Will regular eyelid surgery help my heavy hooded Asian eyes? (Photos)

Question

I am Asian and have eyelids already so I don’t need nor want double eyelid surgery. I don’t like the look of double eyelid surgery. However, I have very hooded eyes especially as I’m getting older and want less fat/skin on my upper eyes. I also want my eyes to appear more lifted. I feel like my upper eyelids are very heavy and causes me to squint a lot. Would I be a candidate for regular eye surgery that is not double eyelid surgery? I would like mine to look like the actress pictured.

Jason Emer, MD · Answer

For significant improvement, hooded eyelids require surgery if there is enough skin. For nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photos. You would likely benefit from an upper blepharoplasty procedure to address the hooding and excess skin you’re referring to. This eye lift surgery focuses solely on the upper eyelid.
Excess skin and fatty deposits above the eye can create a puffy, hooded appearance that can be corrected while also creating a more lifted appearance. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your aesthetic goals and suggest the best approach to help you achieve them.

Sam Speron, MD, FACS · Answer

This is a common question.  Upper eyelid hooding can be corrected with blepharoplasty or cosmetic eyelid surgery. It is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your unique anatomy as well as what exactly is bothering you. Botox injections as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations. The recovery & downtime is very minimal. There are usually no drains, most people can go out the same day, you can shower the next day and most patients take no pain medicine. There are never any guarantees of course with any procedure whether it is surgical or nonsurgical in nature. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. I hope this helps answer your question. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Mehryar (Ray) Taban, MD, FACS · Answer

Asian upper blepharoplasty can be customized to each individual anatomy and desired goal. It can be very natural/subtle if desired. See an expert.

Will regular eyelid surgery help my heavy hooded Asian eyes? (Photos)

Answers (4)

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