Hello. I have hooded eyes problem like many people. What would be the best option and possibly quicker?

Question

The problem with them is they make my eyes feel heavy. tired and may be i am sleeping a lot becasue of that . I am a medical student, because of this problem , i feel like i am less focused and more tired most of the time.

Guy Watts, MBBS (Hons), FRACS (Plast) · Answer

Thank you for your question. It would be good to see some images in order to give a personal recommendation for your options. Hooded upper eyelids often results from excess skin or fat in the upper eyelids. Hooding can also be contributed by a low brow position. A personal examination would be required to identify your main issue but overall excess skin in the upper eyelid is the most common cause. Excess skin responds well to upper eyelid blepharoplasty and you should seek a consultation with a Specialist Plastic Surgeon to discuss your options.RegardsDr Guy Watts

Nelson Lee Novick, MD · Answer

Photos would have been extremely helfpul. In their absence, what I can say in general, surgery is the definitive approach to addressing upper eyelid hooding. That having been said, I have been performing The Ten Minute Eyelift for mild to moderate hooding (including doing on myself) for over fifteen years with gratifying results and relief. For more information about this, you can check out the archives of RealSelf.com.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Hi Spatel36, thank you for your question. Extra skin and fat on the upper eyelid can cause the eyes to feel and look tired. Taken to the extreme, the extra skin can hang so much that it can hamper your vision and cause discomfort. Eyelid surgery combined with Eyebag Removal can effectively reduce the excess skin from the upper and lower eyelids to leave you with wider more youthful looking eyes.I would suggest you look fully into the procedure and find a surgeon that is experience and that you trust.Good luck going forward

Soheila Rostami, MD, FAAO, FAACS · Answer

the treatment of choice for your condition, which it is called dermatochalasis, is upper eyelid blepharoplasty. You need to go to an oculofacial plastic surgeon and they can assess you if you also have ptosis of your upper eyelids.  the ptosis of upper eyelids will be repaired with other surgical intervention.

Christian Subbio, MD · Answer

There are a few options for "hooding" of the eyes.  But, it is first essential to be examined by a board certified plastic surgeon, facial plastic surgeon, or oculoplastic surgeon.  This problem is typically caused by either one of 2 things or both.  #1–low or descended brow position.  If the brows have begun to descend, they can make the upper eyelid skin gather even if it is not excessive.  Lifting the brow will improve the eyelid skin.#2 excess upper eyelid skin.  If this is the cause, removal of that excess skin within upper blepharoplasty is the option.  It can be done in office under local anesthesia and works quite well.Brow lift and upper lid lift are usually performed surgically.  However, there are some skin tightening lasers that can help the area above the brows contract and perhaps improve the situation somewhat. Though not quite to the extent of the surgical options.First, I would suggest you trial better sleeping habits.  If the root cause of all of these problems is a poor and overworked sleep schedule, this is the area to work on first rather than jump to surgery.  It is quite important to get as much sleep as you can, even in medical school.  Addressing the cosmesis of things without addressing the underlying sleep hygiene I think will lead to dissatisfaction in the long run.Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question. The definitive treatment of choice for upper eyelid dermatochalasis is blepharoplasty. It takes about an hour to perform and 2 weeks to recover. The most important issue is to preserve a natural appearance. Make sure to see a highly experienced doctor to perform your surgery. Good luck with medical school!

Kenneth E. Morgenstern, MD · Answer

Upper lid heaviness and "droop" could be an issue with the "lid" alone or in conjunction with the brow position.An in-person evaluation is essential in order to determine which specific factors are contributing in your situation as the surgical treatment (or non-surgical) can vary depending on these.You should meet with an experienced oculofacial specialist for a thorough examination and to discuss your recommendations.

William Portuese, MD · Answer

Upper eyelid surgery is usually performed when patients have significant excess skin creating the hooded look on the upper eyelids. This involved removal of skin in the upper lids and sometimes small amount of orbital fat which create the puffiness look as well. The incision is located directly in the upper eyelid crease. In our practice, we used dissolvable stitches for upper eyelid surgery. A full set of pictures are required before making any determination. Ptosis must also be ruled out. For many examples of cosmetic blepharoplasty,  please see the link and the video below

Steven Wallach, MD · Answer

Hooded lids may be related to brow sagging or excess upper lid skin. Best to be seen in person to be properly evaluated. Good luck!

Gregory D. Lewen, MD, FACS · Answer

Hooding of skin in the upper eyelids is best addressed with an eyelid surgery called blepharoplasty.  The surgery involves carefully measuring the excess skin in the upper eyelids and removing this tissue in a careful manner in order to sculpt the eyelids and create less heaviness.  Generally, the average healing time for most healthy people is about 1-2 weeks with some degree of normal bruising and swelling to be expected in this period.  If you are in medical school, then you likely spend a large amount of time reading and/or on the computer.  If your eyes frequently feel tired and heavy, it is very likely that you may also have some degree of a dry eye condition.  You may consider using some over the counter artificial tears or lubricant drops (not Visine) a few times throughout the day and see if this helps your comfort level.  Even if you do decide to proceed with blepharoplasty surgery, dry eyes can be a common side effect in the immediate post-operative period and it is usually helpful to use some drops through your healing process for best results and comfort.Best, Dr. Gregory Lewen

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