Perhaps This Picture Isnt As Bad with Direct Harsh Lighting. Forehead and Under Eye Help? (photo)

any other suggestions?

Doctor Answers 9

Non-surgical face lift options

What type of improvement are you looking for? Full face photos of different angles would be best for me to give you a recommendation for what procedure will be the best for you. Non-surgical options can improve appearance of your skin long your neck and jowls, and reduce the appearance of wrinkles on the face. A face lift would be the most permanent solution to address your areas of concern, but there are a number of non-surgical options that you may be interested in as well:

Your non-surgical options are dictated by your specific needs which may include any of the below measures:
1)Improving your wrinkles: Botox
2)Improving your loss of volume: Radiesse
3)Improving your texture: Erbium facial resurfacing.
4)Improving skin looseness: VIORA REACTION radiofrequency

Skin tightening with VIORA REACTION radiofrequeuncy will tighten your skin with minimal pain and downtime, in addition, for an even greater improvement you can liposuction around the cheeks and jowls under local anesthesia. Non-surgical options also tend to be more cost effective than surgical options, although they may require maintenance. A consultation would allow us to customize your treatment plan.

Orange County Plastic Surgeon
4.9 out of 5 stars 65 reviews

Voluma to soften your face

Thank you for posting the photo. If you are looking to add volume to the mid-face area I suggest learning more about Voluma. Voluma is a facial filler that can last up to two years and will instantly add volume. My suggestion is to consult with your doctor in order to decide what the best filler is for you.

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

What solutions are there for forehead and lower lids?? Ask Dr Ellen

Hello Jamieileana007,

Forehead Considerations:

What is it about your forehead that bothers you?  The photo reflects some horizontal lines and vertical lines.  Your eyebrow position is perhaps a little low but overall, pretty good.

Forehead Options:

The animation lines can be treated with Botox.  Based on the photo, it doesn't look to me that a brow lift is something to jump into right away.  An option to consider is an upper eyelid lift which would reduce the heaviness of the upper third of your face and offer you a more rested appearance.

Lower Eyelid Considerations:

The aging process has created lower lid fullness and possibly some lax skin.  A lower eyelid lift would address both issues.  A non-surgical consideration would be to use Juvederm to blend in the transition zone between the lower lid and cheek.

MOST IMPORTANTLY:  a consultation is required to properly assess both issues as well as your expectations.

Thanks for asking!  Dr Ellen



Ellen A. Mahony, MD
Westport Plastic Surgeon
5.0 out of 5 stars 24 reviews

Upper eyelid and forehead issues


There is a significant amount of excess skin on your upper eyelids and the only way to address this problem is with upper eyelid surgery. Of all the the possible treatments you could get, I think an upper blepharoplasty will give you the most "bang for your buck" and will last many years. This surgery can often be done in the office with local anesthesia, which will help minimize costs. The left eye looks smaller than the right in the photo, but it hard to tell why this is the case from this photo alone.

Lower blepharoplasty surgery would be the next best procedure for you and can be done at the same time if desired. I find that this surgery is more uncomfortable than upper eyelid surgery and prefer to do lower eyelid surgery in the operating room under intravenous sedation. If it is in the budget to do both surgeries, definitely get them done at the same time.

In your case, I dont think you would get a lot of benefit from non-surgical treatments and I would really recommend surgery for you. Hope this was helpful. Dr. Kapadia.

Mitesh Kapadia, MD, PhD
Boston Oculoplastic Surgeon
5.0 out of 5 stars 164 reviews

Different Options

Botox for brow shaping and wrinkles in the upper face.  Fat or fillers in the midface.  These would help.  Definitive procedures would include a browlift, lower lid lift and facelift. Hope this is helpful.  Good luck.

Robert F. Centeno, MD, FACS
Columbus Plastic Surgeon
4.9 out of 5 stars 77 reviews

Eyelid and forehead non-surgical treatments

Dear jamieileana007,

  • If you were looking for non-surgical options, then a combination of a muscle relaxer, like Dysport, and filler, such as Restylane will give a decent result
  • For the best result, surgery is the answer as this will not only make you look the best, but it will also be permanent

Best regards,

Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 74 reviews


A  good place to start would be an upper and lower lid blepharoplasty.
That would remove the heaviness from eyes and restore a youthful appearance.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 272 reviews

Perhaps This Picture Isnt As Bad with Direct Harsh Lighting. Forehead and Under Eye Help?

My "best" response to your issue is see  a few boarded Plastic Surgeons in your city for an IN PERSON evaluation. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Perhaps This Picture Isnt As Bad with Direct Harsh Lighting. Forehead and Under Eye Help?

 From the photo provide, the eyebrows are low (left lower than right) and both upper and lower eyelids show excess skin and fatty tissues.  A Brow Lift would be required to raise the eyebrows.  An Upper and Lower Eyelid Surgery (Blepharoplasty) would remove the excess from the eyelids.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.