My eyelids are dropping over my eyes and eyebrows are heavy. Will weight loss help or is there a non surgical solution? (photo)

Question

My eyelids are dropping over my eyes and this seems to be becoming more pronounced over last couple of months during which I gave lost 20 pounds. I am 41 and 30 pounds overweight. Will weight loss help or is there a non surgical solution, thanks

John J. Martin, Jr., MD · Answer

You have a very heavy brow which is falling onto the eyelid.  You could try some botox, but not sure how much lift you will get here.  The only other option is to do some sort of a browlift which is surgical.  If you lift the brow, you might also benefit from an upper eyelid blepharoplasty - you can discuss this in your consultation.

Brian M. Harmych, MD, FACS · Answer

While there is a component of eyelid droopiness, your main issue is is heaviness of the brow. This is apparent on both sides however it is more prominent on the right. A brow or forehead lift would be the most likely appropriate surgical treatment option. Although a thorough physical examination would help determine whether you would also benefit from upper eyelid surgery, or blepharoplasty.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures. Weight-loss would not hurt anything. It may decrease the heaviness of your upper eyelids and brow. Judiciously placed Botox in your forehead can simulate some elevation of your brow

Gregory L. Combs, MD · Answer

Based on your photograph, it demonstrates excess skin and fat on the upper eyelids.  This would best be addressed by a upper blepharoplasy to remove excess skin and minimal fat. A consult with a plastic surgeon could also properly evaluate and recommend if a brow lift could also be beneficial to receive optimal results.  As we age, we loose elasticity in our skin, which can cause for more laxity in the eyelids and brow.  Weight loss may also attribute to this appearance.

Stephen Weber MD, FACS · Answer

You can certainly move forward with weight loss first but in my experience, significant weight loss does not create any noticeable change in the appearance of drooping eyebrows and/ or heavy eyelids. Browlift and blepharoplasty are the only reliable ways to lift and reposition the eyebrows and freshen the eyelid area. Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Laxmeesh Mike Nayak, MD · Answer

Unfortunately, weight loss will not improve the appearance of your upper eyeld/brow area. In fact, if the weight loss is significant, you may well see additional looseness of the upper lid skin.You may get some modest brow with Botox ever 3-4 months, but seriously consider an upper blepharoplasty with or without conservative brow lift.

Darryl J. Blinski, MD · Answer

Sorry NO non surgical correction for heavy brow and upper lids. Could try BOTOX but I bet upper lid lift is best easy option. Brow lifts are more involved.

William Portuese, MD · Answer

The photographs demonstrate excess skin on the upper lids and droopy medial eyebrows.  To rejuvenate the upper lids, excess skin and a small amount fat is removed from the upper eyelids to create a more natural crease.  The medial compartment of the eyebrow it is rather low and may need a brow lift to address the mid-forehead area. For many examples of both procedures, please see the link and video below

Francis R. Palmer, III, MD (retired) · Answer

Unfortunately, weight loss will not help your situation.  You can try Botox to lift the eyebrows, but in my opinion, your best option would be surgical.  A browlift will help to elevate the brow.  The brow should be approximately 1 finger above the rim.  Yours needs elevated on both sides (right side more).   You would also benefit from a blephroplasty.

My eyelids are dropping over my eyes and eyebrows are heavy. Will weight loss help or is there a non surgical solution? (photo)

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