I'm 22 year old female with droopy eyelids, am I a candidate for upper blepharoplasty? (photos)

Best to see an oculoplastic specialist for evaluation. Not sure if you need anything but if you do get anything, it has to be very conservative.

I have written and lectured on microblepharoplasty.  It is much more about eyelid structure rather than removal of skin, muscle, and fat.  You have several issues: 1. Mild bilateral upper eyelid ptosis. 2. Compensatory eyebrow elevation that is stronger on the right than the left. 3. Upper eyelid fold asymmetry. 4. Upper eyelid lash ptosis.  I agree that a brow lift would be a cosmetic disaster for you.  One of the best aesthetic things for you will be to let the eyebrows relax down.  I approach these small surgeries by carefully listening to what my patient is looking for.  Carefully assessing what is going on in the eyelids.  Assuming that my assessment is confirmed by your examination, surgery typically involves a very conservative low upper eyelid crease design, removal of just enough skin to expose a uniform amount of upper eyelid platform that is symmetric on each side, anchor blepharoplasty to snug the upper eyelid platform skin and muscle so that it is supported by a firm attachment to the levator aponeurosis.  Generally an anterior levator ptosis repair is performed.  Alternatively a posterior Muellerectomy is performed depending on what is needed.  It is said that ptosis surgery is accurate plus or minus 1 mm so many surgeons are reluctant to attempt these types of surgeries.  I quote the same numbers.  Plus or minus 1 mm would be up to a 2 mm difference in the eyelids.  In this setting if you healed with a 2 mm difference, you would be wanting revisional surgery.  It seems that this approach offers more accuracy than standard approaches.  This work is done under light intravenous sedation in an accredited surgery center.  During surgery the patient is asked to open and close the eye at the time of surgery.  This allows the surgery to be adjusted accordingly and this contributes to the overall accuracy of the procedure.  A personal consultation is what is needed to determine if this approach is right for you.

Thank you for your question and sharing your photos. It looks like you have a little extra skin on the right upper eyelid. Operating on such mild asymmetry might cause the asymmetry to be reversed, where the left lid looks fuller than your right. For minimal improvement of appearance, the risks of surgery are not worth it. I suggest you wait until your lid drops more. Good luck,

and what you have is so subtle, that you would have to be very cautious as to not create a larger fold on your right side after a procedure.  I personally would not recommend anything for you as you have well defined creases and that doesn't take away anything from your  overall appearances.  But if having the potentially better makes all the difference to you, then you can easily find a surgeon who will do this for you... but conservative is the word and you have to anticipated potential persistent asymmetry.

Even though you are young, you would benefit minimally by removing the excess skin fold of your upper eyelids, and give you a more awake and alert appearance, however, it cannot be overdone and must look natural.Malcolm Lesavoy, MD

Thank you for your question and you're very detailed photos. It looks to me as though the heaviness on the outside corner of your right upper eyelid follows along with a slight droop and the outside of the eyebrow on that side relative to the left. Although I agree, a brow lift or extensive Botox treatment is not right for you, a very subtle Botox treatment to the right outer corner can subtly improve your symmetry and with it even out the contour of your eyelid crease on that side.

Hello, I'm not sure I see droopy eyelids from your photos. What I do see from your photos is that your left outter brow is slightly more arched than the right side (which sits about a millimeter higher, but flatter). If you pull up slightly on the right arch of your brow (just a millimeter or 2), does it give you the lift your desire on the right outter part of your eyelid? The good news is that this can be made more symmetrical with non-surgical things such as filler or Ultherapy. Very important to see someone who is experienced with peri ocular aesthetics for an in person consultation.