Upper bleph at 30? I just want bigger eyes without looking fake (Photo)

This response was dictated. I apologize in advance for grammatical errors.
The heavily, hooded upper eyelids is quite typical for northern European heritage.
To some degree. It’s important to accept and acknowledge this as being appropriate, typical and normal for your ethnic background.
For example attempts at eliminating the hood is probably not appropriate and does not look natural.
People of your genetic background should have hooded eyelids.I was born in Sweden, and have very similar heavy hooding of my upper eyelids.
There are generally two surgical approaches to your concern.
The most common is removing the excess skin with some orbicularis oculi muscle. This is referred to as an upper eyelid blepharoplasty.
Depending on how well the procedure is done, it may, or may not give you a natural appearance, but is the textbook answer and is most likely what most providers will recommend.
Another approach is to do a brow lift.
This tends to soften the excess upper eyelid pudding nicely and tends to look more natural with a less surgical appearance, but is a more involved procedure.
Some people get a great aesthetic improvement from raising the brow .
Raising the brow can have a really good impact on excess hooding of the upper eyelids and it sometimes and aesthetically better procedure.
There are a lot of variables to take in the consideration.
There are not a lot of variables with upper eyelid blepharoplasty.
The variables involved are more related to how the procedure is performed like where to set the incision, how much skin to remove and if, and how much fat should be removed from the eyelid.
There are three basic approaches to brow lift surgery.
There are a few more obscure options but generally the procedure is either done endoscopically through small incisions using internal sutures or with direct skin or scalp excision.
When the procedure is done as an open procedure with the removal of skin or scalp. The incision can either roommate at the hairline or further back in the scalp.
If the incision is made at the hairline, it tends to reduce the size of the forehead and bring the hairline forward.
This is Advantageous in individuals who have large foreheads.
If the incision is made in the scalp, it will tend to pull the hairline back, creating a larger forehead.
Placing the incision in the scalp hides the scar and that is the primary advantage.
Different plastic surgeons will have different approaches.
These procedures are done by plastic surgeons, facial plastic surgeons, and oculoplastic surgeons.
Even with surgical correction, if the procedure is done correctly, you should still have some hooding of your upper eyelids.
You may still have issues with applying make up and I don’t think the procedure should be altered based on that variable.
In the end, if your condition bothers you enough that you’re willing to have surgery then there are some variables or decisions to be made.
The most important variable is inevitably the choice of provider.
This is probably even more important than which procedure you choose.
In the hands of the right provider, you’ll be guided towards the more correct procedure and preferably be given options with a good understanding of the implication of each of the different Procedure choices.
Find the right provider is not easy or straightforward.
To start the process I suggest making a list of plastic surgeons, facial plastic surgeons, or oculoplastic surgeons in your community who seem to have a good long-standing reputation, and I’ve been in practice for at least a decade with solid reputations.
I don’t think it matters what the background of the provider is as much as their inherent, skill and experience.
Being bored, certified in plastic surgery, facial plastic surgery or oculoplastic surgery does not mean somebody has Mastered any one single procedure.
The best providers are often not the same providers who have the greatest online or social media impact.
Highly talented surgeons typically focus on patient care rather than self promotion.
Providers who have excessive numbers of reviews may be highly motivated for financial gain rather than patient advocacy.
Reviews can be a good source of finding providers to avoid, but don’t necessarily help people find the best providers.
Schedule in person consultations with each of the providers on the list you’ve made.
Bring pictures of your face similar to how plastic surgeons take before and after pictures. And assessment of the eyelids needs to include the entire forehead and scalp.
Take those pictures and use those as reference during consultations.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar facial characteristics to your own.
And Experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Being shown a handful of pre-selected images, representing only the best results of a providers career may be insufficient to get a clear understanding of what average results look like in the hands of each provider, what your results are likely to look like or how many of these procedures they actually done.
If providers do not bring up surgical alternatives like a brow lift, then ask yourself what they think of each procedure option and what their experience has been.
There’s no right number of consultations to have to find the right provider.
The more consultations you scheduled the more likely you are to find the better provider for your needs.
The biggest mistake. Patient make is scheduling only one consultation and then scheduling surgery.
Scheduling only one consultation, more or less eliminates the ability to choose the better provider repaired.
The impact of provider selection is massive.
You’ll be reminded of the outcome every day you look in the mirror for the rest of your life.
Once skin has been removed, it can’t be put back.
This procedure is permanent and irreversible.
When in doubt slow down and schedule more consultations.
No one has to have cosmetic surgery.
Best,
Mats Hagstrom, MD