11/14/2025
This patient came to me feeling like his upper eyelids were sagging and heavy. Upon closer exam, we also noticed asymmetry in the eyelid position and some lower eyelid puffiness from fat bulges.
To restore balance and refresh his appearance, we performed a combination upper and lower blepharoplasty with a micro ptosis repair on the right side to match the eyes.
For the lower lids, we used an internal approach to reposition fat and smooth out the under-eye area—along with a subtle skin pinch to tighten.
The best part? No external scarring on the lower lids and a preserved natural blink—so results look natural and dynamic, not overdone.