscious about my eyes as I look tired or mad when I am not. I have a slight lazy eye that is more noticeable when I am tired. Prefer non-evasive but open to surgery. what would an eye surgery cost?

Luigi Maria Lapalorcia, MD · Answer

hi,I would   wait    a  few   years  to  touch  up   your  upper  lids (local anesthesia  ambulatory  procedure 2-3K$ range).botox  and    light  fillers   like   juvederm 3  can help  prevent   facial  aging and crow's feet.have  you  ever   thought of   fat grafting, nano fat  grafting   or   biostimulant  threads?best  from  Italy,dr lapalorcia

Chase Lay, MD · Answer

Hello Crusear,

	So I see some of the things you're mentioning.  I agree, I don't think surgery is in order yet and I love surgery.  But let me comment on a couple things:

	1.  I think continued use of Botox or any of it's competitors is is fine.  It will keep your brow up and help the very mild excess skin in your upper lids.

	2.  A moderate fractionated CO2 or erbium laser treatment of the upper eyelids and crows feet would be okay in you but nothing to aggressive.  You're young.  You should have a little down time from that.  About 3 days.

	3.  As for the droopy eyelid, which I believe is your left, as you age it may become more prominent.  One thing about your left eye and eyelid that makes it appear a little droopier than it is is the distant from your eyelid edge to the crease is slightly more than the right.  This make it look a little worse.  This can be addressed with surgery but I would wait.  It's really minor right now.  

	Are you a sun loving person who goes outdoors often?  If so, definitely keep really good zinc-based sun blocks on when you can.  It'll help. 

	Best of luck

	Chase Lay, MD

27 Yr. Old Female with Crows Feet, and Droopy Hooded Eyes- What Are My Options?

Answers (2)