There is no single operation that will work for all lower eyelids. This becomes readily apparent if we consider the anatomy of the lower eyelid and how it changes in different ways in different people with the aging process.
Patients who come to me seeking rejuvenation of the brow and upper eyelids areas are pleased to learn that I can often accomplish this for them under local anesthesia in either my Winnetka or Chicago office. Patients can obtain the benefits of an upper blepharoplasty and brow lift and without needing a general anesthetic or even IV sedation.
Heaviness in the upper eyelid area can be caused by true excess of upper eyelid skin and fat or by brow descent or a combination of the two. A careful evaluation will lead to the proper diagnosis and treatment with a brow lift or upper blepharoplasty or a combined procedure.