Hello, I am interested in a lower blepharoplasty and an upper bleph to the right eyelid due to puffiness or extra skin folding over. My goal is to get rid of eye bags creating a youthful appearance and even out upper eyelids. For my upper eyelid, is the puffiness from fat or too much skin? I am opting for a transconjunctival blepharoplasty in hopes to avoid scaring but am stuck between going for a surgeon who does fat grafting, repositioning, or nothing at all. Which options would be best. Also, a canthopexy has been advised and I am not sure how that would affect the appearance of my eye shape. I have noticed that my eyes do protrude forward a little resembling graves disease, but not as bad. I don't plan to have orbital decompression surgery, hoping that removal of eye bags would be sufficient in enhancing my appearance. Any suggestions are welcomed (skin pinch, chemical peel, etc.)
June 26, 2025
Answer: Transconjunctival lower blepharoplasty with fat repositioning Thank you for posting the photos. They are very helpful. Based on these photos, you are an excellent candidate for a transconjunctival lower blepharoplasty with fat repositioning. You do have subtle lower eyelid retraction with prominent eyes. You could consider retraction repair with an internal graft at the same time as the blepharoplasty. This would not only create a more almond shaped eyelid, it will also decrease the risk of dry eye post-operatively. Fat grafting or a tear trough implant are options to help create a bit more fullness to your central cheek. I do both of these procedures, but prefer the implant as it is much more predictable than fat grafting. You can learn more about these procedures using the link below
Helpful 1 person found this helpful
June 26, 2025
Answer: Transconjunctival lower blepharoplasty with fat repositioning Thank you for posting the photos. They are very helpful. Based on these photos, you are an excellent candidate for a transconjunctival lower blepharoplasty with fat repositioning. You do have subtle lower eyelid retraction with prominent eyes. You could consider retraction repair with an internal graft at the same time as the blepharoplasty. This would not only create a more almond shaped eyelid, it will also decrease the risk of dry eye post-operatively. Fat grafting or a tear trough implant are options to help create a bit more fullness to your central cheek. I do both of these procedures, but prefer the implant as it is much more predictable than fat grafting. You can learn more about these procedures using the link below
Helpful 1 person found this helpful
June 26, 2025
Answer: Medical evaluation needed before doing surgery In the midline of your iris, you can see that there is white that shows between the iris and the lower lid. This is called scleral show and can be associated with thyroid disease or other things. You need to be evaluated for that before doing any surgery. A lower blepharoplasty can make that much worse. For the upper eyelids, you need to have both upper eyelids done so you have symmetry when done.
Helpful 1 person found this helpful
June 26, 2025
Answer: Medical evaluation needed before doing surgery In the midline of your iris, you can see that there is white that shows between the iris and the lower lid. This is called scleral show and can be associated with thyroid disease or other things. You need to be evaluated for that before doing any surgery. A lower blepharoplasty can make that much worse. For the upper eyelids, you need to have both upper eyelids done so you have symmetry when done.
Helpful 1 person found this helpful
