37, male, mild ptosis: eyelid surgery &/or brow lift to make eye area more symmetrical? (Photos)

Question

Hi, I'm a 37 y/o male. I have always had a small aysmmetry in the eyes when smiling. However, in the last few years I have developed mild ptosis in the right eye which worsens in the evening. This happens when not smiling i.e. resting face (see attached photos). Possibly, my right eyebrow has sagged as well but less obvious (to me). Presumably, this is all due to loosening skin as part of the ageing proces. What would it take to make my eye area more symmetrical?

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.As far as I can see from your photos you have extra skin lower and upper eye areas. Also your eye corners are downward. For more symmetrical, fresh and elegant look I highly recommend you; endoscopic brow lift, upper and lower blepharoplasty. Please keep in mind that %100 symmetry is not achievable in any case. Best Regards!

Kenneth D. Steinsapir, MD · Answer

You have a slightly stronger eyebrow compensation on the right compared to the left. The left ptosis is more evident. This likely reflects that you are right eye dominant. Blepharoplasty and brow lifting does not address upper eyelid ptosis. You need ptosis surgery. This is work that is performed by fellowship trained eyelid specialists with primary training in ophthalmology. There are two common approaches to upper eyelid ptosis: anterior and posterior. Posterior ptosis surgery is the most popular because it is a quick surgery with simple anatomy. Unfortunately it lack the power of anterior levator resection ptosis surgery. Which of these surgeries will be right for you is determined by a detailed clinical assessment and the judgement of the ptosis surgeon.

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Soon-Dong Kim, MD · Answer

From the photo, I can see the sleepy eyes. Have you ever thought that you have sleepy eyes before? That means, your eyes have ptosis. In that case, only with ptosis correction, the eyelid could be thinner and your eyes looks fresher and even bigger! Please check ptosis correction! If you have further questions then please let me know. Thank you!

37, male, mild ptosis: eyelid surgery &/or brow lift to make eye area more symmetrical? (Photos)

Answers (4)

Answer: Recommendation

Answer: Recommendation

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Everything you need to know about Eyelid Surgery

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37, male, mild ptosis: eyelid surgery &/or brow lift to make eye area more symmetrical? (Photos)

Answers (4)

Answer: Recommendation

Answer: Recommendation

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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.