I asked an earlier question about a blethroplasty, but I was advised I may not be a candidate. I was told to look into ptosis repair, which is not something I understand. I want to see if I can open my eyes a bit to contradict my heavier brow bone. Would love a few more opinions so I can talk intelligently at my consult next month. Ptosis repair vs canthroplasty vs blethroplasty.
February 11, 2025
Answer: Proceed with caution! You manifest minimal left upper eyelid ptosis. However both eyebrows show compensatory eyebrow elevation. This suggests that you have a weakness in the levator aponeurosis, the upper eyelid tendon that raises the upper eyelids. There is no substitute for a detailed in person examination. In my hands, my general approach is to perform an anchor blepharoplasty with preservation of the upper eyelid fold and a repair of the partially disinserted anterior levator aponeurosis. I caution you that you do not need a canthoplasty. You do not need a forehead lift. Aggressive upper blepharoplasty can skeletonize your upper eyelids and prematurely make you look older rather than better. If you are using an eyelash growth serum, I recommend stopping this immediately as the kill upper eyelid folds.
Helpful
February 11, 2025
Answer: Proceed with caution! You manifest minimal left upper eyelid ptosis. However both eyebrows show compensatory eyebrow elevation. This suggests that you have a weakness in the levator aponeurosis, the upper eyelid tendon that raises the upper eyelids. There is no substitute for a detailed in person examination. In my hands, my general approach is to perform an anchor blepharoplasty with preservation of the upper eyelid fold and a repair of the partially disinserted anterior levator aponeurosis. I caution you that you do not need a canthoplasty. You do not need a forehead lift. Aggressive upper blepharoplasty can skeletonize your upper eyelids and prematurely make you look older rather than better. If you are using an eyelash growth serum, I recommend stopping this immediately as the kill upper eyelid folds.
Helpful