What can be done about upper eyelid exposure? (Photo)

Question

I have exposed upper eyelids and I feel it detracts from my overall facial attractiveness. I was wondering if there are any procedures that could give my eyes a more "hooded" look.

Kenneth D. Steinsapir, MD · Answer

This may not make you look like Zac Efron but it will definitely improve the exposed eyelid platform.  I do not recommend the Mullerectomy for this type of work.  You most likely have an underlying disinsertion of the levator tendon.  When this is repaired, the upper eyelid platform will be smaller.  Also when the ptosis is corrected, the eyebrows will relax also helping the situation.  This work starts with a detailed personal consultation.

Mehryar (Ray) Taban, MD, FACS · Answer

Your upper eyelid exposure is due to 1) hollowness, and 2) eyelid ptosis.  Filler injection helps with #1 and eyelid ptosis surgery helps with #2. See an oculoplastic specialist for evaluation and treatment.

Curtis Wong, MD · Answer

as your ptosis progresses and encroaches on your pupils and obscures your visual fields.  Insurance does cover this procedure so find a surgeon near you who can do this for you.  And understand perfect symmetry is very very hard to achieve.

Shoib Myint, DO, FAOCO · Answer

Hello dastop,
You have whats called a high tasrsal platform showing more of the eyelid. This is fixable. Your solution might be surgical (lifting the eyelid a bit and repositioning the crease) or nonsurgical with fillers. Either way your outcome could be very satisfactory. See an oculoplastic surgeon to give you better treatment management with a consutation.
Cheers

Arian Mowlavi, MD, FACS (license on probation) · Answer

What you actually have is upper eyelid ptosis, which is associated with low riding lid margin and a high supratarsal crease (as depicted by your eyes); this can be corrected under your insurance as it is medically necessary. The good news is that it will make you look better as well.

Sara A. Kaltreider, MD (retired) · Answer

Ptosis repair through an appropriately placed skin incision would enhance the appearance of your eyelids as well as your upper field of vision. Be sure to see an experienced ptosis surgeon, one who is skilled with an anterior/ skin approach to repair ptosis. The posterior approach should be avoided as the details of the lid crease, lid contour, and lid fold cannot be addressed from behind the lid. Best wishes.

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