Male, 20 & excess of upper eyelid skin, what can I do nonsurgically if possible? (Photo)

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on the situation.

For less significant upper eyelid skin excess or more mild improvement, there are 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.

Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if the hooded eyelids have more excess skin present.

Dr. Donald Groves is an expert facial plastic surgeon that I work with, who specializes in these types of procedures. It is important that if you are considering surgery that you go to someone who is well trained and very experienced with these delicate operations to get the best results. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Groves; we are both located right here in Los Angeles.

Best,
Dr. Emer

Since you are looking to avoid a surgical procedure, if botox is used to paralyze the depressors of the eyebrows, this may lead to a lifted eyebrow appearance and less hooding of your upper eyelid skin. The feasibility of a non-surgical approach would require an examination. Thank you so much for your question. Sincerely, Dr Joseph

You would benefit from a browlift as the eyebrows are below the orbital rim. You may also need a blepharoplasty.

Best Wishes,

Gary Horndeski, M.D.

From the posted photo it appears you would benefit from a brow lift and possibly an upper blepharoplasty. The brow lift will reposition the brow and take some of the heaviness from the appearance of the eyes. If there is redundant eyelid skin an upper blepharoplasty would help. I've included a video I hope helps to answer some of your questions.

If you look at the distance between your upper line and your eyebrow, you may recognize that this distance is quite short compared to most other people.
This is most likely due to skeletal bone structure with the shape of your orbit and your forehead.
I don’t think the problem is directly related to your upper eyelid, but rather The distance between your brow and your orbit.
I suggest having a few in person consultations with oculoplastic surgeons in your community.
You may get different opinions from different providers.
Eyelid surgery isn’t going to reset your brow position so a different approach may be indicated.Perhaps a brow lift might be indicated.
I suggest scheduling a few consultations and I would make a point of scheduling only in person consultations, avoiding virtual consultations.
Best,
Mats Hagstrom MD