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

Question

I have hooded eyes and uneven folds. Is a Blepharoplasty the way to go to reduce the amount of extra skin and get even folds? I like m eye shape though does a Blepharoplasty change eye shape?

A.J. Amadi, MD · Answer

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.

Richard Zienowicz, MD · Answer

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.

Roni Prucz, MD · Answer

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.

Mansher Singh, MD, FACS · Answer

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

Jason Emer, MD · Answer

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.

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

Answers (9)

Answer: Yes It should be able

Answer: Yes It should be able

Answer: Improving Hooded Eyelids -- Botox/Xeomin/Dysport/Jeuveau for Brow Lift, Fillers, RF (Thermage, Legacy, Viva), Blepharoplasty

Answer: Improving Hooded Eyelids -- Botox/Xeomin/Dysport/Jeuveau for Brow Lift, Fillers, RF (Thermage, Legacy, Viva), Blepharoplasty

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

Answers (9)

Answer: Yes It should be able

Answer: Yes It should be able

Answer: Improving Hooded Eyelids -- Botox/Xeomin/Dysport/Jeuveau for Brow Lift, Fillers, RF (Thermage, Legacy, Viva), Blepharoplasty

Answer: Improving Hooded Eyelids -- Botox/Xeomin/Dysport/Jeuveau for Brow Lift, Fillers, RF (Thermage, Legacy, Viva), Blepharoplasty

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.