Im Not a Candidate for Blepharoplasty, So What Options Do I Have to Fix my Eyelids?(im 22)

Hi, After advice from doctors on realself i have decided not to go through with an upper blepharoplasty i had scheduled. My eyes are really getting me down, is there anything i can have done to effectively tighten up the loose skin on my upper lids? I have already tried active fx twice and botox.

Doctor Answers 10

Upper eyelid problem

There are two problems with your upper eyelids.  One is eyelid ptosis, or droopiness, causing a "sleepy" appearance and heave eyelids.  The other problem that is specifically contributing to your "loose" skin is fat deflation around your eyes/brow.  Imagine letting air out of a balloon; the balloon would then wrinkle.  That is what is going in your upper eyelids.  You can consider upper lid ptosis surgery along with filler injection.  Consult an oculoplastic surgeon.

Dr Taban

Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 72 reviews

Im Not a Candidate for Blepharoplasty, So What Options Do I Have to Fix my Eyelids?(im 22)

I agree with the other Oculoplastic surgeons who mentioned that you might benefit with ptosis repair.  The results can be tremendous.  You need a detailed consultation.  Good luck.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon
4.7 out of 5 stars 16 reviews

Eyelid Help for Those Too Yound for Surgery

Lower lids: Ceramide creams for the lower lids which in minutes as they dry the clear membrane tightens the lower lid skin minimizing bags and wrinkles. This lasts from 4-8 hrs and can be reapplied as needed. Radiofrequency, laser and peels tighten the skin with minimal downtime. Fillers for fat transfer #lipoinjection, to the lower lid to fill in the cheek-lid depression that casts shadows also helps many. Makeup options by a professional makeup artist to show you some "tricks" might also be helpful.

For the upper lids, Botox in the crows feet area just below the brow will gently lift the lateral brow and lift a bit of the hooding on the side of your eye. This lasts about 3-4 months. Make sure you go to an expert injector associated with a Plastic Surgeon, Facial Plastic Surgeon, Dermatologist, or Ophthalmologist skilled in injections.


Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Blepharoplasty Candidate and Options

Not sure why you are not an upper blepharoplasty candidate, assuming you have some laxity of your upper eyelids.  Sometimes a very conservative amount of skin excision is possible without resulting in complications.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
4.7 out of 5 stars 128 reviews

Enjoy your pretty eyes

You say that you don't want surgery, so any suggestions bout what operations you should have won't help, unless you change your mind about surgery.  While all the surgeons giving you advice are correct, you don't want surgery, so that is that.

I think you have pretty eyes--prettier than most young women.  They are unique,which enhances their attractiveness. I hope that you can learn to enjoy the--that's the way not to have surgery and yet be happy.

Good luck.

Mark B. Constantian, MD, FACS
Nashua Plastic Surgeon
4.5 out of 5 stars 25 reviews

Miniscule upper eyelid skin requires no surgical intervention

  IMHO, none.  The miniscule amount of upper eyelid skin towards the outside of your eyelids requires no surgical intervention at this time.  In 5, 10 years or more perhaps things will change but right now there's nothing that should be done.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Blepharoplasty at Young Age

No. An upper blepharoplasty is sometimes called for even in a person as young as 20 years old. This is usually from a hereditary tendency and should always be approached conservatively, but if you need it get it; and no creams would not have helped. 

Richard Galitz, MD, FACS
Miami Facial Plastic Surgeon
4.6 out of 5 stars 11 reviews

Fraxel repair Upper Eyelid Skin Tightening (Non-Invasive Blepharoplasty)

Hi Dianna,

Fraxel repair fractionated CO2 laser treatment of your upper eye lids, performed properly should help you achieve your aesthetic goals of decreasing the crepe skin of your upper eyelids.  I have treated two patients who have had previous "active FX" who responded to Fraxel repair.  As with most device technologies, it is not only the laser but the physician you choose to treat you.  Choose your treating physician most carefully.  Good luck and be well.  Please see referenced video below where BBC journalist Kate Spicer was treated with Fraxel repair around her eye lids on the BBC documentary "Super Botox Me".

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Upper Eyelid Ptosis and Crepey Skin


I agree that ptosis surgery, reconstructive lid surgery, and filler injection would be beneficial.  Aother option would be to treat the crepeniss of your lower lid skin with either a chemical peel or laser resurfacing.

Michael McCracken, MD
Lone Tree Oculoplastic Surgeon
5.0 out of 5 stars 12 reviews

I don't agree with these doctors.


Your photos suggest that you have upper eyelid ptosis.  You also show lash ptosis and loose eyelid platform skin.  It is likely that the eyelid surgery that you would benefit is not a standard blepharoplasty.  Rather you might benefit from an eyelid reconstruction to address the upper eyelid ptosis which is subtle and a relatively low crease incision and removal of a very small amount of upper eyelid skin to create a fixed upper eyelid crease using a procedure called anchor blepharoplasty.  The challenge is that it is my opinion that less than 1% of eyelid surgeons in the world are capable of this type of work and the risk of having too much or the wrong surgery is very great.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.