Eyelids have always been slightly hooded, with left side more pronounced. Have gotten worse in recent years.
This is a good question. When eyelids have extra skin, the procedure that is needed is a Eyelid Lift, or a Blepharoplasty. This is a surgical procedure that is relatively simple to remove the skin and fat from the upper eyelid. I like to refer to it as easy as going to the dentist. It is performed under local anesthesia and the down time is minimal. It refreshes your face and takes away that tired eye look. After training with Dr. Henry Baylis (the founder of the Jules Stein Institute), I perform revision eyelid surgery. It is important that eyelid surgery be performed correctly the 1st time. This area of the body does not do well with revisionary surgery. Therefore, do it right the 1st time. Also, if your lids are droopy, you may need a muscle repair which is considered Ptosis repair surgery. This is a repair of the actual muscle. I hope this helps. Proceed carefully and make sure the right procedure is performed. Thank you.
Let's start with the upper lids, what happened as we get older is the brow descends. This often gives us the illusion that there is extra skin in the upper lid. Most often I recommend an endoscopic brow lift to raise the lateral portion of the brow and correct this hooding before we do anything to the upper lids. This is done through for small incisions back in the hairline using high definition cameras. In the lower lids, there are three fat pads under the arm and a curtain of muscle that holds the fat back. As we get older if that gets heavier in the muscle get tired creating "bags" under your eyes. The second issue is the cheek pad descends leaving a hollowness under your eyes and making the nasolabial fold's deeper. This is corrected by making a small incision under the, taking out the fat, and elevating the cheek pad. Dr Scott Ennis - Plastic Surgeon – Destin, Fl
