Am I a good candidate for upper blepharoplasty? (Photo)

Question

Wondering if I’m a good candidate for upper blepharoplasty. I always feel a lot of pressure or strain in my right eye (circled in the picture). I have great vision and I’ve gone to several optometrist who can’t figure out why. The only relief I get when I feel this pressure/strain is when I lift my eyelid up or and hold it, or close my eyes. Wondering if maybe I have excess skin on my lid that is causing that pressure feeling and should look into eyelid surgery.

Jeffrey M. Darrow, MD · Answer

Your symmetry of your upper eyelids is very close. I don’t see any appreciable extra skin in the circled eye in your photographs. The position of your eyelid with regard to your pupil also looks approximately equal. I don’t know the exact answer for your pressure in that eye, however, and upper blepharoplasty, removing only skin, may give you a small amount of relief. This can be done under locally anesthesia only, as long as you’re agreeable to it, and would give you a quick recovery.  Consult with your Plastic surgeon about these options and whether they think it will help. Best wishes.

Camille Cash, MD · Answer

There doesn't appear to be an excessive amount of lax skin on either eyelid.  If your optometrist isn't able to find the cause of the eye pressure and strain you may want to visit an ophthalmologist before considering blepharoplasty.

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