Cosmetic Eyelid Surgery In Men

Cosmetic eyelid rejuvenation for men has always been a part of my surgical practice. I see men of all ages who want to optimize the appearance of their eyes and upper face. In this blog I will go by age group and describe the most common procedures and how they are tailored for the male aesthetic.

20’s-30’s

Men in this age group will often be reaching out to me for cosmetic evaluations for the first time. Usually I help them achieve their goals with neurotoxins (Botox, Xeomin, Dysport, Jeuveau) and fillers. Cosmetic blepharoplasty is not that common in this age group, but sometimes I will treat lower eyelid bags with a lower eyelid blepharoplasty. For men in their 20’2 and 30’s I almost always approach these bags through a “trans-conjucntival” approach. This means that the incision is on the inside of the eyelid so there are no visible scars.

A common surgery I do for men in their 20’s and 30’s is the repair of congenital ptosis. This is a condition when a child is born with a droopy eyelid which stays droopy as they grow. Often only one eye is affected but sometimes both lids can be droopy. If the droop is severe enough to interfere with the development of vision then it is always repaired in the first few years of life. However, if the droop is mild, then it is usually not repaired until later.

Men in their 20’s and 30’s often come into my office for repair of a mild droop. Thes surgery to repair this droop or “Ptosis” is simple and done as an outpatient procedure. I tighten the muscle that opens the eye to give it more pulling power. I do this from the backside of the eyelid so there is no incision on the skin and no visible scar.

40’s-50’s

Men in this age group often come to see me for non-surgical treatment of aging changes. This includes softening wrinkles with neurotoxin (Botox, Xeomin, Dysport, Jeuveau) and/or using fillers to soften contour issues. These non-surgical procedures are done in the office with no down time.

I also see men in this age group who have aging changes of the eyelids that need surgery. Most common are lower lid bags. Some men develop lower lid bags even in their 20’s and 30’s. Often there is a family history of developing early eyelid bags. In many cases I can approach these bags through a “trans-conjucntival” approach. This means that the incision is on the inside of the eyelid so there are no visible scars. I find this a very nice option, especially for men.

50’s and beyond

In this age group I treat patients with neurotoxins (Botox, Xeomin, Dysport, Jeuveau) and fillers, but surgery is often what brings patients first into my office. Heavy upper eyelids and lower lid bags are common complaints. I commonly perform upper and lower eyelid blepharoplasty. In men I take extra care to keep the eyelid looking “masculine.” This is achieved by the placement and shape of the upper eyelid lid crease and also carefully tailoring how much skin I remove from the upper eyelids.

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