31 Too Young for Upper Eyelid Surgery?

While you are not too young, you must be very careful.  Many surgeons will quickly offer you an upper lid blepharoplasty but this procedure alone would be misguided in your case.  You have what is called compensated brow ptosis which means your brows are already in a very low position and your brain is constantly activating the frontalis muscle to keep your upper eyelid skin out of your eyes.  If you get an upper blepharoplasty alone your frontalis tone will likely drop giving you a very unaesthetic brow position.  For your upper eyelids you should have a lateral hood lift to support your lateral brow and actually keep it elevated without frontalis tone,  A lateral hood lift will also clean up the fullness next to the side of your eye.  For your lower lid I would recommend a subcilliary blepharoplasty with fat conservation and transposition, a lateral canthopexy and a lateral retinacular suspension of the orbicularis muscle to give you a beautiful and lasting result. Fat grafting may also be combined to improve your cheek contour.  I hope this helps!

 

 

  All the best,

 

Rian A. Maercks M.D.

In evaluating patients, anatomy is what matters, not age.  While you are young for surgery, it could be an option for you.  You could consider a conservative brow lift either surgically or non-surgically as your low eyebrow is contributing to the heaviness of the eye.   You could consider non-surgical options such as botox or fillers to help lift the brow.  You will need to be evaluated in person by a facial plastic surgeon who specializes in eyelid surgery. I hope this helps.

Many patients are born with heavy upper eyelids, others may acquire it early because of genetics. Either way, restoring a more youthful open eyelid can be a very rewarding procedure.

 Many people set arbitrary ages for having procedures done. In reality we do not age according to external time lines. The best way to think about it is, to have the procedure when it becomes a concern to you. You get to enjoy it for so many more years.