What can help to tighten and smooth my eye area? (photos)

This is a common question. An upper blepharoplasty would be a minimally invasive approach that would help you achieve the look you desire. It is a quick and easy surgery that many plastic surgeons can do in the office under local anesthesia and for many patients it is the first cosmetic surgery that they will get.

Like many cosmetic facial surgeries, most surgeons will tell the patient surgical treatments typically last 7 to 15 years, but some patients may benefit from a touch up every year or two. Some people may never feel the need back for an additional surgery. However, it is not realistic to think that your results will last forever, as you will continue aging and have exposure to the sun.

You may also consider non- surgical options such as Botox and laser treatment. Non-surgical options are also beneficial for patients after facial surgery for maintenance. It really depends on what your end goal is asthetically and what you are a good candidate for.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. 


I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

You are a good candidate for an upper blepharoplasty to address the excess skin over
the eye. An upper blepharoplasty is a procedure that involves removing the excess skin
on your upper eyelids which is creating the hooded appearance. The procedure involves
measuring the amount of extra skin needed to be excised to ensure symmetry. This
could be done in office under local anesthesia, which I’ve done plenty of times where the
patient feels virtually no pain, or you may go under general anesthesia to have the
procedure done. Both provide the same results, the decision is yours as to if you would
rather be awake or asleep.
To treat the bottom eyelid area I would recommend a lower lid skin pinch which just
involves trimming the extra eyelid skin or a resurfacing laser to tighten the crepey skin in
the undereye region. The decision would be based on a better assessment of the lower
eyelid area. Going forward, I would recommend you to complete multiple in office
consultations with board certified experts to discuss your ideal outcome. This way, they
can assess your goals in person and determine the best treatment for you best.
Best of luck!
Kian Karimi MD, FACS