Would an upper blepharoplasty help this as it's more genetic? My upper lids are heavy and any eye make up is often lost. (photo)

Although an in-person exam would be necessary to provide a definitive answer, based on the photo it's possible to give you a crease that is higher and more symmetric with upper eyelid surgery. During the surgery a small amount of fat will be removed, and your crease will be formed and set at a bit higher. In regards to your lower eye bags, common reasons for lower blepharoplasty include tear trough deformity or pseudoherniation of the orbital fat. It does appear you have pseudoherniation of fat creating "eye bags.” They should also be more prominent when you look up. Transconjunctival lower blepharoplasty with fat repositioning will provide nice results and a better lid-cheek transition in this case. If you want the best idea of what is possible for your eyes, do your due diligence, find an experienced surgeon, and have him/her evaluate you in person and discuss your options. @drdonyoo

Great Question! Blepharoplasty is a surgical procedure that targets eyelids, which can be performed on both the upper and lower lids. This surgery can help target tired-looking eyes and even hooded genetic eyes by removing skin, muscle, and even fatty tissue. As with any surgery, finding the right candidate for the procedure is imperative. Schedule a consultation to find out if a blepharoplasty is right for you! Best, Dr. RG.