Is a blepharoplasty the right procedure to help correct excess skin in the corners of the eyes? (photos)

Question

Since childhood, I’ve head extra skin at the outer corner of my eye, making my eyes more downturned. I believe I have a heavy crease. What procedure is the correct one to get rid of this extra overhang of skin at the corners of my eyes?

Kenneth D. Steinsapir, MD · Answer

Upper blepharoplasty can remove the lateral hood fullness. But it will damage the harmony of your upper eyelids and take away some of the fold that helps give your eyes a natural double fold characteristic. The extension of the upper fold incision laterally to pick up this "extra" tissue will leave a permanent scar in that area that most are very unsatisfactory. Sub-brow excision surgery to lift the upper eyelid fold is increasingly popular with surgeons because they avoid complications with restructuring the upper eyelid fold, the traditional approach to double fold surgery. Unfortunately surgeons often over estimate their ability to deliver an "invisible" incision at the eyebrow  boarder. These incisions are often visible and unsatisfactory.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.As far as I can see from your photos you have extra saggy skin above you eyes and your eyes corners are very downward. For more fresh, elegant and upward look I recommend you upper eyelid blepharoplasty and endoscopic brow lift. Best Regards!

Nima Shemirani, MD · Answer

Hi @Adventurous640450! Thank you for sending your photos. It appears that you have extra skin on your upper eyelids. You would be a great candidate for a blepharoplasty. The procedure is quite simple and can be performed under local anesthesia. Best of luck!

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

Thank you for sharing your question and posting your photos. It appears you have a bit of extra skin on your upper lids. A small amount of skin removal should give you the result you’re looking for. See an experienced oculoplastic surgeon for comprehensive evaluation and guidance. 
Good luck,

Zoran Potparic, MD · Answer

Based on your photo and your age, I do not see blepharoplasty as somenthing that will help. You have full, youthful eyelids with ethnick component. Possibly endoscopic brow lift? Hope this helps.

Sam Naficy, MD, FACS · Answer

Heaviness in the corners of the eyes is often caused by drooping of the forehead and brow region. There is no good substitute for an in person evaluation, but based on at least one of the photographs it may be a brow lift that you need as opposed to eyelid surgery.

Felix Omar Márquez, MD · Answer

Hello, thanks for your question and photos. You are a candidate for blepharoplasty, and you can get excellent results. Consult a board.-certified plastic surgeon in your area for an in-person exam. The procedure may extract the excess tissue from your eyes and give you a great result. Good luck!

Is a blepharoplasty the right procedure to help correct excess skin in the corners of the eyes? (photos)

Answers (8)

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