Australian Dr. Bryan Mendelson uses tarsal fixation instead of removing excess skin and fat from the upper eyelids in order to create a correction and lift in the eyelid. He says this is to prevent skin stretching and instead give long lasting results. See here: https://bmendelson.com.au/eyelids/ Would this procedure, however, give the same striking results as common practice eyelid surgery (removal of skin and fat)? Mendelson does promote a slightly underdone but natural result?
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Consultation with an Oculoplastics specialist will provide you with an accurate diagnosis and answers to your questions. Orbital, eyelid, and facial examination give clues to diagnose the cause of your asymmetry. You may have normal asymmetry (subtle "hemifacial microsomia" which does not requ...
Botox can be used to improve wrinkles around the eye. Deeper wrinkles need a combination approach with Botox and lasers, microneedling/prp and fillers. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer
It's difficult to tell from the photos provided but you may find improvement with Morpheus8 treatments. They work by stimulating your body's natural collagen production. Visit with a board certified plastic surgeon near you for a consultation.