Skip to content

Can Plastic Surgery Fix Hooded Eyes?

What are the different treatments for hooded eyelids?
Hooded eyes can be caused by redundant eyelid skin drooping brows or combination of both I’ll address how I treat hooded eyes every day in my practice with non-surgical and surgical options
I’m Dr. Amiya Prasad I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon I’ve been in practice in Manhattan and Long Island for over 20 years as an oculoplastic surgeon I can attest to the value of training in ophthalmology or eye surgery followed by specialized training of the areas around the eyes proper diagnosis of the different anatomic causes of hooded eyes as it relates to the eyes is very important additionally understanding the potential impact on eye health from any procedure performed around the eyes is critical throughout my career there have been remarkable innovations with neurotoxins fillers and surgical procedures I routinely incorporate these advances to create customized strategies for my patients it is very important to properly analyse the causes of upper eyelid hooding the appearance of excess skin partially covering the eyes can often mask the presence of other conditions which cause the eyelids to droop such as eyelid ptosis eyelid ptosis is a condition where the margin of the eyelid is lower than it would normally be for that individual eyelid ptosis is generally caused by she’s affecting the muscle responsible for lifting the eyelids called the levator muscle not recognizing the presence of ptosis can result in disappointment in the outcome of procedures where only the skin is addressed the Browse play an important role when it comes to managing hooded eyes an observation I’ve made over the course of my career is how impactful the appearance of the brows have on facial expression if you draw a cartoon and you want to show happiness anger or surprise you can do that easily withdrawing the brows in different ways to show those emotions many times patients tell me how they are afraid of looking always surprised after a brow procedure because of people they’ve seen who they say had too much Botox or too much surgery I look at brow enhancement as an opportunity to artistically shape the brows rather than just lift them in many situations eyelid hooding can be improved by addressing the brows with the procedure called a Botox brow lift this is done by using Botox or a similar neurotoxin such as Dysport or XEOMIN the neurotoxin works by relaxing the depressor muscles in the brow area that push the brows down by relaxing the depressor muscles which include the corrugator Pro Cirrus and orbicularis oculi muscles the muscle which raises the brows called the frontalis muscle works unopposed thereby allowing lifting of the brows as is the case with any neurotoxin treatment the result can last three to six months and the procedure needs to be then repeated another non-surgical approach to brow lifting and shaping to improve hooded eyes is a technique where injectable fillers are placed to restore volume which is lost caused by bone loss as well as loss of fat and soft tissue i often place the filler in the temples and in the strategic areas of the outer aspects of the brows which through volume correction helped to create a better looking brow shape when brows descend to a point where neurotoxin and fillers are not going to be enough surgical options are then considered although I perform all types of brow lifting surgery including coronal endoscopic and trichophytic brow lifts I have found myself being more inclined to performing more conservative skin-based procedures for artistic shaping as opposed to what I was more inclined to do in the past which was geared more towards lifting the coronal brow lift has fallen out of favor amongst most cosmetic surgeons but can still be used in certain patients the procedure is done with a single long incision made from behind the hairline for the purpose of excising excess skin and addressed specific muscles another brow lifting technique is the endoscopic brow lift this involves small incisions made behind the hairline a camera called an endoscope is used to see the areas to be operated on from these small incisions an example of a brow lift which is done only at the skin level is the trichophytic brow lift this procedure is performed from behind and within the hairline an advantage of this technique is that it allows hair to grow through the incision for better camouflaging variations of this method can be employed for brow shaping which can be performed from naturally existing forehead lines and even directly at the border of the eyebrow hairs when there is upper eyelid hooding there is often excess soft-tissue in these situations cosmetic upper eyelid surgery also known as upper eyelid blepharoplasty is the most direct procedure to addressing eyelid hooding this is a surgical procedure where redundant eyelid skin known as dramatically sis is carefully measured excised and sutured to define the upper eyelids my goal is not to remove as much skin as possible but rather to reveal the true shape of the eyes the artistry needed in performing upper eyelid blepharoplasty to appear natural for the individual whether they’re male, female younger, middle-aged, or older and factoring ethnic specific characteristics cannot be overstated both surgical brow shaping and upper eyelid blepharoplasty is performed under local anesthesia with light sedation avoiding issues related to general anesthesia patients undergoing either or both surgical brow shaping and upper eyelid blepharoplasty typically return to work in one week with minimal bruising and swelling approaching the management of upper eyelid hooding depends on proper evaluation the extent of the hooding the possibility of coexisting eyelid ptosis and concurrent issues within the eyebrows in my practice I help my patients make informed decisions based on the specific factors which contribute to the appearance of their hooded eyes being satisfied with the outcomes of any procedure or procedures is more likely when you understand the diagnosis the treatment strategy and what you should expect afterwards I hope you found this information helpful thank you for your question

Hooded eyes can be a result of extra or stretched eyelid skin, drooping brows, or a combination of the two. Proper diagnosis of the various anatomic causes of hooded eyes, as well as the implications of any procedure performed around the eyes are critical.

