Will eyelid surgery be good for me? (Photo)

Question

I am 40 and concerned about my upper eyelids asymmetry and my dark circles ( which I have since a very young age ). Will eyelid surgery be good for me?

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Renata Khelemsky, MD · Answer

Hi there. Thank you for submitting your question. From your photo, it appears that you have very milk lower eyelid shadowing and upper eyelid asymmetry. For this amount of asymmetry, I would recommend considering nonsurgical options such as the use of HA dermal fillers along the eyelid-cheek area to smooth the area and bring more light, which will have the effect of brightening. A full examination during motion is the best way to start to assess upper eyelid asymmetry. Hope this helps! Ensure you choose a surgeon with reconstructive eyelid surgery experience to address your questions.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! Eyelid surgery can do quite a bit to rejuvenate the skin, especially if there is excessive amounts. As for your upper lids, it will be important to evaluate for a condition called ptosis as the surgery is different. This is when the eyelid sags compared with a normal side. The dark areas under the lower eyelids can be from allergies or genetics. They are difficult to treat but options include various creams and possible treatments like IPL or laser. Hope this helps!

Will eyelid surgery be good for me? (Photo)

Answers (3)

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