Will blepharoplasty take away my naturally hooded eyes that I love? (Photos)

Question

I am about to turn 43 and have some extra skin on my upper eyelid. I'm thinking about a bleph surgery but I've always had hooded eyes and I love them. I don't want to alter my natural eye shape (like Renee Zellweger did). I would like to have them more like they were 10 years ago! Very nervous to alter my eyes! Not the best pics to represent issue but only have a handful on my computer. Also not sure why they are sideways. Thank you!

Kenneth D. Steinsapir, MD · Answer

Saying the surgery is about technique without saying what technique should be used is  a warning sign. When I look at your pictures, what I notice, is the position of the eyebrows. They are low and the medial eyebrow heads are relatively wide. It makes me wonder if you are getting Botox that is effecting your eyebrow position. If that is the case, I strongly recommend letting that service wear off before spending time getting eyelid surgery consultations. This might be 3 to 4 months after the last Botox service you have had. You might do beautifully with a very precise anchor blepharoplasty but it is also possible that you need a conservative, endoscopic forehead lift in addition to the eyelid surgery. There is no substitute for a detailed personal assessment.

Thomas A. Mustoe, MD, FACS · Answer

Yes you can if properly done without removing fat and too much skin.   often a brow lift in combination will keep your brows from being pulled down and corrects the subtle but meaningful brow ptosis that occurs with age and allows meaningful improvement with a conservative blepharoplasty.

Mehryar (Ray) Taban, MD, FACS · Answer

It is all about the technique. You can have natural resuts from upper blepharoplasty as you ca see on video below. Your brow position should be maintained for your desired look. See an expert.

A.J. Amadi, MD · Answer

You do have very full upper eyelids and brows which are attractive features. You can maintain your natural eyelid shape with a very conservative SKIN only upper blepharoplasty. This means your surgeon needs to avoid removing any eyelid muscle or fat. You need to explain your expectations to your surgeon and together come up with the surgical plan. Communication between you an your surgeon is very important in maximizing chance for surgical success. You need to find a surgeon that listens to you and follows your aesthetic ideals, rather than his/hers. Look at before and afters and read the explanation for the photos. On my website, I discuss what my patients goals were so that you can follow the results. If you look under upper blepharoplasty and brow lift sections you'll see many patients with your eyelid/brow configuration. We do offer virtual consultations for out of town patients.

Kevin Bounds, MD · Answer

I think you have presented your concerns well and can move forward with confidence once you have interviewed your doctor and expressed this to him/her.. A conservative blepharoplasty can accomplish your goals in my opinion. Be sure your surgeon expresses a similar view and can demonstrate examples of his work to you.

Jeffrey Jumaily, MD · Answer

The best way to proceed is to have a conservative eyelid surgery where the amount of skin removed is precisely determined to show a bit more eyelid but without skeletonizing the area (a la Ms. Zellweger). Best wishes.

E. Ronald Finger, MD · Answer

Thank you for your question and photos. It is absolutely possible to conservatively remove skin from your upper eyelids so they won't be overdone. You must relate to your plastic surgeon exactly what you are looking for and take photos of when you were younger. Also ask to see his/her pre and post operative photos, so you know you have someone you are comfortable with. This relatively minor procedure can be done under local anesthesia if you prefer.Best of luck to you.E. Ronald Finger, MD, FACS

William Portuese, MD · Answer

A very conservative skin only upper blepharoplasty can accomplish improvement in that area. It's important not to remove any fat or muscle if you're trying to keep the hooded look. This procedure can be performed under local anesthesia as an outpatient procedure.

Johnson C. Lee, MD · Answer

Thank you for your photos. You can always maintain a more natural appearance and keep your eye shape as long as a conservative amount of skin with or without fat are removed depending on your goals. It is best to have an in-office evaluation to determine the best treatment plan for you. Hope this helps!Johnson C. Lee, MDBoard-Certified Plastic Surgeon

Daniel Straka, MD - Account Suspended · Answer

By seeing an experienced and qualified eyelid surgeon an upper blepharoplasty can absolutely improve the appearance and heaviness of your eyelids without causing you to lose your naturally more full upper eyelid. A conservative blepharoplasty removing usually only skin would give you an excellent result that is natural yet refreshed.

Will blepharoplasty take away my naturally hooded eyes that I love? (Photos)

Answers (10)

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