I don't know if I need a blepharoplasty or a brow lift yet and I don't want to get one if it's not needed but I'm 38 and I think my eyes look puffy and horrible.Any advice would be appreciated before I have surgery I may not need.I 've had botox for 10 years now but only in last few years has my eyes gone a droopy look and skin pulls down in inner corner of one eye,I never had this before.How cab I fix this it seems forever to go away.Do I have eye ptosis now?
Do I need blepharoplasty or brow lift before I make a mistake and regret? (photos)
Doctor Answers 5
You upper eyelid ptosis repair.
Do I need blepharoplasty or brow lift ?
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Blepharoplasty or brow lift
Your eyebrows are in an excellent position - so I wouldn't recommend brow lift. Your photos from the sides show a better lid margin position than the other oblique photos... I'd recommend an examination by an oculoplastic surgeon to determine the precise lid positions in primary gaze - this would clarify whether you need blepharoplasty or a more complex procedure - ptosis repair. If you do decide to have surgery, be sure to have your surgeon review risks, benefits and alternatives. You don't need to be in a hurry to have surgery. Best wishes!
Puffy eyes - what can I do?
The are many reasons for "puffy" such as genetics, ethnicity or even some medical conditions. I would want to make sure that all these things are kept in mind. Then, you need to have a review with your doctor about what you really want and have different posses (at rest, smiling, looking up and looking down) to really assess what you want and what can be done.
I recommend that you see experienced doctor and have a thorough consultation and assessment prior to proceeding with any treatments.
I hope that helps and best regards, Dr. Sapijaszko.