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The first concern is to rule out a treatable cause of your eyelid droop. Once that workup is complete you can look at options to fix the eyelid droop. The usual procedure is a ptosis repair which tightens the eyelid elevating muscle to elevate the eyelid and improve symmetry. This is a procedure that requires alot of experience to create a natural looking result. Oculoplastic surgeons tend to have the most experience with this type of repair. I hope this information is helpful.Stephen Weber MD, FACS
Asymetical eyelid level can have a multitude of underlying causes howevever most can be sorted out by an exam and history. The CT scan also likely helped eliminate some underlying causes for a drooping eyelid. Usually the cause is related to the muscle and tendon attached to the eyelid. This can be corrected by an operation to tighten the tendon attachment to the eyelid. A surgeon certified by the American Board of Plastic Surgeons is trained sort out the possible causes and to handle the correction.
There are many different causes for under eye wrinkles, each requiring a different treatment. If skin redundancy is the predominant factor then a skin pinch or surgical removal would be best. If there is a significant amount of volume loss then volume replacement would be preferred...
For blepharoplasty patients with true lower lid skin excess or redundancy, some skin must be removed to restore a youthful appearance. This is performed through a subciliary incision, which is an incision placed immediately below the lower lid lashes. This incision is hidden by the lower lid...
The answer to your specific question is Yes. An upper blepharoplasty can be performed without removing fat and without dramatically changing your appearance. However, judging by the single photo you've submitted part of your upper eyelid issue likely result from drooping eyebrows. Comprehensive...