I suffer from slightly hooded eyes and hear the Fibroblast treatment is good in this area. Advice?

Question

Is this treatment effective and does it really works or is it a waste of money?

Jacqueline T. Cheng, MD · Answer

Hello and thank you for your question about your upper eyelids. Without photos, it is difficult to recommend a treatment plan to correct your concerns. However, an upper blepharoplasty procedure can usually correct droopiness or excess skin in the upper eyelid. During an upper blepharoplasty procedure, excess skin in the upper eyelid can be excised to help raise the upper eyelid.  In addition, the procedure can treat a weakened levator muscle, allowing you to open your eye more. Schedule several in-person consultations with board-certified plastic surgeons in your area for their opinions and select a qualified doctor with a history of successful treatments for your surgery. Good luck! 
- Jacqueline T. Cheng, MD

Amiya Prasad, MD - Account Suspended · Answer

Thank you for your question. You are asking if the Fibroblast treatment is good for hooded upper eyelids.
I can guide you with this question, even if you didn’t submit a picture to help see the extent of your hooded eyes. I’m Dr. Amiya Prasad. I’m a Board Certified Cosmetic Surgeon and Fellowship Trained Oculoplastic Surgeon. I’ve been in practice in Manhattan and Long Island for over 20 years. As an eyelid specialist, I perform procedures such as upper eyelid blepharoplasty for hooded eyes, ptosis correction surgery for drooping upper eyelids, and filler treatment for hollowing of the upper eyelid.
To first clarify, fibroblasts are cells within your own body that produce collagen and are largely responsible for the body’s own natural wound healing process. 
The fibroblast treatment you are likely referring to is a fairly new proprietary treatment that promises to tighten and reduce excess skin. Since this is a proprietary treatment which I don’t practice, I can’t say whether or not it works. However, usually devices or technology that promise to replace a surgical procedure don’t work. Devices such as lasers can help contract, tighten, and resurface the skin, but they don’t tighten the skin enough to replace surgical procedures like facelifts or eyelid surgery. I would be wary of a proprietary device that promises to tighten very thin eyelid skin, the thinnest skin in the body at 0.5mm, as enough to replace surgery.
The tried and test solution to hooded eyelids is upper eyelid blepharoplasty. Stretched or excess eyelid skin is carefully measured to the millimeter prior to surgery. Surgery consists of careful removal of excess skin, and shaping the upper eyelid for natural-looking, defined eyelid crease. The goal of cosmetic upper eyelid surgery is to make the upper eyelids look more open and vibrant.
As an oculoplastic surgeon, I can also differentiate between excess eyelid skin causing hooded eyes, which is called dermatochalasis, or a stretched or detached eyelid muscle causing the upper eyelids to droop. The muscle that lifts the eyelid is called the levator muscle. If this muscle is stretched or detached, it can make the upper eyelids look droopy. The procedure for this is very different from regular upper eyelid surgery where excess skin is reduced. This specialized procedure called eyelid ptosis correction surgery, is not practiced by general plastic or cosmetic surgeons, but rather by oculoplastic/ oculofacial surgeons who are trained as ophthalmologists to specialize in eye surgery, as well as eyelid cosmetic and reconstructive procedures. 
I suggest you meet with qualified, experienced cosmetic surgeons who do a lot of upper eyelid surgery if you want predictable results. If you suspect hooding is more like drooping, meet with an oculoplastic or oculofacial surgeon. There is too much uncertainty in this new Fibroblast treatment to recommend it over properly performed eyelid surgery. When it comes to procedures the eyes, you don’t want to take unnecessary risks for your eye health to avoid surgery and save a little money, which can turn out much more costly if complications arise. I hope you found this information helpful. Thank you for your question.

I suffer from slightly hooded eyes and hear the Fibroblast treatment is good in this area. Advice?

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