I wonder if there is any benefit to having the blepharoplasty early or any benefit in waiting. My eyes are definitely genetic. I am excited to have a conservative blepharopasty and (optimistically) enjoy the results for the rest of my life, but I am wondering if I could/should get filler for now. Maybe an eyebrow lift would be better?
November 11, 2015
Answer: Honestly, you are a terrible candidate for eyelid surgery. That does not mean you can't have help. You have very complex periocular issues. Your have heavy upper eyelids and compensatory brow elevation. Yet the full subbrow area is a critical feature of your face. Over aggressive upper eyelid surgery will destroy this aesthetic and hollow out this very full area. You need a very carefully designed upper blepharoplasty that only removes a very small strip of skin and muscle to expose perhaps 2.5 mm of upper eyelid platform to give a very clean place to apply make up. I would use anchor blepharoplasty to accomplish this to support the upper eyelid lashes. It also appears that you have a trace of upper eyelid ptosis that robs the eyes of the brightness that a young person like yourself should have. The lower eyelids are even more complex. The thing that looks like bags in your lower eyelid is actually your bony orbital rim. I think just a small amount of hyaluronic acid filler in the form of Restylane will perfectly address this. The service last about 1 year and it is much better than fat grafting. Fat grafting causes scar and this damages the glide function of the lower eyelid when you smile. The damage is in the form of scaring in the lower eyelid. Grafted fat causes scar tissue. Please be careful what you look for out there.
Helpful
November 11, 2015
Answer: Honestly, you are a terrible candidate for eyelid surgery. That does not mean you can't have help. You have very complex periocular issues. Your have heavy upper eyelids and compensatory brow elevation. Yet the full subbrow area is a critical feature of your face. Over aggressive upper eyelid surgery will destroy this aesthetic and hollow out this very full area. You need a very carefully designed upper blepharoplasty that only removes a very small strip of skin and muscle to expose perhaps 2.5 mm of upper eyelid platform to give a very clean place to apply make up. I would use anchor blepharoplasty to accomplish this to support the upper eyelid lashes. It also appears that you have a trace of upper eyelid ptosis that robs the eyes of the brightness that a young person like yourself should have. The lower eyelids are even more complex. The thing that looks like bags in your lower eyelid is actually your bony orbital rim. I think just a small amount of hyaluronic acid filler in the form of Restylane will perfectly address this. The service last about 1 year and it is much better than fat grafting. Fat grafting causes scar and this damages the glide function of the lower eyelid when you smile. The damage is in the form of scaring in the lower eyelid. Grafted fat causes scar tissue. Please be careful what you look for out there.
Helpful
November 11, 2015
Answer: Young bleph For 25 you do have a lot of heavy skin in the upper lids. In this picture your brow height looks ok. So upper lid bleph would be a good option. For the lowers: you do have a little fat there popping through. Some filler in the tear trough right below that would help to smooth out the lower lids without surgery. At some point you can have transconj fat reposition surgery to move the fat into the tear trough.
Helpful
November 11, 2015
Answer: Young bleph For 25 you do have a lot of heavy skin in the upper lids. In this picture your brow height looks ok. So upper lid bleph would be a good option. For the lowers: you do have a little fat there popping through. Some filler in the tear trough right below that would help to smooth out the lower lids without surgery. At some point you can have transconj fat reposition surgery to move the fat into the tear trough.
Helpful
