Would I be a good candidate for upper and lower blepharoplasty? (Photos)

Question

Would upper and lower blepharoplasty be the best solution to eliminate the puffy, discolored area under my eyes, as well as the puffy upper eye area of my eyes? I feel like this area ages me so much. Also, would this procedure help with reducing saggy jowls, or would I need to pair the blepharoplasty with another procedure?

Adam Bauermeister, MD · Answer

Hello, thank you for your question and the photo. Based on the photo you provided it appears that you have some upper eyelid skin redundancy and upper eyelid fat pad herniation along the nasal aspect of your lid as well as lower eyelid fat pad herniation. A combination upper and lower blepharoplasty would help correct all of those issues. The type of lower eyelid surgery I perform also provides some midface lift, but would not help reduce any jawline issues such as jowling. A facelift would be the procedure of choice to help correct jowling if significant, if minor then filler can sometimes be used to help camouflage it and improve your jawline. Best regards. 
Adam Bauermeister, MD

Mehryar (Ray) Taban, MD, FACS · Answer

Yes you appear to be good candidate for upper and lower blepharoplasty. See an expert for natural results.

C. Blake Perry, MD · Answer

You would be a great candidate for upper and lower lid blepharoplasty. Removing excess skin and medial fat from the upper lid would help make the eye look less crowded. Lower lid surgery would remove and reposition your lower lid fat to give you a smooth contour from your lid to cheek. This would eliminate the "bag." Best to see an eyelid specialist.

Lexie Wang, MD · Answer

You are absolutely a candidate for upper and lower bleph. The lower bleph is the best option for the puffy area under the eyes. The upper eyes you could do an upper bleph but I think your best result and longest lasting would be an upper bleph + browlift, as some of the hooding is due to your brows falling (you can see this especially in the last photo), particularly in the tail of the brow. An upper bleph will help some but the surgeon would need to be careful about not broaching into the brow skin territory to avoid pulling your brows down further.

Philip S. Schoenfeld, MD, FACS · Answer

You are an excellent candidate for a 4 eyelid blepharoplasty.  The lower eyelids can be addressed transconjunctivally and the upper eye fullness would require both an upper eyelid blepharoplasty and a browlift to reduce the heaviness.  Unfortunately, your midface and lower face would not be affected by your eyelid rejuvenation.

Tanveer Janjua, MD · Answer

You could benefit from both. You have extra skin in upper eyelids and excess fat in the lower eyelids. 
1. Upper eyelid blepharoplasty
The excess skin in upper eyelid can be easily corrected with an upper eyelid blepharoplasty. In this procedure the excess skin is marked using a gentle pinch to assess the amount of skin that needs to be removed. The incision is placed in the natural crease above the eyelid to camouflage it. The procedure is quick and has very little down time. It can be done under local anesthesia.

2. Lower Eyelid Blepharoplasty
The lower eyelids look baggy mostly because of excess fat. This can be removed either by making an incision under the lashes called sub-ciliary approach or from inside the eyelid called Transconjunctival approach. The amount of skin removed has to be minimal as it can pull the lower lid downwards and make it look strange and change the shape of the eye.  All surgeons have their favorite approaches. I like Transconjunctival approach in most cases.
Regards
Dr. J

Gary M. Horndeski, MD · Answer

Your photographs are somewhat limited. You may also benefit from a browlift. Your brow should be at or above your orbital rim. You would also benefit from an upper blepharoplasty as you appear to have excess skin. However, the browlift may help with some of this as well.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

There seem to be good reason to consider upper and lower blepharoplasty; a lower transconjuctival blepharoplasty would be a good choice. Dispigmenration of the skin should be treated with chemical peel or laser. In person consultation with a board certified plastic surgeon would help.

Tanya T. Khan, MD · Answer

Hello, yes, it does seem from your photos that you would be a good candidate for upper and lower blepharoplasty. Please see an experienced oculoplastic surgeon for best results.

Sean Saadat, MD · Answer

Hi, Based on the photos I think you would be a great candidate for an upper eyelid bleph and a lower bleph as well. Since you’re young and have nice skin quality the results will be even better and the lower lid can be done through the inner eyelid to make a scarless approach. I think it would really help you feel and look more refreshed and youthful.

Would I be a good candidate for upper and lower blepharoplasty? (Photos)

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