Steroid injections can be very helpful, but do carry risks. The more steroid given, the greater risk of complications is seen. Eyelid tissue is thin to begin with, and steroids can thin tissue even more. At some point, surgery becomes the safer option and may remove or minimize the initial...
Thank you for your question.
Blepharoplasty is commonly done with laser resurfacing. It is best to do both of these procedures together, as you will already have the downtime with your eyelid surgery; the laser resurfacing is improving your results without lengthening your down time....
Yes, it appears that you have a negative canthal tilt as well as a negative vector in your cheek region. It does not appear that you have lower lid retraction as you do not appear to have significant scleral show.