Can a Blepharoplasty help hooded eyes and uneven folds? (photos)

Based on your first photo, you have mild right upper eyelid ptosis (levator disinsertion) with right brow elevation as a compensatory mechanism. This also leads to multiple crease formation because your levator is not properly pulling your crease inward.
The surgical fix is not to remove more skin, but rather to fix the droopy eyelid, and reinforce the crease with an anchor blepharoplasty. This is the same type of technique used in double eyelid surgery for Asian patients. This is NOT routine eyelid surgery. I spent time training in Seoul, South Korea mastering these surgical techniques. Make sure that you choose a surgeon that has significant experience in Asian eyelids.

Hello and thank you for your question. Truly, there is always an amount of asymmetry between eyelids naturally, and there doesn't appear to be an abnormal asymmetry between any part of your eye anatomy. Your brows are in good position, and there doesn't appear to be excess eyelid skin or ptosis. I would personally recommend against surgery as the benefits would likely not outweigh the risks. Best of luck to you.

During the blepharoplasty procedure excess skin and subcutaneous tissue is removed from the upper (and lower) eyelids to correct hooding. Sutures can also be placed to redefine the upper eyelid folds. You should discuss your care with a Board Certified Plastic Surgeon who should be able to provide more information. In my opinion an upper blepharoplasty can address your concerns. Thank you for your question.

A carefully planned upper blepharoplasty should be able to help you get your desired results and help in making your folds even.

For significant improvement, hooded eyelids require surgery if there is enough skin. For nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer.

I am not convinced that you would have any benefits from even very conservative blepharoplasty? In person consultation and discussion about your goals and options with board certifid plastic surgeon would help. Good luck.

Most blepharoplasty surgeons will remove all of the fold and fail to address the central levator disinsertion which is the actual cause of your issues. In removing the fold, your natural outie eyelid will be converted to an innie eyelid. This will skeletonize the appearance of the eyes and make you look older. Don’t let this happen to you. You need an anchor blepharoplasty to make a new hard crease, a repair of the central levator disinsertion, and minimal removal of the fold if an. There is no substitute for a detailed in person assessment.

Hi yes an upper blepharoplasty will remove some of the extra skin and make your eyelid creases more symmetric. You are a good candidate for the procedure. Please visit with a board-certified plastic surgeon. Good luck!

Yes, a skin only conservative upper blepharoplasty can accomplish removal of the small amount of extra skin and the extra skin fold that you have on the one eyelid. This procedure can be performed under local anesthesia as an outpatient procedure. A properly performed blepharoplasty does not change the shape of the eyelids