How do you know when it's time for an upper mini bleph for the eyelid area? (Photo)

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on the situation.

For less significant upper eyelid skin excess or more mild improvement, there are nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin.

Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if the hooded eyelids have more excess skin present.

Dr. Donald Groves is an expert facial plastic surgeon that I work with, who specializes in these types of procedures. It is important that if you are considering surgery that you go to someone who is well trained and very experienced with these delicate operations to get the best results. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Groves; we are both located right here in Los Angeles.

Best,
Dr. Emer

Gorgeous photo! For the upper eyelids, its very difficult to assess via photo but the best way to tell is by pinching the upper eyelid (along the crease) while the lid is closed, to know the amount that could be removed with an upper eyelid lift. I recommend scheduling an in person consultation with a board certified plastic surgeon for more info!

As a cosmetic, upper blepharoplasty is an elective procedure, it would be up to you to decide when the laxity or excess skin of your upper eyes bothers you enough that you would like to undergo a very simple removal of that skin under local anesthesia. You can rest assured the surgery is minimally invasive, the risks are very low and the recovery fast. Speak with a board certified plastic surgeon. Best wishes.