Crepey skin/upper eyelids beginning to droop. Some facial asymmetry. Options? (photo)

- Lower eyelid blepharoplasty with fat repositioning (transconjunctival approach - incision through the inside of the eyelid without any external scar)
- Posterior approach ptosis surgery vs Upneeq
- Fat transfer
- Dissolve any prior undereye / midface fillers
- botulinum toxin around the eyes
- chin implant
- neck liposuction with/without limited neck lift
- CO2 laser resurfacing

Important to see an expert for an evaluation. Contact me if you want details! Hope this helps!

I recommend a face lift and brow lift. The brow lift will lower your hairline, elevate your eyebrows higher and clean up the upper eyelid skin. The face lift will tighten the skin around the orbital region laterally as well as pull up the neck and give you a more defined chin.

Best Wishes,

Gary Horndeski, M.D.

Based on your post of photos that my recommendation would be a mini face neck lift with muscle tightening, lower eyelid, lift with Endo layers of lower lids, jawline and orbital area. Best of virtual concert with. Fees $10,000-$15,000.