What treatment is best to correct my “hooded eyes”? (Photo)

You may be candidate for upper blepharoplasty to reduce the hooded upper eyelids effect. Brow lift is not necessary. Consultation best to determine what is needed.

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.

Upper eyelid surgery is an option to consider to improve hooded eyes. A small amount of skin and/or fat may be red to help reveal a hidden upper eyelid. A brow lift may be necessary in some patients. Botox can help in some patient to temporarily improved hooded eyes. Read more in the blog link.potomacplasticsurgery.com/blog/category/eyelid-surgery/Best,Dr. Chaboki

For over twenty years, I have been treating hooded upper lids, including performing it on my own eyelids, using a technique that I dubbed "The Ten Minute Eyelift," since it literally takes no more than five minutes per side to perform (even when I did it on myself). This technique, which is performed under simple local anesthesia, uses standard, simple electrocautery to immediately shrink and contract the excess skin of the upper lids tissue and promote new collagen formation. In recent years, certain relatively expensive, "bells and whistles" radiofrequency, ultrasound, and "plasma energy" devices have joined the ranks of treatment possibilities. However, I really haven't seen any particular benefits to these over electrocautery. Unlike surgical blepharoplasty, The Ten Minute Eyelift involves no scalpel cutting and does not require any stitches. There is little in the way of restrictions after the procedure (I took a ten hour international flight three hours after I treated myself). Treated skin heals quickly, much like after a deep scrape, and typically resolves with a very fine linear scar that remains hidden within the fold of the lid (I usually show mine to all interested patients). The results of treatment are permanent. Best of luck. 

You are a perfect candidate for upper blepharoplasty. Make sure you go to an experienced oculoplastic surgeon to assure that your eye shape doesn’t change. You have beautiful epicanthal folds that are the folds of skin extending from the corner of your eyes. It’s essential that these be preserved. Best of luck!

Thanks for your question. It looks like you would do well with an upper lid blepharoplasty. This would clean up the hooding very nicely. You could try Botox to lift your brows and get some of that heaviness out of there, but I think you have too much for that to really do a good job.

Thank you for your question and Photo. Yes, it does appear that an upper eyelid blepharoplasty would be a very good solution for you. Consider finding an ASOPRS trained oculoplastic surgeon in your area for a consultation. Best of luck!

Your photos demonstrate features of Asian eyelids. There is nothing simple or easy about surgery for this condition. Please see a specialist who has specific expertise on the complexities of Asian eyelid surgery. There are many issues to review and discuss with your surgeon including the epicanthal folds, the height of the crease and what specifically you think is aesthetically pleasing regarding your lids.Please seek out an in-person consultation with a board-certified, fellowship trained Oculofacial Plastic Surgeon who specializes in cosmetic eyelid surgery on Asian patients. Avoid doctors who perform eyelid surgery part time. This is a delicate operation that few surgeons perform well and you would like to have the best possible outcome the first time. Together with your surgeon you can review the risks and benefits of undergoing one or multiple procedures. Best of luck in your search.
Damon B. Chandler, MD
Harvard-Penn Trained Oculofacial Plastic Surgeon

An upper blepharoplasty procedure can accomplish improving the hooded eyelids.  This procedure involves removal of excess skin and a small amount of fat from the upper eyelids to rejuvenate them.  For many examples, please see the link and the video below

Fullness of the
upper lids can be cosmetically improved with a number of surgical options
depending on individual anatomy and desired outcome: an artistically
performed conservative upper blepharoplasty, a repositioning of the brow
if it is low, or a combination of both.In a patient with your anatomy a conservative upper lid blepharoplasty should produce a nice cosmetic result.

Following the advice of anyone who would presume to tell you what to do based
on a limited photo and more importantly without taking a full medical history,
examining… SHOW
MORE you, feeling and assessing your tissue
tone, discussing your desired outcome and fully informing you about the pros
and cons of each option would not be in your best interest.  Find a plastic surgeon that you are
comfortable with and one that you trust and listen to his or her advice. The
surgeon should be certified by the American Board of Plastic Surgery and
ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS).
You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California