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

January 31, 2025
Asked By:desertstar in London, GB

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.

5 photos

Answers (3)

From board-certified doctors and trusted medical professionals
VOTED MOST HELPFUL
March 17, 2025

Answer: Extended brow lift

1 person found this helpful
Gary M. Horndeski, MDBoard Certified Plastic Surgeon
VOTED MOST HELPFUL
March 17, 2025

Answer: Extended brow lift

1 person found this helpful
Gary M. Horndeski, MDBoard Certified Plastic Surgeon
MOST RECENT
April 18, 2025

Answer: Upper Bleph

Chet Mays, MDBoard Certified Plastic Surgeon
MOST RECENT
April 18, 2025

Answer: Upper Bleph

Chet Mays, MDBoard Certified Plastic Surgeon
March 15, 2025

Answer: Revision upper blepharoplasty to remove excess skin.

1 person found this helpful
Eric M. Joseph, MDBoard Certified Facial Plastic Surgeon
March 15, 2025

Answer: Revision upper blepharoplasty to remove excess skin.

1 person found this helpful
Eric M. Joseph, MDBoard Certified Facial Plastic Surgeon

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