Are there any surgeries that could address my under-eye creasing? (Photo)

Question

I am 26 years old and already suffering really bad sagging of the upper eyelid and creasing on the lower lid. I was planning on getting an upper lid blepharoplasty and endoscopic brow lift but I was wondering if there are any surgeries (not fillers) that could address my under eye area.

Lane Smith, MD · Answer

Based on your photo, you would benefit from a very conservative surgical procedure called blepharoplasty.  You might also consider defining the valley of your upper eyelids.  Be sure to confer with a real expert in this arena to ensure you don't have an overdone result.  It's imperative to have a very natural result with in conspicuous scarring.  This is a very safe and simple procedure with predictably successful results.

C. Blake Perry, MD · Answer

The crease under the eye comes from your orbicularis muscle which is responsible for helping close the eye. Options include neurotoxin, chemical peel, and surgery. Given your age I would start with trying neurotoxin to help reduce the crease. Best to see an eyelid expert in your area.

Michael A. Persky, MD · Answer

Helo WOG,
Minimal excess skin of the lower eyelid can be corrected with a "skin pinch" of the skin procedure.  It is performed under local anesthesia in our office.  It involves removing a small amount of skin just below the lower eye lashes.  Otherwise an ablative laser treatment with fractionated CO2 laser would help, but I would not advise laser in a dark skinned patient.  You are very young for blepharoplasty, I would recommend waiting 5 to 10 years and then re-evaluating your concerns. Choose your treating surgeon very carefully.  Good luck and be well.
Michael Persky, MD
Encino, CA

Are there any surgeries that could address my under-eye creasing? (Photo)

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Are there any surgeries that could address my under-eye creasing? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.