Upper and lower eyelids - Do I need an upper and lower eyelid surgery?

Question

Hello I’m getting lower and upper eyelid sugery done. I was wondering if I needed it or not. I feel heavy and I would like to have it done so I can Wear eyeshadow thank ypou

Alexander Donath, MD, FACS · Answer

Hi there, Yes, you do appear to be a good candidate for upper and lower eyelid surgery, though an in-person consultation would be important to confirm that. Volume restoration I the midface is also typically something we recommend together with the lower eyelid procedure.Hope that helps and best wishes, Dr. Donath

Sean Younai, MD, FACS · Answer

Thank you for your question and sending in your photo.  Having upper eyelid surgery which is removing excess skin will definitely improve the appearance so that you can apply nice eye shadows you mentioned.  Lower eyelid surgery will restore firmness to the area surrounding the eyes and making you look more rested and alert.  I would recommend an in person consultation to go over all your questions and options in more detail.

Theda C. Kontis, MD · Answer

Thanks for supplying a photo. Upper lid surgery removes excess skin and fat and patients are happy they are able to wear eye shadow--so sounds like the right procedure for you.The lower lids have fat herniation and show significant volume loss in your photo. I would perform lower lid fat removal and fat augmentation with fat harvested from your thighs to prevent a hollowed out look.Fillers like Restylane or Belotero could also be used postop instead, if fat is not performed.

Mehryar (Ray) Taban, MD, FACS · Answer

Yes it appears you would benefit from upper blepharoplasty and lower blepharoplasty. Very important not to remove fat but rather reposition eye fat to surrounding hollow area to have more smooth long-lasting results.

John J. Martin, Jr., MD · Answer

You have some excess skin on the upper lids which can be removed with a blepharoplasty.  You also have some visible fat in the lower lids which can be excised or repositioned.  You should notice a big improvement in the appearance of the eyelids post-op.That being said no one "needs" the surgery - purely elective and up to you!

Leo McCafferty, MD · Answer

You appear to be a good candidate for an upper and lower lid blepharoplasty.  Your eyebrows are in good position but you do have some excess upper eyelid skin along with bulging fat that can be addressed.  Your lower eyelids also show some fullness which could be addressed possibly without an external excision, using a transconjunctival approach.  Also you might consider fat grafting to the hollowed area under your cheek to help smooth the cheek junction.  Good luck!

Harlow Hollis, MD · Answer

Upper eyelid surgery for you would improve your appearance. It would be rather relatively straightforward surgery and the results should be excellent.Lower eyelid surgery is more questionable. You have some fat herniation in the lower eyelid and you appear to have not enough deep soft tissues over the bone just under your eyelid.  Lower blepharoplasty surgery I would think should definitely  include shifting the excess fat in your lower eyelid down over the rim of bone below the lower eyelid to fill that hollow. Free fat grafts could also be done but there is fat there that will probably be removed from the eyelid and rather than discarding it, just positioning it a bit lower over the bone to fill the hollow would help solve both issues. Certainly need to be talking to a plastic surgeon who has done lots of eyelid surgery.

Anthony J. Wilson, MD · Answer

Yes. You appear to be appropriate for both upper and lower lid surgery. Removing the upper lid skin will make it easier for you to apply and maintain make up in that area. Lower lid surgery will help with some of the significant bags of the lower lid but be aware that it will likely not rid the dark circles.

Robert Singer, MD · Answer

No one ever "needs" a lower lid or upper lid blepharoplasty. It is an elective procedure and only you can determine if your features concern you enough to do something about improving the cosmetic appearance of your eyes and whether it would be worthwhile. Following the advice of anyone who would presume to tell you what to do based on limited photos and more importantly without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person.
 
 Robert Singer, MD FACS 
 
 La Jolla,California

Matt Erdmann, MBChB, FRCS(Eng), FRCS (Plast) · Answer

You do seem to be a good candidate for surgery.The upper eyelid is usually a problem with excess skin, and removing this will allow you to apply makeup to the newly restore contours.The lower eyelid is more a problem of eyebags and these can be improved, recontoured or even fat pads removed to improve their shape, and thereby alleviate the shadowing often seen on photographs..

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