Blepharoplasty maintenance past mid-30s? (Photo)

While most of our blepharoplasty patients are in their 40's to 70's, I do see quite a few patients seeking improvement of their eyes in their 30's (and sometimes even in their 20's).  This is usually due, at least in some part, to their heredity.  The brow position is also a factor to consider, as a brow lift may be beneficial to consider with blepharoplasty, especially as the brow drops more over the following decades.  Having a blepharoplasty does not stop the aging "clock," but it does "reset" it, so to speak.  Therefore aging will continue after blepharoplasty, and many of our blepharoplasty patients that have a procedure earlier in life will benefit from another procedure (or sometimes more than one) in their lifetime.  Thankfully, there is not a limit on the number of times a blepharoplasty can be performed in most instances. 

Thank you for your question and the picture. I would be grateful if you could attach a picture showing your forehead also. With the photo so focused in it is difficult to ascertain whether your brows are lower and you would benefit from a brow lift or there is excess skin between the brow and eyelid alone and you would benefit from a blepharoplasty. Generally, the brows for women are just above the supraorbital ridge (the edge of bone you can feel above your eye socket) - if your eyebrows are in this position then it is unlikely that you need a brow lift. If the brows themselves are lower than this point then a brow lift will help. A blepharoplasty will help to remove the extra skin between the eye brow and the upper eyelash line. You have two fat pockets around your upper eye socket and these can smetimes herniate through causing the increased puffy appearance. This can be addressed at the same time during  a blepharoplasty procedure. My advice would be to see a PS and have the eyes assessed to determine what the best procedure would be for you. I hope this helps 

I am not even sure that blepharoplasty is the right procedure for you let alone if it might need to be redone in 20 years! The journey of 1000 miles begins with a first step.  For you, that first step is to determine why you have upper eyelid retraction. I recommend starting with a assessment by an oculoplastic surgeon in your area. The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a regional directory on their website that can help you find a highly qualified surgoen close to home.