Will laser resurfacing be enough to fix my hooded eyelids?

Question

I'm 27 and have noticed some minor hooding on my eyelids. It is more prominent on one side so the lower crease on one side makes my eyes appear assymetrical. Would laser resurfacing fix this issue completely? Or is blepharoplasty the way to go?

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and photos. Your eyes are beautiful and there is no reason to remove skin from your upper eyelids or to tighten the skin. Your left upper eyelid is already starting to develop a deep sulcus (high eyelid crease) which over time can get worse. Your eyes will appear aged if you have any procedures performed and possibly make them look artificial. I hope you find this helpful.

Adam Scheiner, MD · Answer

Dear Catreal09,It seems that their is some asymmetry in your eyelid platform show on the right and left sides.This is not uncommon. We are not perfectly symmetric on either side of our face.Usually we have one side which is slightly larger that the other due to deeper both and volume issues.In regards to your condition, at 27 it is very unlikely that the heaviness is due to eyelid tissue, rather it may be an issue where your brow is coming into your eyelid space. If you lift the brow and it improves your situation, then this is likely the issue.Thankfully some simple treatments like a botox browlift can help this condition if this is the cause of the hooding. Otherwise, some surgical procedures such as endoscopic browlifts can be considered.I hope this was helpful.

Morris Westfried, MD · Answer

A simple non invasive option is skin tightening with radiofrequency. This can gradually lift the skin without the discomfort or downtime of surgery. Botox can offer a 2mm loft on the lateral brow. See photos of thermismooth and if interested find a doctor near you at thermi.com

Douglas J. Key, MD · Answer

A few years ago I might have suggested laser
resurfacing but that was a few years ago, and why choose the long recovery time
needed after resurfacing when you can choose, a series of treatments with
ThermiSmooth. ThermiSmooth uses precision controlled RF with thermal image monitoring
to stimulate collagen rebuilding and works well in a set of 4 to 6 treatment
sessions both lift brows and improve the laxity of eyelid hooding.

J. David Holcomb, MD · Answer

Traditional CO2 or Erbium-YAG laser resurfacing as well as fractional CO2 laser resurfacing are likely to help tighten the upper eyelid skin and improve symmetry.  Laser resurfacing is a reasonable place to start and it may help you avoid upper eyelid (blepharoplasty) or brow lift surgery for a while.  Additional options include Botox Cosmetic (non-surgical brow lift) and hyaluronic acid filler injections to even out the upper eyelid creases.

Will laser resurfacing be enough to fix my hooded eyelids?

Answers (7)

Answer: Hooded eyelids

Answer: Hooded eyelids

Answer: Some Laser Treatments are Likely to Help Hooded Eyelids

Answer: Some Laser Treatments are Likely to Help Hooded Eyelids

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Will laser resurfacing be enough to fix my hooded eyelids?

Answers (7)

Answer: Hooded eyelids

Answer: Hooded eyelids

Answer: Some Laser Treatments are Likely to Help Hooded Eyelids

Answer: Some Laser Treatments are Likely to Help Hooded Eyelids

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Recommended reading

Everything you need to know about Laser Resurfacing

Our mission is to create a world where every investment in modern beauty is Worth It.