What eye procedure do I need? (Photo)

Question

I would like to remove this "hooding" which is caused by sagging skin under my eyebrow. However, I do not want to dramatically change the shape or position of my eyebrow. This before and after demonstrates the change I would like to make.

Nelson Lee Novick, MD · Answer

The kind of result you are looking for can be quite easily achieved with the use of an appropriate HA filler placed beneath the outer third of the eyebrows in order to re-create the more feminine upward and outward flare of the eyebrows, much the way you did with your fingers. And again, as you demonstrated with your fingers, the aforementioned simple treatment will likewise diminish the sagging of the skin beneath the eyebrows. In experienced hands, the entire treatment should not take more than about ten minutes tops to perform with immediate results and little to no significant post-procedure downtime. You would be wise to consult with an experienced, board certified cosmetic dermatologist filler injector. Hope this helps and best of luck.

Leland Deane, MD, FACS · Answer

Depending on the physical exam to determine brow position, I would say that most likely you need a conservative upper blepharoplasty, being careful the conserve the lateral fullness that is so important to a youthful look.
Happy to discuss virtually or in person.
Leland Deane MD FACS
NYC, Garden City

Chet Mays, MD · Answer

An Upper Blepharoplasty is a procedure that can be done to remove excess skin/fat on the upper eyelids. This procedure can be done in the OR under general anesthesia or as an in office procedure with local anesthesia. I would recommend scheduling a consult with a board certified plastic surgeon in order to meet your expectations.

Gianfranco Frojo, MD · Answer

I would recommend a browlift and upper eyelid blepharoplasty. I would also recommend a full eye / face physical exam before being able to provide any definitive recommendations.  I recommend finding a surgeon certified by the American Board of Plastic Surgery. Ideally, one with experience in facial aesthetic surgery.

Andrew Miller, MD · Answer

If you want to keep your eyebrows at the same location, you can certainly make a nice improvement in the upper eyelid skin with an upper blepahroplasty only. Be sure you see a facial plastic specialist for consultation.

Eric M. Joseph, MD · Answer

Upper eyelid blepharoplasty procedures are intended to remove excess eyelid skin that causes hooding. Please consider meeting with several reputable facial plastic surgeons for a consultation. Thank you for your question. Sincerely, Dr Joseph

Michael A. Persky, MD · Answer

Hello Romantic,
My favorite surgical procedure is a skin only upper blepharoplasty performed in our office under local anesthesia.  The procedure takes about an hour, patients are sedated with Xanax and a weight appropriate dose of Demerol and an antihistamine so that they are extremely comfortable making the treatment quick and easy.  The incision and stiches are in your natural eyelid skin crease which you can see in your photos.  The sutures are removed 5 to 7 days after surgery.  The lid is initially swollen and slightly bruised.  A day or two after surgery concealer can be applied.  The incision line evolves from red to pink to normal skin color over 4 to 6 weeks, once it is back to normal skin color it is not noticeable.  The day of your upper blepharoplasty and the following day involve relaxing and resting, after that, you feel normal, may work from home or even put on your sunglasses and go about your business.  Excercise may resume a couple of days after your stitches are removed.  Feel free to contact me with any further questions or concerns.  As with any aesthetic treatment it is extremely important to choose your treating physician carefully based on their experience, skill, certification, knowledge, care, and natural artistic vision.  Good luck and be well!

Gary M. Horndeski, MD · Answer

To reposition the lateral eyebrow higher would require a lateral browlift.  This could be done in the hairline to pull the corner of the eyelids up.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

Conservative upper blepharoplasty likely would meet your needs. In-person consultation with a board-certified plastic surgeon is recommended. Good luck.

Jeffrey S. Yager, MD · Answer

Lateral hooding is most simply corrected via upper eyelid surgery, or blepharoplasty. In your case, I feel the alternative, a brow lift, would leave your lateral brow unnaturally high in order to clear the amount of hooding present.  Simple 30 minute do.

What eye procedure do I need? (Photo)

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