Help 42 and I need work but I don't know what will help me! What can I do for my eyes please? (photos)
Doctor Answers 8
Loss of volume of the tear trough and upper cheek area.
I agree with Dr. Steinsapir. Please read his response. Of note, he is an experienced occuloplastic surgeon (eyelid plastic surgeon with ophthalmology training) You have significant hollowing of your lower eyelids as well as upper cheek. Only treating the lower eyelids without adding volume to the upper cheek would not give the full effect you may be looking for.
I suspect that your upper eyelids do not actually look like the selfie you posted. Some people will do funny things to strain to their eyes when taking photos. This may be the reason we don't see any upper eyelid platform. I also suspect that when compared to your younger photos, you probably did not have much upper eyelid showing even back then (Think Jennifer Aniston vs. Courtney Cox.) So I will not comment on whether or not you would benefit from upper eyelid surgery. Additionally, you did not say that your upper eyelids bothered you.
I think the aesthetic goal for you would be to make your cheek and lower eyelid appear to be one single smooth surface. Please check my web reference as an example.
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It is important to understand that you are not an ideal candidate for eyelid surgery.
Eyelids and midface
I would agree that the majority of your aging changes are due to changes at the junction of the lower lid and midface and volumizing this area with hyaluronic acid fillers would certainly be a safe and potentially very effective initial treatment. Laser resurfacing could also be beneficial to give some tightening effect to the lower lid skin. While a conservative upper blepharoplasty might also be an option, it might be best to start with non-surgical approaches. But again, these are all things that you would need to discuss in-person with a surgeon experienced in this area.
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