Would I be better off waiting to get my lids done knowing eventually I will need my lowers done as well? (Photo)

Question

I am 55 and I’m not happy with my sagging lids. I am ok with the lower eyes for now but I know within a few years I will not be do yo hereditary reasons. Many family member develop bags under their eyes. Would I be better off waiting to get my lids done knowing eventually I will need my lowers done as well?

Alan Gonzalez, MD, FACS · Answer

Hello @robin bc, thank you for your question. When making your surgical plan, you should consider what is necessary in the present moment. In the case of a more advanced condition of the upper eyelid, it is ideal to perform upper eyelid blepharoplasty as soon as possible to remove the remaining skin and avoid to wait for intensification of the situation. For more information and recommendations, it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Cory Bovenzi, MD · Answer

Upper eyelids are fine to have done without the lower eyelids and the surgeries are completely different. I would recommend taking care of the upper eyelids sooner so you have more time to enjoy them! The surgeries are different enough that I routinely have patients just having upper eyelid surgery to stay awake for the procedure whereas just about every patient having lower eyelid surgery I have undergo anesthesia. I hope this helps! Best of luck with your journey

Donald B. Yoo, MD, FACS · Answer

Although an in-person exam would be necessary to provide a definitive answer, based on the photo you have provided it does appear you would be a suitable candidate for upper blepharoplasty. During the surgery a excess skin and fat will be removed, and your crease will be formed and set at a bit higher. In regards to your lower lids, nonsurgical options you could consider would be dermal filler into the area for a better eyelid to cheek transition. If you want the best idea of what is possible for your eyes, do your due diligence, find an experienced surgeon, and have him/her evaluate you in person and discuss your options. #drdonyoo

Brian M. Harmych, MD, FACS · Answer

Thank you for sharing your question and photo. If you are "ok" (they aren't bothering you) with your lower eyelids, then it would be most appropriate to leave them alone for now. You don't appear to have much excess fat (or lower eyelid puffiness) in the lower lids. There is, however, at least a mild to moderate amount of excess skin in the lower eyelid that can be improved with a conservative lower eyelid blepharoplasty (sparing the fat removal part and focusing only on skin removal). The most commonly used lower eyelid blepharoplasty technique for this indication would be either a pinch skin excision, gentle fractionated CO2 laser resurfacing, or a conservative combination of lower lid pinch with fractionated CO2 laser. I hope you find this information helpful. Best wishes, Dr. Harmych

Rajan Uppal, MBBS, FRCS · Answer

This is a common question from patience in trying to decide whether to have upper eyelids or have lower eyelids or the timing of each. Most patients will make a personal decision with regards to the timing and what kind of recovery they are willing to accept. From a surgeons perspective it's really down to the patient's choice whether they have the upper and lower us down together or at separate times. If there are bags in the upper and lower eyelids most certainly recommend having it done at one time so there is one lot of recovery rather than two episodes of surgery.

William Portuese, MD · Answer

The primary goals for upper eyelid surgery is to remove mostly skin and a little bit of fat. The primary goals for lower lid surgery is to remove mostly fat bags and a little bit of skin. Your upper lids are certainly ready to do at this point, and you'll get it nice improvement. You'll only get a minimal improvement if you perform the lower lids at this time. In our practice, an upper blepharoplasty can be performed under local anesthesia As an outpatient procedure. When we are performing upper and lower eyelid surgery together, Lee perform both procedures under general anesthesia.

Brian A. Pinsky, MD, FACS · Answer

An upper Blepharoplasty is a procedure that I often do under local anesthesia in my office. I think you could really do this anytime depending on what you want to achieve. You can combine with skin tightening such as laser resurfacing, chemical peel, or event topical treatments for you lower lids. This would make a noticeable difference and likely ge the results you are looking for.

Would I be better off waiting to get my lids done knowing eventually I will need my lowers done as well? (Photo)

Answers (7)

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