Upper eyelid exposure question: is there a way to actually show more of your upper eye, instead of covering the eyelid?

Question

Am considering surgery to reduce upper eyelid exposure. Fat grafting seems the best option, but what I'm seeing is that fat grafting changes your brow area in a way that makes the eyelid less exposed, it doesn't actually diminish the upper eyelid part, your upper eye is still covered. I'd guess the point of fillers is the same. So my question is if there is a way to actually decrease the presence of the eyelids, is this what bleph does? Honestly I don't like before/after pics of bleph.

Mehryar (Ray) Taban, MD, FACS · Answer

Best to have personal consultation to determine exactly what it is you want. Filler or fat can cover more of the eyelid. On the other hand, upper blepharoplasty actually expose more of the upper eyelids. Ptosis is another factor to be considered if present.

Kenneth D. Steinsapir, MD · Answer

If you are describing that you have an innie eyelid that is not covered by an upper eyelid fold, grafting fat into the eyebrow is not the best option for addressing this. It is commonly performed by surgeons who really do not understand upper eyelids. Grafted fat causes scars and makes lumps and bumps.  There is no easy way to correct grafted fat even with additional surgery. Before you decide a particular course, I recommend seeking additional consultations or at least posting your pictures here so we can help you.

Johnson C. Lee, MD · Answer

It is best to have an in-office evaluation to determine what exactly you are looking for. Some techniques can be made to adjust the crease of the upper eyelid by raising or lowering it. Fillers add volume/fullness to the skin and can bring a crease down as well. Hope this helps!Johnson C. Lee, MD 
Board-Certified Plastic Surgeon
IG: @drjohnsonlee

Shoib Myint, DO, FAOCO · Answer

Hello thepersonwhoisugly,Yes there are ways to reduce eyelid exposure. It depends on the cause. For example if you have thyroid disease the treatment is different than if you have fat loss. Without pictures it is very hard to give you sound advise. The upper eyelid can be brought down with a very simple procedure. My suggestion is to seek out an expert oculoplastic surgeon to have this discussion. Hope this helps.Cheers

Upper eyelid exposure question: is there a way to actually show more of your upper eye, instead of covering the eyelid?

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