Do you recommend upper eyelid surgery, or both upper and lower? I always look so tired (Photo)

Question

Do you recommend a upper eyelid surgery or both upper and lower ? I always look so tiered

Thomas Trevisani, MD · Answer

From the photo- you appear to be a candidate for upper lid blepharoplasty, and possible fat transfer to the tear trough region. In person exam is essential. Seek an experienced Board Certified PS

Nagi T. Ayoub, MD, FACS · Answer

Thank you for the question and pictures.My philosophy on facial rejuvenation is to address the face in sections.The upper face, the midface and the lower face.  The upper face include the brow, the upper and lower lids.The midface includes the tear trough, the cheeks, the nasilabiial folds and the jowls.The lower face include the neck.I think depending on your goals, you may benefit from an upper face lift, ie brow and upper and lower lid blepheroplasties.Best regardsNagi T Ayoub MD, FACS

Tanveer Janjua, MD · Answer

It appears that there is extra skin in the upper eyelids.  This would respond very well to upper eyelid blepharoplasty.  In the lower eyelids is not any fat bulge and there is no extra skin.  There is only wrinkling in the skin in the lower eyelids.  This should respond  well 2 Thermismooth treatments followed by ResurFx treatments and IPL.RegardsDr. J

Mark Crispin, MD · Answer

Your pictures appear to show you to be a good candidate for upper and lower blepharoplasthy. When appropriately performed by an experienced plastic surgeon you should get a refreshed look to your eyelids.

William Portuese, MD · Answer

It appears from the 2 limited pictures the there is excess skin on the upper lids, for which a upper blepharoplasty procedure can be considered. The lower lids appear quite  hollow, so no fat removal is necessary. A pinch technique of excess skin on the lowers can be accomplished. Laser treatment can help with a pigmentation issue.

J. Kevin Duplechain, MD, FACS · Answer

I would recommend based on your photos you consider upper and lower eyelid surgery.  Although the lower eyelids do not seem to have an over abundance of fat, they do appear to demonstrate some laxity  By tightening the muscle and the suspensory ligaments in the lower eyelid, a more youthful look can be achieved.  Additionally laser resurfacing will improve the texture and color of the lids.

Michael I. Echavez, MD · Answer

Based on your photos, I would say you do appear to be a good candidate for upper eyelid surgery.  In regards to your lower eyelid area, you do not appear to have any fat causing bags under your eyes but the skin could be tightened in that area.  There also appears to be some discoloration under your eyes.  The skin could be tightened with surgery but you might get more benefit from laser resurfacing under your eyes to tighten the skin and improve the discoloration.

Mark Been, MD · Answer

Thanks for your post. Based on your photo, you appear to be a good candidate for both upper and lower blepharoplasty. What you should do ultimately depends on your goals and what bothers you. I recommend you visit an experienced facial plastic/oculoplastic surgeon in your area for an in-person examination and discussion of your goals. Good luck!

Michael J. Yaremchuk, MD (license resigned) · Answer

Distortions of, or
deviations from, this shape may be secondary to heredity, aging, paralysis,
trauma or previous surgery. This
distortion of shape inevitably manifests as rounding of the fissure with
inferomedial descent of the lateral canthus and concomitant descent of the
lower lid margin. Lateral canthopexy, the surgical repositioning of the lateral
canthus is fundamental to altering or restoring the shape of the palpebral
fissure.Canthopexy
procedures which simply reef or attach the lateral canthal tendon to the
lateral orbit periosteum provide sufficient stability and accuracy as
prophylaxis against and to correct mild postblepharoplasty lid malposition.

Bridge of
bone canthopexy’ has found greatest utility when significant movements of
canthal position are required.

Myriam Loyo, MD · Answer

Hi Jane,Eyelid surgery can really help you look rested and bring out your eyes. You have beautiful eye color and shape.From your photos it does look like an upper eyelid blepharoplasty would help. In this surgery the extra skin in the eyelid is removed. I think you are raising your brow a little on the photos and your surgeon can talk to you about that.For your lower eyelids, I think you are a candidate for a lower eyelid blepharoplasty. The main goal is to tighten and smooth the skin. From the photos, I do not see herniated fat but some volume is missing. Sometimes this can benefit from fat repositioning or fat injection. I think surgery would get you the best and longer lasting results. You could consider just doing filler to the lower hollowing if you wanted to avoid surgery or recovery time.Good skin care (and even possibly a laser) can also help you improve the pigment in the lower eyelids (a tough problem) and pigment in your face. I hope this helps!

Do you recommend upper eyelid surgery, or both upper and lower? I always look so tired (Photo)

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