What would you recommend I have done procedure-wise for my droopy eyelids? (Photo)

Question

I am 34 years old and my eyelids are starting to badly droop on the outer corners of my eye. I was wondering whether I would require a upper eyelid reduction, a brow lift, or a combination of the two?

Alan Gonzalez, MD, FACS · Answer

Hello @kerryc88, thank you for you question. the heaviness in the eyebrow that is often related to tiredness in the gaze is due to the weight of the eyebrow. At this time, you are a candidate to improve only this aspect with and eyebrow lift or pexy. I would recommend schedule an appointment with a board certified plastic surgeon so they can assess your individual case and recommend the best course of treatment. I hope this helps. Best wishes! Alan Gonzalez MD, FACS.

Jason Emer, MD · Answer

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.​

Sam Speron, MD, FACS · Answer

Hello and thank you for sharing your question and photo! Eyelid surgery is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your genetic makeup and anatomy in addition to what exactly is bothering you. Looking at your pictures, I would assume that you would only need a minimal approach such as Botox, skin tightening, and the plasma pen.

Surgery is one option to consider. In today's day and age, there are also many nonsurgical options to consider. Botox injections as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations.

I would recommend that you see a board-certified plastic surgeon who is a member of both ASPS & ASAPS and has plenty of experience in eyelid surgery. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

I hope this helps answer your question. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Nelson Lee Novick, MD · Answer

Before jumping to more aggressive, invasive surgeries, check out the Ten Minute Eyelift for treating upper lid hooding. Best of luck

What would you recommend I have done procedure-wise for my droopy eyelids? (Photo)

Answers (4)

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