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Should I get eyelid surgery? (Photos)

merpberpOct 24, 2025
I can’t tell if the way my eyelids look is normal, or if I should consider getting surgery done so I don’t have to feel self-conscious when people look at me. I would consider Botox, but it’s not my favorite option since from what I know you have to maintain the injections.

Answers (1)

From board-certified doctors and trusted medical professionals
C. Blake Perry, MD profile photo
Dr. C. Blake Perry, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
5.0 | 16 Reviews
Answered on Oct 29, 2025
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C. Blake Perry, MD

Options to improve the area: Additional fat grafting to help restore volume; strategic neuro-toxin placement to help reduce wrinkles; laser resurfacing to help tighten the under eye skin. A skin pinch is not out of the question. Best to see an eyelid expert for an in person consultation.

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C. Blake Perry, MD

It appears the right upper lid nasal fat pad was not appropriately reduced. This is a relatively straight forward procedure to fix. A lid crease incision is again used (ie the same incision site used for your upper lid blepharoplasty) and the fat is appropriately excised or transposed. Best to...

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C. Blake Perry, MD

Part of the asymmetry is secondary to the asymmetric upper lid creases. Surgery on the left upper lid to create an eyelid crease and fix any ptosis would help improve your symmetry. This is a particularly challenging surgery. Best to see an eyelid expert.

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