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What would you recommend for very heavy eyelids?

Question posted by Anonymous from Ontario

Eyelids that are heavy and drooping, making the eyes look tired.

Doctor's Response

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One thought on “What would you recommend for very heavy eyelids?

  • Heavy upper eyelids is one of the more common facial complaints that I see as a plastic surgeon.  Droopy upper eyelids project a sense of tiredness, heaviness or sadness.  Often heavy eyelids will be hereditary in nature with some aging changes such as droopiness of the brow and weight loss/weight gain and even allergic reactions.
    The treatment for heavy eyelids can be non-surgical or surgical.  Non-surgical treatment of heavy eyelids includes Botox brow lifting to elevate some of the soft tissue of the eyelids and then non-invasive radio frequency energy and/or fractional resurfacing of the upper lid to decrease the heaviness.  Soft tissue fillers just above the eyebrow hairline can also elevate the brow.  These mild to moderate improvements can be done non-invasively with no risk.

    The definitive treatment for heavy upper eyelids is removal of extra skin, muscle and fat pads and is called a blepharoplasty.  An upper lid blepharoplasty can be performed under local anesthesia in approximately one hour.  It is quite common that the brow is also droopy in association with heavy upper eyelids and an endoscopic or telescopic brow lift alone or in combination with a modest upper lid blepharoplasty can often leave very beautiful aesthetic results.  The brow lift itself can also be performed under local anesthesia in approximately 45 minutes.  If you select surgical rejuvenation of your upper eyelid and brow complex anticipate 5-7 days of downtime. Bruising is the Number one post-operative outcome and this generally lasts 7-10 days, but can usually be camouflaged within a week.

    Heavy upper eyelids is often combined with lower lid fat pads also called bags and loose skin.  Many patients will combine upper lid surgical procedures with lower lid blepharoplasty, but what is called a four-lid bleph or quad blepharoplasty.

    There are many options for periocular rejuvenation and the results can really leave a youthful, natural and fresh appearance and most patients are extremely pleased. I hope this information has been of some assistance and best of luck.

    To find out more, please visit our blepharoplasty page.

    To schedule a consultation simply fill out the online consultation form and one of our SpaMedica client service attendants will be with you to schedule upper eyelid rejuvenation appointment consultation. R. Stephen Mulholland, M.D.

    Certified Plastic Surgeon  Yorkville, Toronto

Additional Information

Eyelid Surgery (Eye Lift or Blepharoplasty)

Read about the procedure

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