Am I candidate for upper blepharoplasty for more space on eyelid & to look more awake?

Question

I’ve been doing Botox to lift my brows for the longest time. I still have some left in them. Thinking of doing the surgery so I don’t have to keep getting Botox to lift eyes/brow Goal is to have more space on my eyelid and look more awake.

Alan Gonzalez, MD, FACS · Answer

Hello @Blairwalnuts, thank you for your question. I do not see the eyelid falling over the palpeolar line with the eye open. Rather than a blepharoplasty right now because your skin still has a lot of laxity, I would suggest botox to improve the proportions. It is important that you have a consultation with a board certified specialist to determine a non surgical protocol. Best wishes! Alan Gonzalez MD, FACS.

Albert Ko, MD · Answer

Thank you for your question and photos. I think you would be a great candidate for Morpheus8 to the upper eyelids. Morpheus8 is a micro needling treatment that will tighten and lift, while stimulating your pwn collagen. This will avoid any surgical scars, since you re so young! Best of luck!

Sam Speron, MD, FACS · Answer

This is a common question.  Upper eyelid hooding can be corrected with blepharoplasty or cosmetic eyelid surgery. It is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your unique anatomy as well as what exactly is bothering you.

Botox injections as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations.

The recovery & downtime is very minimal. There are usually no drains, most people can go out the same day, you can shower the next day and most patients take no pain medicine. There are never any guarantees of course with any procedure whether it is surgical or nonsurgical in nature.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

I hope this helps answer your question. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Renata Khelemsky, MD · Answer

Thank you for submitting your questions. You appears to have a youthful eye contour and anatomy, with deep-set eyes and a natural appearing upper eyelid crease. At various angles, the platform of the upper eyelid may appear to be wider or narrower, depending on the camera angle. At your age, I would recommend continuing chemical browlifting with neurotoxin such as Botox. Surgery at a very young age like yours may produce a scar without much result. I hope this helps you!

Camille Cash, MD · Answer

If you like the way your eye appears when your brow is more lifted perhaps the better procedure would be a brow lift.  An upper blepharoplasty is designed to remove excess skin.  I encourage you to visit with a board certified plastic surgeon near you for an evaluation and discussion of your goals.  Together you can decide the correct procedure to address your concerns.

Robert Singer, MD · Answer

Fullness of the upper lids can be cosmetically improved with a number of surgical options depending on individual anatomy, the cause of the fullness, and desired outcome: an artistically performed conservative upper lid blepharoplasty, a repositioning of the brow if it is low, or often a combination of both.
There are multiple options which can produce an improved natural appearance that are available for a patient with your anatomy: Upper lid blepharoplasty alone, endoscopic brow lift, limited lateral brow lift, forehead lift, neuromodulators like Botox or Dysport, hyaluronic fillers of the forehead above the brow, or a combination of procedures. A browlift and a blepharoplasty (upper) are not mutually exclusive procedures and in certain cases they can be done in conjunction. There is no one best option. It depends on your desired outcome and understanding of the pros and cons of the various procedures.

It is important to realize that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited 2 dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Facial rejuvenation needs to be individualized. What would be an ideal approach for one patient is not necessarily the same for someone else. Based on the examination and discussion at the consultation, you should have a better understanding of the various options that can achieve the best cosmetic result for you.

Robert Singer, MD FACS

La Jolla, California

Am I candidate for upper blepharoplasty for more space on eyelid & to look more awake?

Answers (6)

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