It is crucial to determine first what is causing upper eyelid hooding. Excess skin partially covering the eyes can frequently conceal the presence of other conditions that cause droopy eyelids, such as eyelid ptosis.

ptosis after upper eyelid surgery

Eyelid ptosis is a condition in which the eyelid margin is lower than it would normally be for that person. Eyelid ptosis is typically caused by problems with the levator muscle, which is responsible for lifting the eyelids. Failure to recognize the presence of ptosis frequently results in dissatisfaction with the outcome of procedures that only address the eyelid skin.

See eyelid ptosis surgery

Can Botox Fix Hooded Eyes?

When it comes to dealing with hooded eyelids, the brows are crucial. Many times, the patient expresses their fear of looking surprised after a brow procedure because of people they’ve seen who they claim had too much Botox or surgery. Brow enhancement allows you to shape your brows artistically rather than simply lifting them.

brow lift botox before and after
brow lift botox before and after

In many cases, eyelid hooding can be alleviated by addressing the brows with a procedure known as a Botox brow lift. Botox or a similar neurotoxin, such as Dysport or Xeomin, is used to accomplish this. The neurotoxin, also known as botulinum toxin, works by relaxing the brow depressor muscles, which push the brow down.

By relaxing the depressor muscle group, which includes the corrugator, procerus, and orbicularis oculi muscles, the frontalis muscle, which raises the brow, becomes unopposed, allowing the brow and upper eyelid to be lifted. As with any neurotoxin treatment, the effects can last 3 to 6 months before the procedure is repeated.

Non-Surgical Options to Improve Hooded Eyes

Another non-surgical approach to brow lifting and shaping to improve hooded eyes is the use of injectable fillers to restore volume lost due to bone loss, fat loss, and soft tissue loss. Dr. Prasad places filler in the strategic areas of the outer aspect of the brows, which helps to create a better-looking shape through volume correction.

brow lift fillers before and after
brow lift fillers before and after

Brow Lifting Surgery

When neurotoxin or fillers are no longer enough to lift the brows, surgical options are then considered. Dr. Amiya Prasad performs all types of brow lifting surgery including coronal, endoscopic, and trichophytic browlifts. However, he prefers to perform more conservative skin-based procedures for artistic shaping rather than what was more commonly done in the past, which was more geared toward lifting.

Although the coronal brow lift has fallen out of favor among cosmetic surgeons, it can still be used in some patients. Excess fat, skin, and soft tissue are removed through a single, long incision behind the hairline, and skin and muscle are repositioned and sutured to a more optimal position to lift the entire brow and forehead, as well as the eyelids.

brow lift surgery before and after
brow lift surgery before and after

How to Fix Hooded Eyes with Surgery

When there is upper eyelid hooding, there is often excess skin and soft tissue. Cosmetic upper eyelid surgery, also known as upper blepharoplasty, is the most direct procedure to address hooded eyelids in these cases. Upper eyelid blepharoplasty is a surgical procedure in which redundant or stretched eyelid skin is carefully measured, excised, and sutured to define the upper eyelids. The goal is to reveal the true shape of the eyes rather than to remove excess skin as much as possible.

The artistry required in performing upper eyelid blepharoplasty to appear natural for the individual, whether male, female, younger, middle-aged, or older, and considering ethnic-specific characteristics, cannot be overstated. As a Board-certified cosmetic surgeon, and Fellowship-trained oculoplastic surgeon, Dr. Amiya Prasad performs both surgical brow shaping and upper lid blepharoplasty under local anesthesia with LITE™ IV sedation, avoiding the complications, and prolonged healing associated with general anesthesia. Patients who have either surgical brow shaping or upper eyelid blepharoplasty typically return to work in one week with minimal bruising, and swelling.

plastic surgery for hooded eyes, before and after results
plastic surgery for hooded eyes, before and after results

See upper eye lift surgery before and after photos

Approaching the management of upper eyelid hooding requires an accurate assessment of the extent of the hooding, the possibility of coexisting eyelid ptosis, and any concurrent brow issues. Patients at Prasad Cosmetic Surgery make educated decisions based on the specific factors that contribute to the appearance of their hooded eyes. When you understand the diagnosis, the treatment strategy, and what you should expect afterward, you are more likely to be satisfied with the outcome of any procedure.

Appointment Request