Am I candidate for eyelid surgery or fillers? In my 20s (photos)

Question

I had a consultation with a very respected surgeon who said that he would perform a lower lid transconjunctival bleph with fat repositioning to avoid the hollow look in the future. He also said that I have a little bit of fat medially in my upper lid that he could remove through a stab incision without needing a upper bleph. Another surgeon said that she could do fat transposition on the upper lid and another surgeon said my upper lids don’t need anything. Please advise for both upper and lowers

Kenneth D. Steinsapir, MD · Answer

I recommend getting more opinions. Your lower eyelid issue is unlikely caused by herniated orbital fat. Your issue appears to be more related to the projecting of the bone of your orbital rim. That does not respond to fat transposition in the lower eyelid. Also you have upper eyelid ptosis. Removing nasal fat is not in any way going to help the upper eyelid ptosis. For the lower eyelid I recommend considering a small filler service to help this area. For the upper eyelids, you need to find a surgeon who understands upper eyelid ptosis. Try not to get harmed from bad cosmetic eyelid surgery.

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.​

Robert T. Buchanan, MD (retired) · Answer

I believe you have been grossly misled. The only thing your upper lids need is, perhaps, if it bothers you, correction of ptosis (droop). This is done with an upper blepharoplasty with shortening of the levator muscle. If the moderate droop does not bother you, then you need nothing there. The only thing I would do for your lower lids is filler to correct the slight congenital tear trough. Modern fillers last a significant time, so this should be all you need for a few years. Although a transconjunctival fat transposition could work, the filler is significantly less expensive and lasts almost as long.

Am I candidate for eyelid surgery or fillers? In my 20s (photos)

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Everything you need to know about Eyelid Surgery

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Am I candidate for eyelid surgery or fillers? In my 20s (photos)

Answers (3)

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Everything you need to know about Eyelid Surgery

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