Would an upper blepharoplasty be effective for me?

Question

I have always had hooded eyelids and they have become much worse after losing quite a lot of weight, making me look older than I am. Would this surgery give me the significant amount of lift that I’m looking for in order to have a more youthful face? Thank you.

Bahman Guyuron, MD · Answer

There is no question the blepharoplasty can eliminate the hooding. However, in some patients lifting the eyebrows could be as effective and, sometimes, a better choice. In patients a combination of eyelid and eyebrow surgery gives the best outcome. In general we try not deplete the upper eyelids. Removing small amount of fat deposits from the outside half of your eyelids could improve your eyelids a great deal. In the images of that you have posted your head seems slightly tilted down, which can make the judgement difficult. An in person consultation which provides the opportunity to raise your eyebrows manually, amongst other examinations, will be very helpful in advising you more meaningfully.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photograph. Upper blepharoplasty would enhance the beauty of your eyes; however, it is important to maintain your natural appearance and not over correct the problem. Make an appointment for consultation with an Oculoplastic Surgeon for comprehensive evaluation and discussion of treatment options. Good luck,

Leo McCafferty, MD · Answer

It's difficult to tell from your picture because it appears as though the camera was above you.  When analyzing upper lids its important to analyze the level of the eyebrow as well as excess skin on the upper eyelid.  Although I cant be sure, an upper lid blepharoplasty most likely would be effective for you, however I would recommend you have a hands on examination by a board-certified plastic surgeon.

William Portuese, MD · Answer

Its very difficult to tell from the angle of the photograph, however an upper blepharoplasty procedure accomplishes removing excess skin and fat in the upper lids to  remove the tired or hooded look. The eyebrows appear relatively low, so a brow lift may need to be considered. For many examples of both procedures, please see the link and the video below

Sean Freeman, MD · Answer

LaurieAnne1980, you need a live exam to give you a good answer. Start by seeing a plastic surgeon that specializes in "only faces" and has decades of experience. See the video for more information. Good luck!

Steven Wallach, MD · Answer

You would need to be seen in person  to determine if you have brow ptosis or need upper eyelid surgery or both. Best of luck.

Justin P. Martin, MD, FACS · Answer

Thank you for your question and photos.  Due to the tilted-down position of your head in the photo, it is difficult to assess how much of this is due to redundant eyelid skin or position of the eyebrows.  Blepharoplasty and/or brow lift would probably address your concerns, but this can only be determined with an in-person evaluation.  I would recommend that you consult with a board-certified plastic surgeon to learn more.

Reza Momeni, MD, FACS · Answer

You do have heavy eyelid tissues that could be a candidate for eyelid lift, but more importantly your brows appear heavy and low, which is causing worsening of the appearance of the eyelids.  There's absolutely nothing wrong with your eyelids, but if you're hoping to improve the upper face consider addressing the brow problem as well.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search. Without an exam, it will not be possible to fully evaluate you and give you recommendations.

Robert Singer, MD · Answer

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.
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

Rick Rosen, MD · Answer

It is difficult to answer this accurately without an examination. Hooding of the upper eyelid, may be also the position of your eyebrows. Based on the one photo, this seems to be the case. In that case, more improvement can be achieved with a Brow Lift, rather than an Upper Blepharoplasty. If the brow is down, then only minimal improvement will be made with just performing an upper Blepharoplasty.If your brow is in good position then an Upper Blepharoplasty is the way to go. I would suggest you get a consultation from a board certified plastic surgeon.

Would an upper blepharoplasty be effective for me?

Answers (13)

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