Upper and Lower Bleph? Jelly roll? Brow lift? Will an upper/lower bleph help with ptosis as well? (Photos)

Question

Turning 40 this year and feel like my face (especially eyes) have aged a decade nearly overnight. I’ve had Botox and dysport before. Never filler (too scared about filler migration) but wondering if upper/lower Bleph will help with the pitosis as well? I often get told I look really tired even after a full sleep.

Michelle Zweifler, MD · Answer

To address extra skin and hooding of the upper eyelid, an upper bleph alone or combined with a browlift with help rejuvenate the eye region.

While a lower blepharoplasty removes excess fat for baggy eyelids with/without excising excess skin.

Kenneth D. Steinsapir, MD · Answer

Sadly in this business if you knock on enough doors you will find someone to do anything you ask for. Those “jelly rolls” are your normal lower eyelid orbicularis oculi muscle. That muscle makes an active muscular hammock that holds the lower eyelid on the eye surface. Having a well intended surgeon operate is very likely to destabilize the lower eyelid and cause lower eyelid retraction. Please do not let this happen. On the other hand, you would have a wonderful benefit from lower eyelid filler. This should only be done with Restylane.  Regarding the upper eyelids, you do not need to have the pupil blocked to have upper eyelid ptosis. I believe you do have a mild central levator disinsertion ptosis. This should be dealt with if you have an upper blepharoplasty. The is no substitute for a detailed consultation with an eyelid specialist.

Connie Hiers, MD, FACS · Answer

Your one photo does not show eyelid ptosis since your lids are above your pupils. Eyelid ptosis is when you cannot fully open your eyelid due to the weakness of a very small muscle that opens your eyelid. Even widely opened, the pupil is still partially hidden and this restricts your vision. However, I think you will have nice improvement with the blepharopasty.

Upper and Lower Bleph? Jelly roll? Brow lift? Will an upper/lower bleph help with ptosis as well? (Photos)

Answers (3)

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Upper and Lower Bleph? Jelly roll? Brow lift? Will an upper/lower bleph help with ptosis as well? (Photos)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.