Do I need a brow lift/anchor blepharoplasty? (Photos)

Question

My eyelids constantly feel heavy and the crease is sometimes inconsistent I feel I have damage to the eyelid muscle and was wondering if there was anything I can do to fix it.

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.​

Jonathan Kaplan, MD, MPH · Answer

Upper eyelid surgery with ptosis repair is appropriate in this case. It's a relatively quick and easy procedure that can be done under local anesthesia. It would effectively address the feeling of heaviness and unevenness that you experience.

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