I'm 21 and I find my eyelids to be too hooded, and I look like I have already 40! My mother has the same hooded eye, so as my father. What is the best procedure I can have to get rid of some skin on my eyelid? It is laser a good option? Would you suggest me to wait some years? Thank you
What Can I Do to Improve my Hooded Eyelids? (photo)
Doctor Answers 29
What Can I Do to Improve my Hooded Eyelids?
At 21, there's little chance that the upper eyelid hooding is due to excess skin. far more likely that the eyebrows are low. I have performed Brow Lifts for 27 year olds but not as young as you at 21. Best to see an experienced plastic and cosmetic surgeon for evaluation and consultation on what's possible.
Unfortunately you are putting yourself a tremendous aesthetic risk asking for eyelid surgery.
I agree that you would benefit from eyelid surgery. No you do not look forty. The issue is that you need a very conservative upper blepharoplasty. Unfortunately that is not the surgery you are likely to get. Most eyelid surgeons think it is their job to remove every bit of upper eyelid fold and fat. This hollows out the upper eyelid-think Kenny Rogers. The answer for you is what I call a microblepharoplasty. A minimal skin removal is performed to expose more of the eyelid platform but preserve the natural fold. Currently your upper eyelid fold actually rests on your eyelashes. This means that any eye liner gets rubbed off by the eyelid fold. The key with the surgery is to understand that the fold is important but to remove enough to expose a uniform stip of eyelid platform. My website has examples of this type of work. The other issue that the photo demonstrates is a very small degree of upper eyelid ptosis. This can be compensated for at the time of eyelid surgery by tightening the levator aponeurosis when the anchor blepharoplasty is performed with the microblepharoplasty. Bottom line is that please do not expect your neighborhood eyelid surgeon to do this type of refined eyelid procedure.
The Management Of Periorbital Aging
Facial aging affects the entire face, but nowhere is it more noticeable than the area around the eyes. Aging of the soft tissue in this area not only makes us look older, but can change how we're perceived. Excess eyelid skin can make us look tired and less energetic, while brow descent can make us look serious and even angry. For these reasons, brow lift and blepharoplasty are commonly requested cosmetic procedures.
Your pictures suggest mild brow descent and minimal excess eyelid skin. In someone who's only 21, the risk benefit ratio of surgical correction should be carefully considered. It's essential that the pros and cons of surgical intervention be thoroughly understood. Although surgery could be undertaken to correct your anatomic deformity, it might be better to delay surgery until you're older.
For these reasons, it's important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your age, anatomic findings and aesthetic goals.
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See an expert in eyelid and facial surgery
Congenital Eyelid Hooding
There are a few options out there for your situation: non invasive procedures, such as Botox, or an actual surgery like a blepharoplasty, are both fixes for hooded eyes. Since you are still so young I would probably just do a slight lift with Botox, which is enough to give that soft natural look. However, it is always best to set up a consultation with a board certified plastic surgeon where you can go over all your concerns and they can see in person what is going on. “Dr. D”
Conservative skin only blepharoplasty
Firstly, you should understand that you have very attractive and youthful eyes/eyebrows. And it is unusual to have a blepharoplasty at such a young age. But as part of your normal anatomy, you DO have hereditary eyelid fullness that is bothersome to some people.
Personally, my preference is avoid surgery in young, attractive patients, as the risk to benefit ratio is too high. However, I've had a few young patient's that were very unhappy with this anatomy, and after having a good discussion with them regarding risks of surgery and possible changes to the overall look, have offered blepharoplasty with excellent patient satisfaction. I have provided the link to the before and after photos of a similar patient. She was a 22 year old woman who wanted to be able to wear eye makeup for her wedding, and was thrilled with the final post op result.
If you like the outcome of that patient [link below], you could consider a conservative SKIN ONLY blepharoplasty. You should NOT have any fat or muscle removed! You would risk a very hollow upper eyelid as you get older.
Be absolutely sure with your decision before taking the plunge, and don't ever let a surgeon talk you into a procedure that you are not comfortable with.
Hooding at a young age
You do have some hooding but it is very mild. This most likely is due to a combination of some brow droop and mild excess of skin. At your age I would hold off on a browlift unless you do modeling for a living. You may consider doing nothing or a very conservative upper blepharoplasty. Another option is to try Botox to lift the brow slightly but the effect lasts only 3-5 months.
Perhaps blepharoplasty but a consultation for your unique case and to understand risks is necessary
Age in the case of some elective surgeries for cosmetic reasons (as long as the person is a legal adult of course) may not be the most important factor as it may be more of a question of how your results will make you feel, especially if they will significantly increase your confidence and perceived effectiveness in social life and career. In most cases, the surgical intervention for this type of problem would be blepharoplasty but you always need a consultation with your doctor before determining what is available for your unique history and desired results. You will also need to understand the risks of this type of surgery, important information also conveyed during your consultation.
What Can I Do to Improve my Hooded Eyelids? (photo)
Even at your young age I see the hooding effect. As long as you FULLY understand the risk/benefit ratio of upper lid blepharoplasty than you could have this operation.
Early Hooding Likely From Brow Ptosis
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.