Revision Upper Blepharoplasty after 20 years. Opinions for best treatment options? (Photos)

Question

I had upper eyelid surgery 20 yrs ago, age 40, for ptosis. All went well, scars near invisible. But now I think it needs doing again and maybe the lower lids too? I have seen an Oculoplastic surgeon, who feels only the upper lids need doing. To remove 10mm of excess skin and trim the fat pads in the upper nasal area. He says to look at skin tightening options for the lower lid with laser or CO2 etc. It is the lower lids that bothers me most, having slight festoons now. Opinions appreciated.

Gary M. Horndeski, MD · Answer

One thing for you to consider is an extended brow lift. This will lower your hairline, decrease the vertical height of the forehead, correct the asymmetry of the eyebrows, and pull up the upper eyelid skin. The incision extends down to the level of the earlobe and can pull the skin laterally to improve the lower eyelid as well.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Chet Mays, MD · Answer

Thank you for your inquiry! By your photos, it looks like you would be a great candidate for another upper bleph procedure to remove additional excess skin to your eyelids. I recommend scheduling a consult appointment with a board certified plastic surgeon like myself so we can assess your eyes, listen to your goals, and create a surgical plan that is best for you and your goals!

Eric M. Joseph, MD · Answer

As long as you do not have dry eye syndrome, removing some excess skin from your upper eyelids should be a relatively straightforward procedure with uneventful scarring. Wishing you well moving forward. Sincerely, Dr Joseph

Revision Upper Blepharoplasty after 20 years. Opinions for best treatment options? (Photos)

Answers (3)