Upper and lower bleph or brow lift and lower bleph hooded lids/deep under eye hollows? (Photos)

Question

I’m 25 and always have had somewhat hooded lids and deep under eye hollows/tear troughs. I do NOT want filler. I’m starting to notice one side getting a little fat pocket (I think that’s what it is?). On the flip side, I have a bit of a big forehead so I’m not sure if I should opt for brow lift or upper lid surgery. I definitely think a fat transfer for my under eyes could improve my face but wanted opinions. Currently just been getting Botox in the eye area for a subtle lift. Thank you!

Thomas A. Mustoe, MD, FACS · Answer

You do not need a lower blepharoplasty, but fat grafting woukd be very beneficial.  Fat transfer to the lower eyes requires finesse because the tissues are thin.  Choose somebody with extensive experience.  Regarding your upper eyes: I do not see a need for a browlift.  An in person examination is required to make a complete recommendation.  You want to avoid doing too much at age 25.

Patrick Flaharty, MD FAACS · Answer

You are young and beautiful and do not need any facial surgery. Your photos do show mild hollowness of the lower eyelids causing some shadowing or dark circles. There is a very nice cannula technique which can be used to fill in this hollow reducing your dark circles. This is a quick office based procedure with no downtime but there are some important keys to success. One, you want an experienced injector how uses the cannula technique. You want someone who does these every day not just once a month. Secondly, you need to use a less hydrophilic hyaluronic acid filler (Belotero or Restylane).  You are a good candidate for this treatment. Consulting with a physician who has vast experience in this lower eyelid cannula technique is the best way to learn more about this procedure.

Upper and lower bleph or brow lift and lower bleph hooded lids/deep under eye hollows? (Photos)

Answers (2)

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Everything you need to know about Brow Lift

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Upper and lower bleph or brow lift and lower bleph hooded lids/deep under eye hollows? (Photos)

Answers (2)

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Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.