Should I have upper and lower eye surgery? (photos)

Question

I’m 56 years old, looking for a way to refresh my face. What are you thoughts of upper and lower eyelid surgery? Are there any creams or non surgical ways to correct issues?

Alan Gonzalez, MD, FACS · Answer

Hello @ritasmith, thank you for your question. Yes, you could benefit from upper and lower blepharoplasty. In the lower eyelids transconjunctival lower eyelid surgery will help remove excess fat in the area. That way you can give the eyes a more lively appearance. For more information and options tailored specifically to your needs, you should consult one or several board-certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.As far as I can see from your photos you have extra saggy skin both under and above your eyes. Also you have downward eye corners. For make the eye area more fresh, elegant and young looking I recommend you upper and lower blepharoplasty. In addition to these surgery with the cat eye surgery your eye corners will upward and your eyes will be much slanted. Best Regards!

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. You appear to be a candidate for blepharoplasty to refresh your eyes and face. This surgical procedure can redefine the shape of the eyes by removing any excess skin and repositioning fat to create a symmetrical appearance that is harmonious with the rest of your facial features. Upper blepharoplasty can correct hooding while lower blepharoplasty can smooth the transition between the lower lid and upper cheek. If you’re unsure about surgery, you can also consider a combination of hyaluronic acid dermal fillers and aesthetic treatments, such as RF microneedling, to add volume and smooth the skin for favorable, yet shorter-term results. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector. They’ll be able to discuss your concerns with you and help you decide on the best treatment option.

Stanley Okoro, MD · Answer

Thank you for your question and the photos you provided. There are multiple ways to address your upper face. Make sure you consult with a board certified plastic surgeon and discuss:
1. Botox to the forehead
2. Morpheus 8 
3. Lower bleapharoplasty
These options range from non surgical to surgical. I would not waste your money on creams. Good luck!

Andrew Miller, MD · Answer

Based on your photos, you are a great candidate for both upper eyelid surgery and lower eyelid surgery with fat transfer. The upper lid surgery will create a youthful crease above while the removal of the lower lid fat pockets and injection of fat to the lower creases will make a nice smooth lower lid onto your cheek. Be sure to see a facial specialist for consultation.

Luis Eduardo Guerrero, MD · Answer

Hello, thanks for your interest in eyelid surgery, with the time and the aging process the bags of your lower eyelids tend to prolapse and be more evident, as well as the skin stretches and gets loose, creating skin wrinkles. Although there are creams and non surgical treatments (radiofrequency, lowerlid peels, skin tightening devices , etc.) for improve this problem, the goldstandard is the surgery. For the upper eyelids we can remove the skin excess with or without brow lift that is another problem that worse the upper lid redundancy. For the lower lid, we mainly remove part of the fat bags, and another part is used to give fullness to the inferior lid crease, improving your lid-cheek union, sometimes we have to adjust and remove extra skin from the lower lid in order to get a better result. I hope this info could help you. 
Sincerely
Dr. Luis Eduardo Guerrero.

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.

Nelson Lee Novick, MD · Answer

The issues here are ones seen on a practically daily basis in an active cosmetic dermatology practice. For the movement-related wrinkles between the eyebrows and the forehead, Botox would work well and, going forward would diminish the formation of more deeply etched-in lines. For those lines that have already been etched-in, a low viscosity, cohesive HA filler would help to lift and elevate and smooth them. A robust HA filler can be used in the upper cheek area (the area responsible for the development of the under-eye bags), which will likely significantly mask the bags and smooth the transition between the upper cheeks and the under-eyes. You might wish also to consider a series of in-office superficial peels (inexpensive and no signficant downtime involved) to improve the texture and reflectivity of the skin. And finally, consider the regular, at-home use of topical alpha hydroxyacid and tretinoin creams to improve the "fabric" of the skin and for general skin maintenance. You would be wise to consult with a board certified cosmetic dermatologist and best of luck.

Soon-Dong Kim, MD · Answer

If you want to get non-surgical way, then we only can recommend BOTOX treatment to reduve your wrinkles. But you have to get it done ebery 4-6 months so it's not permanent. With the surgical way, it seems that you have asymmetry eyes because of your asymmetry bone structure. As you can see from your photos, the height of eyebrows and eyes are different. What we can fix the the asymmetry eyebrows, only FOREHEAD LIFT (ENDOTINE) can fix it. Also you needLower blepharoplasty + Fat Reposition to make the smooth undereyes. If you have further questions then please leave a message:)

William Portuese, MD · Answer

The primary goal of upper eyelid surgery is to get rid of excess skin creating the tired look in your upper eyelids. The primary goal for lower eyelid surgery to get rid of the fat bags creating the puffy look. The incision for the upper lids is located increase, while the incision for the lower lids is completely placed on the inside of the eyelid known as a trans-conjunctival approach. No external incisions are required. Choose your surgeon wisely based on extensive experience producing natural results

Should I have upper and lower eye surgery? (photos)

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