What procedure would help my eyes look bigger and more awake? (photos)

Thank you for your question. Regarding who does the surgery, I would suggest assessing before and after photographs to make a determination. Regarding insurance, that will vary. Insurance may cover an upper blepharoplasty if it can be shown that there is a certain degree of visual obstruction....

A transconjunctival blepharoplasty would remove the herniated fat that is causing the bags. Additional fat grafting along the tear trough and orbitomalar groove would further improve this.

They will recommend bilateral upper eyelid surgery and remove both upper eyelid folds as a means of improving symmetry. I strongly advise against such an approach. This will both creases to be high and the upper eyelids hollow. That will make you look skeletonized and older not more youthful....

It would be very difficult to tell how much your upper eyelid fold could be lowered without in person consultation. It is unlikely that fat grafts will be needed in that procedure, but it can not be excluded without in person evaluation. Consultation with a board certified plastic or...

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry...

I see three to four patients each week who have had fat grafted into their eyelids. While it is theoretically possible to soften the subrow area with grafted fat, grafted fat is like injecting scar tissue. It does not flow at all in a structure where it is critical that everything needs to slide...