Are there different alternatives for eyelid surgery?

Are there different ways to deal with upper and lower eyelids? What about laser treatment? can Laser or any other treatment take away bags under the eyes or the extra skin on the upper lids?

Doctor Answers 4

Nonsurgical Eyelifts, Tear Trough Treatments & The Ten Minute Eyelift All Surgery Alternatives

Without photos, it is difficult to answer you in any more than the most general terms. However, the short answer to your question is that, depending upon the individual circumstances, there are nonsurgical ways to treat under eye bags, tear troughs, dark circles using volumizing fillers to add support to the cheek region below the tear troughs, as well as fillers for the hollows, tear troughs and dark circles immediately below the eyes. Likewise the nonsurgical use of volumizing fillers, alone or in combination with neuromodulators, like Botox, may be used to lift the brows and to diminish the appearance of saggy upper eyelids. For more advanced cases of dermatochalasis (saggy, overhanging upper eyelids) The Ten Minute Eyelift, a minimally invasive procedure, may be appropriate. For more on any of these procedures, check out the archives of RealSelf.com and be sure to consult with a board certified aesthetic physician with experience and expertise in the above procedures. And, of course, insist upon seeing his/her before and after photos before agreeing to proceed. Good luck. 


New York Dermatologic Surgeon
4.8 out of 5 stars 23 reviews

Are there different alternatives for eyelid surgery? YES, DEPENDS ON THE SURGEON.

There are definite different alternative to eyelid surgery, based on surgeon's experience/training/expertise and other factors. For instance, for lower blepharoplasty, the incision could from the outside or inside the lower eyelid. The approach/incision for lower blepharoplasty is critical to not only the best results but also to avoid any unnecessary complications such as eyelid retraction, eyelid ectropion, or change in eye shape. Transconjunctival lower blepharoplasty involves making incision inside the lower eyelid with quick recovery, no visible scarring, and avoiding any of the mentioned complications

Anesthesia is another difference. Most eyelid procedure can be done under local anesthesia or conscious sedation and do NOT require general anesthesia. The choice of anesthesia is also dependent on the surgeon's experience.

See following video and link for more details. See an oculoplastic surgeon for evaluation.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 61 reviews

Eyelid surgery alternatives

In our practice, we do not use a laser light beam anywhere near the eye. The goal of upper blepharoplasty is to remove excess skin and a small amount of fat through an incision in the upper eyelid crease to help with the hooded look. The goal of lower eyelid surgery is primarily during get rid of the puffy look by removing a portion of the fatty deposits in the lower lids through a trans-conjunctival approach on the inside of the eyelid. When patients have excess skin on the lower lids, a pinch technique is performed to tighten the lower lids, and this incision is closed with tissue glue. For more information and many before-and-after results of blepharoplasty, please see the link and the video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Lower lids

Libbra, I prefer a "SOOF lift blepharoplasty", it is my opinion that this approach is the best for the lower lids. See someone familiar with this approach. See the video and good luck!

M. Sean Freeman, MD
Charlotte Facial Plastic Surgeon
4.8 out of 5 stars 45 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.