Would a skin pinch be enough to take care of the extra skin under my eyes when smiling or is a lower bleph needed? (Photo)

An Upper Blepharoplasty is a procedure that can be done to remove excess skin/fat on the upper eyelids. This procedure can be done in the OR under general anesthesia or as an in office procedure with local anesthesia. I would recommend scheduling a consult with a board certified plastic surgeon...

For significant improvement, hooded eyelids require surgery if there is enough skin. For 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. I recommend getting a formal...

Looking at your results I feel as if you got a nice result. While everyone has some minimal asymmetry you were so close that I do not know that doing any kind of revision would be beneficial. I hope this helps. Sincerely, Dr. Tucker

It’s not uncommon for some people to have darker pigmented skin around the lower eyelids. It’s important to differentiate skin pigmentation versus contour and shadows. Volume augmentation can help how the light reflects off the skin, but isn’t going to change pigmentation. These can be chall...

This part of the face is complex, and sometimes difficult to understand and treat. Facial aesthetics are primarily determined by facial bone structure. Some individuals have a genetic predisposition to facial bone structure that is unfavorable to facial aging. Lack of midface, volume and...

Jelly roll shaped bulges that occur below the eyes with smiling are related to hypertrophy of the belly of the infraorbital muscle. If this is indeed what is occurring here, then the use of a few microdroplets of Botox spaced along the muscle can help diminish the this effect. You would be wise...