I have deep set eyes. Can I get a blepharoplasty? I want my lid to be more visible and less fleshy (Photo)

In the first picture, you are showing profound forehead compensation. What is going on here is that you have bilateral mild upper eyelid ptosis. That is causing the compensatory eyebrow elevation. You have really minimal extra skin and tissue in the upper eyelid. However, addressing the upper eyelid ptosis with an anterior levator resection ptosis surgery with an anchor blepharoplasty to set a lower upper eyelid crease will allow the eyebrows to relax. These are surgical details not found in the blepharoplasties of most eyelid surgeons who think their job is removing eyelid skin. Your eyes can be your best feature.

You have mild upper eyelid ptosis (droop). An conservative upper blepharoplasty (removing excess skin) will definitely help, but you may also benefit from a ptosis repair that can open your eyes. Seek a surgeon that is experienced in both external and internal ptosis repair procedures so that you can get an unbiased opinion of what is best for you.

You may benefit from upper blepharoplasty which can be done under local anesthesia with quick healing as shown in the video. Need evaluation to determine.

Upper blepharoplasty for a more feminine and attractive face. Yes this will remove the excess skin and open up your eyes. See a very experienced surgeon for this who has done hundreds of these surgeries with natural results.

An upper blepharoplasty can help remove some extra skin so you have more visible upper eyelid or more eyeshadow space. The incision is hidden within your natural crease so there is no scarring. Hope this helps!

Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Excessive or 'redundant' asymmetric upper eyelid skin is very typical finding that some patients have genetically while in others it develops with aging.
Based on your photo but without an examination, you appear to be an excellent candidate to cosmetically improve the appearance of your eyelids with an artistically performed conservative upper lid blepharoplasty.


Following the advice of anyone who would presume to tell you what to do based on limited photos 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.

Facial rejuvenation needs to be individualized. What would be an ideal approach for one patient is not necessarily the same for someone else. Based on the examination and discussion at the consultation, you should have a better understanding of the various options that can achieve the best cosmetic result for you.

Robert Singer, MD FACS

La Jolla, California