Get my old eyes back - reverse blepharoplasty possible? (Photo)

Question

Hi. I was so happy about my eyes before. They were mildly hooded. They were elongated. My best feature. However I started being swollen quite often and lifted my eyebrows to make them look even better. I did the operation because the surgeon said my eyes would look the same but rested. I look like a stranger. I have wide sad eyes with too much lid space in the inner corner. My eyes appear round, and one of my eyes now shows mild ptosis. What can be done to reverse it? I want less lid!!

Kenneth D. Steinsapir, MD · Answer

Please understand that the work that needs to be done requires a mastery of eyelid surgery that is very challenging to find. I am working hard too teach other surgeons how to perform this work. However for western eyelids, I am the only surgeon I am aware of who is offering this service. Hopefully one day, this type of work will be more widely available. I am also tearch surgeons how to avoid these types of outcomes. The key with restoring your appearance is a very detailed clinical assessment. That requires a lengthy in person consultation to determine the precise basis for your issues. Generally the upper eyelid crease is lowered and the anterior levator aponeurosis, the tendon that raised the upper eyelid, needs to be lowered very precisely to that new crease. Anterior orbital fat is mobilized to fill the reconstructed upper eyelid fold. Many of these eyes also need lateral canthoplasty. Your eyes can be your best feature.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. As far as I can see from your photos your one eye is more hooded than the other one. Unfortunately reverse blepharoplasty is impossible. For improve the symmetry between your eyes I can suggest cat eye procedure (for the rounded eye). With this procedure you have more symmetrical and slanted eyes. Please keep in mind that %100 symmetry is not achievable in any case. Best Regards!

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.

Thomas Spalla, MD · Answer

I would caution you against surgery at this time. As you age, you'll inherently develop further changes that will age the eyes and result in a heavier lid and brow. 
In this immediate time, you may consider neurotoxin (e.g., Botox) to your forehead to weaken the upward elevation this provides on the lid/brow.

Get my old eyes back - reverse blepharoplasty possible? (Photo)

Answers (4)