48 - Advice on what to do with my hooded eyes? (Photos)

Question

I am 48 years old and need advice on how to reduce or get rid of my hooded eyes. Open to options.

Pasha Mostofi, MD, DMD · Answer

Hi there. From your photos, the hooding you’re seeing is likely coming from two places: some extra upper eyelid skin and a mild drop in the brow position. Because of that, it’s really important to be evaluated for both a brow lift and an upper eyelid lift (blepharoplasty), rather than assuming it’s just one or the other.
An upper blepharoplasty removes the excess skin from the eyelids and is the most reliable way to open up the eyes. However, if the brow has also descended, even slightly, addressing that with a subtle brow lift can make a big difference in the overall result and help avoid a heavy look. In many patients, a combination of the two (even if the brow lift is very conservative) gives the most natural, refreshed appearance.
If you’re not ready for surgery, a small amount of Botox can sometimes give a gentle lift to the outer brow, but it won’t remove the extra skin. Non-surgical tightening treatments can help a little, but results are modest compared to surgery.
The key next step is a proper in-person assessment to determine how much each factor, brow vs. eyelid, is contributing, so you get the right treatment plan and the most balanced, natural outcome. Hope this helps!

Carl Truesdale, MD · Answer

Thank you for your photos. To best address the hooding of your upper eyelids, an upper blepharoplasty combined with a brow lift is recommended. Performing both procedures together will provide the most optimal result by opening the eyes and creating a more refreshed, youthful appearance.
An upper blepharoplasty removes excess upper eyelid skin, while a brow lift sets a more elevated brow position, further helping the eyes appear brighter and less heavy. This combined approach is recommended to provide the best possible outcome and achieve your goals. These procedures can be performed at the same time.

Mehmet Ozdemir, MD · Answer

Thank you for your question.
Based on your concerns, you would likely be a suitable candidate for a brow lift combined with blepharoplasty, which can elevate the brows, reduce hooding, and refresh both the upper and lower eyelid area for a more open, rejuvenated appearance.
A detailed evaluation can confirm the best approach for your goals.
I hope this helps.

Kadir Berat Oyur, MD · Answer

Thank you for your question.
Based on your concerns, you would likely be a suitable candidate for a brow lift combined with blepharoplasty, which can elevate the brows, reduce hooding, and refresh both the upper and lower eyelid area for a more open, rejuvenated appearance.
A detailed evaluation can confirm the best approach for your goals.
I hope this helps.

Jeffrey M. Darrow, MD · Answer

Thank you for your photos. From your photos, it appears that your brows are in good position.  The redundant skin is localized only to your upper lids. Therefore, an upper blepharoplasty, done under local anesthesia, would remove this redundant skin and reduce the hooding of your upper eyelids and elevate your upper lids 2-3 mm.  There is only one suture used per eyelid, which runs underneath the surface of the skin, which gives maximal incision line quality, and is removed in approximately 5 to 7 days. Recovery is very quick at approximately seven days.  Discuss this in detail with your plastic surgeon.

Nelson Lee Novick, MD · Answer

Surgery is one option for hooding of the eyelids. This tends to be expensive, possesses the risk of visible scars, and a prolonged post-operative healing period.  A second possibility to consider is The Ten Minute Eyelift in which each "hood" is numbed with local anesthesia and each hood is shrunk and tightened via the use of  electrocautery performed on the underside of the hood in order to mask any post-treatment marking. The procedure literally takes about five minutes per lid, hence the name. 
Hope this helps and best of luck.

48 - Advice on what to do with my hooded eyes? (Photos)

Answers (6)

More Eyelid Surgery Questions

30 - Would a lower bleph be the best treatment for malar bags/festoons? (Photos)

Lower eye lines- is a lower bleph needed? (Photos)

Lower bleph 1.5 years ago and still have small bags. Is a correction needed for my lower bleph? (Photo)

27 - What can be done to make me look less tired? (Photos)

Ptosis surgery from years ago gave me uneven eyes - can this be corrected? (Photos)

Am I a good candidate for a conservative upper blepharoplasty? (Photos)

WE SEND PRETTY
EMAILS