Should I Expect Good Result After Upper Bleph to Remove Heavy Eyelids, I'm 33?
I have high brows so lift isn't an option.
I don't like my heavy brows.
What do you think about an upper bleph?
Thank You for your question.
You're asking a subjective question about whether or not your upper eyelids will look
good after upper eyelid blepharoplasty.
So when people come to me about the question of how the upper eyelid blepharoplasty would
look, there are some key factors to understand.
And one of the things that I, especially with someone who is younger, someone like yourself,
who is in your 30s, you don't have a lot of extra skin.
So from that perspective, an upper eyelid blepharoplasty is more about what you do under
the skin rather than the skin itself.
So yes, your eyebrows are already relatively high or in a good position.
I should say and so there is no reason to entertain brow lifting.
And I think that as a general trend, especially in my pretty own practice, I've seen that
people are not as exciting about having high arch brows the way they were in the 90s and
I think that we are just embracing a different aesthetic at least that has been my experience.
So from your situation, if you where come to me, I would do something straight forward
where I'll have you look in the mirror or even take photos, use a little cue tip and
roll the skin inward.
It's critically important when this procedure is done that the skin removal part of the
procedure will be very limited because it's very often people will have excess of skin
removed and it ends up doing it actually impairs the ability of the upper eyelids to close.
For some reason, in the general plastic surgery mindset that people are told that they should
find it's normal not being able to close your eyes after eyelids surgery.
I have to disagree with that.
As a cosmetic surgeon, as a ocular facial specialist, I think you should be able to
comfortably close your eyes and as I said earlier, it's about what you do underneath
the skin and not just about the skin itself so that brings to two anatomic issues that
or concepts that you should understand.
One is the concept of orbital fat.
Orbital fat is a fat that's around your eyeball and that's inside and it's what you call the
muscle and cone as well as outside muscle cone of yours eyes and that's an anatomic
term.
But it's behind a anatomic feature called the septum so that's the fat that typically
is near central part of your eyelids and it can create some volume.
So someone with deep set creases when they want their creases deeper, that's the place
I would typically sculpt the orbital fat.
Then the other area is called sub-brow fat.
It is the fat that is described is right below the eyebrow.
Now this is a distinct compartment that is adjacent to the bone the rim of the bone or
the orbital rim and that area is the area where we would actually be reduced fat to
give you more of a definition in that area to reduce heavy brows and I think that is
probably something that is a where I would go in a case such as yourself.
So as far as the subjectiveness of having upper eyelid blepharoplasty, I think that
for a lot of people who used to always have full eyelids, they like having a little bit
more of an eyelid platform or a place where people place eye shadow.
And I think that it opens the eyes that make the eyes brighter.
Now, the polar end opposite of that is over doing it and looking hollow and that's something
many of our patients when they come to us want to be sure that they are not going to
look that way.
They see celebrities and they see people who over done and are very concern about that.
So this is clearly, as I described it, is something of an art.
And so I think that to answer your question from my perspective is that you would look
good with upper eyelid blepharoplasty but then from your perspective, in your end, as
you do your research, I think you should meet with qualified experienced cosmetic surgeons
and get a sense of the artistic sense.
Not everybody does the surgery the same way.
In fact, two surgeons would do it the same what so you have to get a sense based on their
before and after pictures and based on your discussion and your education on whether or
not the surgeon that you choose clicks with you.
And once you have that established, I think it's safe to move forward.
I hope that was helpful for you and thank you for your question.