51 y/o with droopy inner eyelids - is a blepharoplasty the best option? (photos)

Hello! Thank you for your question.As far as I can see your photos, you have extra saggy skin both above and under your eye area. For more fresh, elegant looking and the shape you show in the second photo I suggest you upper and lower blepharoplasty. Best Regards!

Thank you for your question and photos. You appear to be a candidate for blepharoplasty to improve droopiness and enhance your appearance. During this procedure, excess skin can be removed and fat repositioned to volumize where needed to create a symmetrical result. The creases above both eyes can also be redefined to make them appear more youthful and awake.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to assess your concerns and determine the best approach to help you achieve your aesthetic goals.

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

You would likely benefit from an upper lid blepharoplasty and endoscopic browlift. This would remove some excess skin from the upper lids and also raise the brows. You need an in person consultation for a definitive plan.

If you ask for a blepharoplasty, that is precisely what you will get. Your surgeon will most likely chop off your upper eyelid fold not repair the inner eyelid (part with the actual eyelashes). Generally surgeons think their job is to remove "extra" skin: go big or go home. You think you know what you are getting until a couple of days after surgery, you realize that your outie eyelid is now an innie eyelid. Don't let this happen to you. It is one thing to do a thoughtful blepharoplasty to clean up the eyelid and make the fold more trim to allow more platform show. It is another thing to skeletonize the upper eyelid fold by removing it all together. If you think that sounds extreme, it happens all too often. Don't let that happen to you. Also, blepharoplasty does not fix ptosis-heavy inner eyelid. That is an entirely different surgery that a blepharoplasty. I routinely perform ptosis surgery and blepharoplasty at the same time. There is no substitute for an in person assessment. Your eyes can be your best feature.

Hi there,

What concerns you most appears to be what is called the epicanthal fold. This is tissue of the medial eyelid where some have a skin fold in the medial corner of the eye. It is more common in people asian heritage. It is a normal variation of the upper eyelid.
For those that want this removed the procedure is called a medial epicanthoplasty and it can be combined with upper blepharoplasty.
Fine incisions are made in medial epicanthoplasty that do result in scars. These scars can be hidden quite well, however, visible scar is a risk of medial epicanthoplasty. You may require some scar care after your procedure to ensure the scars heal nicely and are not visible.

It looks like you would be a great candidate for an upper blepharoplasty.

Of course, an « in person » exam is necessary.

Best of luck !

Thank you for your question. As others have stated what concerns you is called the medial epicanthal fold. This is a common anatomical finding in people with Asian heredity.
A standard upper blepharoplasty will not correct this problem and can make it worse.

A specific procedure to correct an epicanthal fold is possible. But it must be done by an experienced plastic surgeon who is skilled in this procedure or the scars will be visible.