I have upper eyelid sagging & drooping. What are my options? (Photo)

I have just turned 32 and in the last year i have noticed my upper eyelid has drooped considerably, is this uncommon at my age? What are my options. Thank you.

Doctor Answers 7

Sagging Upper Lids

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Hi Jennifer.  In the upper eyelid, there is an age-related accumulation of droopy tissue. Medically, this is known as dermatochalasis. The extra skin and tissue leads to a tired or angry look and may also impair vision.
In upper eyelift surgery, the individual lines and lid creases are measured. The procedure is designed so that the incision falls in a natural skin crease, for maximum camouflage. The incision is executed, and excess fat, muscle and loose skin are removed. Very fine sutures are used to close the incisions, for maximum cosmetic benefit. These sutures are then removed in approximately five days.
Upper lid blepharoplasty may be performed in an office setting, or in a more formal surgery center, per patient preference. It may be performed with local anesthetic only, or with light sedation.

San Antonio Facial Plastic Surgeon

Options to Improve Upper Eyelid Sagging

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The eyes are the windows to the soul. All too often, however, they seem to reveal exhaustion. The very delicate skin around the eyes tends to get crepey and puffy due to fatigue and stress. Eyelid surgery has become one of my most popular procedures. If excess upper eyelid skin is hooding the eye and needs to be eliminated, an incision is made in the crease at the top of the lid and excess fat and skin are removed. The incisions are closed and sutured on the underside of the skin. If undereye puffiness and dark circles need to be eliminated, an incision is made along the lower lashes that will be almost invisible when it heals. Next, the fat below is either removed or redistributed and the saggy and crepey excess skin is then pulled up and cut off. The incisions are closed with tiny sutures, which are removed in four to six days. The incisions are along your eyelash line, making it a virtually scarless procedure.

An effective non-surgical option that might benefit you is Thermage, which can tighten the skin around the eyes. The new and improved Thermage is a virtually painless, non-invasive (no incision!) treatment that can tighten skin and stimulate your body to make healthier collagen—the building block that provides structure to your skin. Fast and easy, Thermage requires no downtime from normal activities.

Upper blepharoplasty for saggy upper eyelids

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 The only option to remove the extra skin on the upper  eyelids is a surgical blepharoplasty. The primary goal of an upper blepharoplasty  is to remove excess hooded skin on the upper lids. The incision is located directly in the crease and excess skin is removed to  rejuvenate the upper eyelids. The procedure can be performed under either local or general anesthesia, as a brief outpatient procedure. For many examples, please see the link below

Drooping Upper Eyelid

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There are a few options to address drooping upper eyelids, including surgical and non-surgical options.  To determine the best option for your eyes, it is best to consult with a board certified specialist who can assist you with achieving the results you seek.  

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Upper eyelid sagging

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From your photo, if you were my patient, I would offer a straight forward upper eyelid blepharoplasty to remove the excess upper eyelid skin and possibly a little fat to give you a smooth arching upper eyelid crease. There are other procedures that may be offered to you like brow lifting or eyelid ptosis correction (actually lifting the eyelid). However, from your photos it does not appear that they are really needed and may give you a surgical, operated on, unnatural look. Though young, this can happen at 32 and can be genetic.

Sagging lids

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It is hard to tell from this picture exactly what is going on, and certainly you should get an in person consultation.  However, you do have some extra skin which is falling onto the lid.  You appear to have a very full brow fat pad.  Elevating the temporal brow should help to reposition the brow fat pad up on top of the bone, so that may be a good option for you as opposed to a blepharoplasty.

Options for drooping upper eyelid

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Thank you for your question.  An upper eyelid blepharoplasty is a plastic surgical procedure designed to remove eyelid hoods or sagging upper eyelid skin.  I cannot tell from your photograph if your upper brow is created with pencil or if your brow is at that location.  The reason I ask is that in some patients a brow lift is needed if eyebrow skin is sagging over the eyelid.  However if the eyebrow shown in your photograph is natural you will not need a brow lift.  Please consult a board certified plastic surgeon with experience an oculoplastic surgery.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.