Blepharoplasty for a 15 Year Old? (photo)

Very good analysis of your situation. There are pros and cons to each surgery and indications for treatment.  If you meet criteria, physically - emotionally - and psychologically, you may be considered for the surgery after an examination, informed consent, and evaluation are provided. 

There's nothing medically contraindication to doing eyelid surgery and 15-year-old. I doubt you have a functional problem so it would be completely cosmetic. I personally would ask that you wait until  you are 18 so you can make the decision yourself.

You appear to have upper eyelid ptosis and "puffy" upper eyelids. Although upper blepharoplasty is rarely needed in teenagers, ptosis surgery is more common. See an oculoplastic surgeon for evaluation.

It is way too early to consider this surgery. You definitely have extra skin in upper eyelids through your hereditary tree but you are still young to handle such a surgery at an emotional level. I would strongly recommend that you wait at least till you are past 25 years of age. By that time you will be a lot more mature in mind, body and spirit. Regards
Dr. J
Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I encourage you to see your personal physician for further evaluation of your individual case.

If your photo truly represents what your anatomy is like, then you have eyelid ptosis, as well as excess eyelid skin and low eyebrow.

I agree with my colleagues that for cosmetic surgery, it is often best to wait a bit longer if possible [though many teenagers do get rhinoplasty].

In your case however, you have mentioned in your photo subtext that you're droopy eyelids cause your visual field to be compromised. If that is truly the case, then I would consider surgery at a younger age. You would need an evaluation of your visual fields by an Oculoplastics surgeon to determine whether it is bad enough to consider surgery.

I have provided a link below to find a well qualified surgeon near you.

 

I also agree with the other poster.  There are circumstances where I will perform cosmetic eyelid surgery on a minor with parental consent.  However, it is often better to wait.  They say our brain does not mature until we are 27 ( older for men).  

Age 15 is too early to consider cosmetic eyelid surgery.  I would re-evaluate things in your early 20's when facial growth is complete and greater personal development has taken place.  You have low set brows and epicanthal folds which contribute to your individual look. 

Your photograph shows Upper Eyelid Ptosis, excess skin and fat and a low set brow. You need a proper evaluation to assess your eyelid opening to confirm whether you have ptosis, and the degree of visual field impairment and if surgery would help.

Correction of the Ptosis would be a functional operation and hence OK to have it when you are 15 as it would help with eyelid opening and improving visual fields.

The rest ( addressing the brow, skin and fat) would be cosmetic, and hence can change your facial appearance. At 15 you would be advised to wait for a few years, obtain parental consent, consult with a psychologist in addition to consulting with a Surgeon with the expertise

While kids benefit from correction of issues just like adults there are extra considerations to keep in mind such as skeletal maturity and emotional issues as well as social dynamics. What we do in kids and adolescents fairly often are congenital problems like facial deformities present from birth, developmental deformities , functional issues like excessively large breasts, and at times aesthetic issues like rhinoplasty. If you have a significant visual field deficit this could be a functional issue but you would have to have a visual field exam to be sure. Your photos are not good so it is difficult to tell for sure. Ideally it would be best to wait until your face matures around age 18. Even then , if you did seek surgery, I would recommend not taking important anatomy away from your eyelids but would lean toward and endoscopic browlift which does not burn any bridges. In addition the issue seems to be mainly a very low browline more so than excess skin in the upper lids. Whatever you do I would seek the counsel of your parents first and then your personal physician.

You may be a bit too young to consider surgery at this time but features to consider are:


The position of your eyebrows

The function of your upper eyelids - possible congenital upper eyelid ptosis

Thick skin of the upper eyelids

Excess peri-orbital fat


Best to wait a few more years before considering a surgical option