25, female, heavy, hooded eyes - Would I be a good candidate for upper eyelid surgery/ brow lift? (Photos)

Question

I’ve always had hooded eyes but it got worse as I’m aging and I used lash serums. My eyelids feel heavy on my eyes now and feels like there is pressure. Should I get upper bleph or brow lift? 25 f

Kadir Berat Oyur, MD · Answer

Hi and thank you for your question.You are suitable for upper eyelid surgery (upper blepharoplasty), which can reduce heaviness, improve hooding, and create a more open, refreshed appearance. The best approach depends on the degree of hooding and your brow position. I hope this helps

Javier Parada, MD · Answer

At your age, true excess eyelid skin is usually minimal. When hooding worsens early and is associated with a heavy or pressured feeling, the issue is often brow descent rather than the eyelid itself. In these cases, an endoscopic brow lift is often the most appropriate solution, as it elevates the brow, opens the eye area, and relieves that heaviness while preserving a natural look.
An upper blepharoplasty alone at 25 can risk over-removal and may not address the underlying cause. A personalized in-person or virtual evaluation is essential, but based on what you describe, a brow lift is likely the better option.

Chet Mays, MD · Answer

Thank you for your inquiry. A upper Bleph surgery would benefit you to get a more rejuvenated look to the eye area. The incision is made in the fold of the eyes so the scar is not seen and the excess skin is removed. It is always best to Book a consultation with a Board Certified Plastic Surgeon to address your concerns and goals.

Franklin D. Richards, MD · Answer

Though you are young, we see the hooding seen in your photos from time to time in younger patients and it is likely familial. You could benefit from direct upper eyelid excision, a brow lift or both. An exam by your plastic surgeon should be able to determine which would be best for you. There is no rush to this. As you get older this will worsen with age. You can hold off until it is really bothersome and that would be the time to seek correction.

Kyle Kimura, MD · Answer

Great question and thank you for providing the photos! 
I think you are asking the right questions. While I can certainly appreciate a degree of brow ptosis (heavy brows) and excess skin of the upper eyelid, it is hard to determine which one is the predominant factor causing your issues. I think your best option is to schedule a consultation with a plastic surgeon that specializes in eyelid surgery who can perform a thorough exam to determine which of these factors (brow vs eyelid) is causing your issues and determine the best options for you. 
Hope this helps and best of luck!Kyle Kimura, MD

Mehmet Ozdemir, MD · Answer

Hello, this is Dr. Mehmet.At 25 years old with heavy, hooded eyes, you may be a candidate, depending on the cause of the hooding. If the heaviness is due to excess upper eyelid skin, upper eyelid surgery (blepharoplasty) can be effective. If it’s caused by low or weak brows, a brow lift (often minimally invasive) may give a better result. In many young patients, a conservative approach is important to keep a natural look.A proper evaluation with photos and an in-person exam (or online consultation) is essential to choose the right option.

M. Mark Mofid, MD, FACS · Answer

Hi there and thank you for your question. You could have a very subtle upper blepharoplasty to remove the skin that causes the "hooding" over your eyelid. Just be careful that the surgeon doesn't remove too much skin, that your eyes become hollow and can actually age you. This procedure can be done under local anesthesia meaning you would be awake. Please consult with a Board-Certified Plastic Surgeon or Ophthalmologist.

25, female, heavy, hooded eyes - Would I be a good candidate for upper eyelid surgery/ brow lift? (Photos)

Answers (7)

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