Age 28, male - does upper blepharoplasty 'raise' your eyelids? (Photos)

Question

I have eyelids that are quite droopy and have "extra skin" making me almost look tired. Can upper blepharoplasty raise my eyelids making them look less "droopy" and more "squinty?" (By "squinty" I mean a smaller distance between my eyelashes and my eyebrow.) I've attached a picture of my eyes in resting position, and another of me actively holding up my eyelids for the desired look. I'm a 28 year old, male.

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Marc Polacco, MD · Answer

Thank you for your question. In general, an upper blepharoplasty addresses excess skin. The droopiness of the eyelid is called ptosis. There are a few approaches to treating ptosis. One can use an incision under the eyelid for mild ptosis. If an upper blepharoplasty is being performed anyway, an extra step to tighten the muscle that lifts the lid will help relieve the droopy eyelid.

Zoran Potparic, MD · Answer

Based on these photos, it appears that you have condition known as eyelid ptosis (droopy eyelids). This can be corrected with surgery. In person consultation with board certified plastic or oculoplastic surgeon is recommended. Good luck.

Michael I. Echavez, MD · Answer

You appear to have some ptosis of your upper eyelids.  This condition allows the upper eyelids to fall lower across the eyeball than it should.  Ptosis can normally be improved with a surgical procedure.  I would consult with an oculoplastic surgeon or a surgeon experienced in ptosis repair.

Kenneth D. Steinsapir, MD · Answer

Blepharoplasty will not repair your upper eyelid ptosis. You need ptosis surgery. Ptosis surgery strengthens the opening of the eyes. Blepharoplasty is a muscle, fat, and skin removal surgery that will not help you unless it is performed with your ptosis repair. The catch is that you need both a function and an aesthetic surgery. Your eyes can be your best feature. There is no substitute for a detailed, in person examination.

John J. Martin, Jr., MD · Answer

You have ptosis, with only a little bit of extra skin.  A ptosis repair will open you eyes by tightening the muscles.  You should see an oculoplastic surgeon who will evaluate your eyelid muscles to determine what surgery would be best for you.

Christopher C. Lo, MD · Answer

Blepharoplasty is a surgery where upper eyelid skin/fat is excised. Removing this extra skin can sometimes lift the lids because that excess tissue can "weigh down" on the eyelids. In your case, it appears like you may have ptosis, where there is drooping of the eyelid itself caused by weakness of the upper eyelid muscles. Tightening this muscle can be achieved without removing the upper eyelid skin. For mild ptosis, you can also try a topical medication called upneeq to temporarily achieve this result. Take care and be well.

H. George Brennan, MD, FACS - Account Suspended · Answer

Upper blepharoplasty would be a good choice for you.  It would define the (valley) of the upper lid.  More importantly, your droopiness is due to a weak muscle that opens and closes the eye.  This is more visible on your left eye, you need to get the advice of a well qualified eye cosmetic surgeon.

Age 28, male - does upper blepharoplasty 'raise' your eyelids? (Photos)

Answers (8)

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