Upper eye puffiness and asymmetry - am I candidate for a brow lift, blepharoplasty or something else? (photos)

Question

I'm 43 and over time my upper eyelids have gotten much puffier. Im considering why my options are. I've always had one eyebrow that is shaped and raised differently than the other - but as I have aged it has gotten more pronounced. Botox placement has helped, but I am wondering if as part of an eyelid procedure it would be possible to even out as well. Thanks!

Jason Emer, MD · Answer

For significant improvement, hooded eyelids require surgery if there is enough skin. For nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer.

Derek Fletcher, MD · Answer

Thank you for your question! The short answer is yes, brow lifts and upper blepharoplasty procedures are often combined and are a reliable method of achieving harmonious restoration of the forehead-brow-upper lid areas. An in person examination is necessary to assess the degree of brow ptosis (drooping) and asymmetry. I always request that my patients bring in photos of themselves from their late 20s to early 30s so I can see what their brows and eyelids looked like before the development of brow ptosis and extra upper eyelid skin/puffiness. It helps me understand what kind of soft tissue integrity that person has and often becomes the target outcome for that patient.

William Portuese, MD · Answer

There's always a symmetry in the upper eyelids, both before and after the procedure. Your eyebrow position is normal, therefore a brow lift is not necessary. A conservative upper blepharoplasty procedure can accomplish removal of some of the excess fat creating the puffy look, and a conservative amount of extra skin. In upper blepharoplasty procedure can be performed under local anesthesia As an outpatient procedure

Upper eye puffiness and asymmetry - am I candidate for a brow lift, blepharoplasty or something else? (photos)

Answers (3)

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Everything you need to know about Brow Lift

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Upper eye puffiness and asymmetry - am I candidate for a brow lift, blepharoplasty or something else? (photos)

Answers (3)

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Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.