Is eyelid surgery my only real option for my heavily hooded eyes? (Photo)

Question

I have a problem with very baggy upper eyelids and very dark circles around my eyes even with loads of sleep and a stress free lifestyle. I have attached a picture of my eye.

Dilip D. Madnani, MD, FACS · Answer

Upper blepharoplasty is used to improve heavy upper eyelids, but there are multiple causes for the heaviness. Usually it is just a skin and muscle issue that is improved very nicely with an upper blepharoplasty. An examination and better pictures are needed to further suggest treatments options.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for the question. In your photograph it appears that only an upper eyelid blepharoplasty will treat your problem. It does not look like you have brow ptosis; therefore, brow lift and Botox will not work. For best advice, see an oculoplastic surgeon in person for comprehensive evaluation and discussion of treatment options. Good luck,

Raymond E. Lee, MD · Answer

Thanks for sharing.  It is a bit difficult to tell from this photo but an upper lid blepharoplasty and or lateral brow lift may be appropriate procedures to address your concerns.  Botox can get you a lateral browlift as well. An in person consult with a board certified and experienced surgeon is needed.

Alexander G. Nein, MD, MS, FACS · Answer

Based upon your
photo, you may be a good candidate for a blepharoplasty, or eyelid surgery.
You’ll best be able to find out what your options are from an in-person
consultation with an experienced plastic surgeon. Eyelid surgery would remove
any excess skin or fat on the eyelid to reveal more of your eyes. The
discoloration you experience may be hereditary or an indication of allergies.
You might consider consulting with an allergist to get screened for possible
allergens. If the discoloration is simply due to genetics, then laser treatment
may help to resolve the issue.

Anand G. Shah, MD · Answer

Hi there.  Please note that the definitive answer rests with an in-person examination.In the upper eyelid, there is an age-related accumulation of droopy tissue. Medically, this is known as dermatochalasis. The extra skin and tissue leads to a tired or angry look and may also impair vision.Upper lid blepharoplasty is performed to remove this droopy skin.  A nonsurgical option may be Botox; when placed strategically, may result in a "chemical browlift" that elevates the brow and reduces some of the hooding.Hope this is helpful.  Best wishes.

John D. Symbas, MD · Answer

The good news is that you have options available to you.  You look young so you may not want surgery yet.  Perhaps a little botox to raise your brows and then some volume in your lower lids in the form of a filler would give you the result you are looking for.  If you wanted something more aggressive....perhaps a brow lift and/or upper bleph and, again, volume only to your lower lids.  Best wishes and thank you for your question.

Jane Olver, MBBS, FRCS · Answer

Hooded heavy eyelids can be improved by very subtle lateral brow lift using Ultherapy, which is micro focused thermocoagulation of the deep dermis to stimulate collagen formation and eye lift. Botuliunum toxin into the lateral outer orbicular is muscle (just outside the lateral brow) will also lift the eyelids and give you a more wide awake eye appearance.For the lower lid farm circles, gentle Restylane with lignocaine by cannula into the upper cheek lid junction and a tiny amount drizzled into the actual tear troughs will likely be suitable to make the lower eyelid shorter vertically and soften the tear trough hollows.Although upper eyelid blepharoplasty is an option, you can always save that option until later when simpler non-surgical interventions are no longer so effective.From Miss Jane Olver, Oculoplastic Surgeon, Clinica London, London, UK

Damian Marucci, MBBS, PhD, FRACS · Answer

Thank you for your question and photos.Hooding of the upper eyelid can usually only be corrected by surgery aimed at the cause. If the cause is a low eyebrow, then an eyebrow lift is required. If the cause is excess upper eyelid skin +/- fat, then an upper blepharoplasty with removal of the excess skin +/- fat is needed.I hope this helps.

Jules Walters, MD · Answer

An upper blepharoplasty or lateral brow lift or combination can help rejuvenate your upper eyelids.  An in-person consultation is needed to develop the best plan for you.

William Portuese, MD · Answer

When patients have heavy and hooded upper eyelids,  a surgical upper blepharoplasty is required to lift and rejuvenate them. Surgery can involve removal of skin, muscle, or fat, depending upon the issues presented.

Is eyelid surgery my only real option for my heavily hooded eyes? (Photo)

Answers (12)

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