Which procedures address lateral hooding of the eyes?

Question

My eyebrows are naturally very high, so are there any procedures other than brow lifts that will correct lateral hooding without raising my eyebrows even higher? I didn't have this issue until after I had an upper bleph with extended incisions (about 1/2 inch past the outer corner) and mainly it's just the left eye.

Shim Ching, MD · Answer

A browlift is really the only procedure that addresses lateral hooding.  Some surgeons try to remove skin from this area, but in my opinion, this looks unnatural and the scar is quite visible.  The brow remains low with this approach and the results are inferior to a properly performed browlift.

Parker A. Velargo, MD, FACS · Answer

An in-person exam would be the best way to address your concerns.  I have had great success with performing lateral temporal brow lifts where an incision is made behind the hairline above the temples and just the lateral portion of the brows are elevated to correct the lateral hooding.  Other non-surgical options for very mild hooding include relaxers (Botox/ Xeomin/ Dysport) and fillers, but this may produce too subtle of results for your needs.  An in-person assessment is key.  It's best to go 
to a facial 
plastic surgeon or plastic surgeon who can evaluate your face and offer an honest assessment of 
the best way to accomplish your desired result (whether that be non-surgical or surgical).  I 
wish you
 well!

Timothy R. Miller, MD · Answer

The best procedure(s) is/are best decided after an in-person examination of the area.  Options for lateral hooding are: temple lift (lateral brow lift), volumizing the area with fat transfer of filler (fat works the best), CO2 laser resurfacing, and sometimes removal of the excess skin through a primary or revision blepharoplasty.  Botox can also be used to help improve lateral hooding in some cases.the link below offers some more information.I hope this helps.

Thomas Romo, III, MD · Answer

If your outer brow is falling after upper lid blepheroplasty then you probably needed this area of the brow lifted in the first place. Outer brow elevation now may be required as long as your eyes will close properly.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Lateral hooding may be a result of brow position, redundant skin or lacrimal gland droop.  A thorough exam is required to determine the best approach to a solution

Mehryar (Ray) Taban, MD, FACS · Answer

Often, the lateral (outer) eyebrow falls, contributing to the eyelid hooding that cannot be addressed by upper blepharoplasty. In that case, lateral brow lift is beneficial. This can be done under local anesthesia, through a pretrichial incision in the temple.

Yadro Ducic, MD · Answer

You might need transcutaneous brow repositioning. You may be able to release the brow and bring it down

Sam Goldberger, MD · Answer

It would be best if you sent a photo, and better yet, if you saw someone in consultation.  A temporal brow lift, which only lifts the outer corner of the brow, may be what you desire.

Stephen Weber MD, FACS · Answer

Hooding is most often addressed either by removal of a very small amount of extra skin that is creating the hood or conservative elevation of the outer part of the eyebrow. It is not possible to make a specific recommendation without meeting you or at least seeing photos of the area that concerns you. Ideally, you can discuss with your original eyelid surgeon as they know your history better than any other surgeon. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

William Portuese, MD · Answer

Lateral hooding of the eyelids can be treated with an upper blepharoplasty or a brow lift.  Without pictures, no opinion can be given.  For examples of both procedures, please see the link below

Which procedures address lateral hooding of the eyes?

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