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A 23-year-old gentleman has deep set eyes and noticed that his eyelids are drooping. He wants to know if he should consider surgery and if there are less harmful solutions. Dr. Amiya Prasad, an oculofacial plastic surgeon explains that with the photo he submitted, there is certainly a little bit of droop of extra skin over his eyes. To determine if what procedure is appropriate for him, Dr. Prasad usually uses a Q-tip to roll the skin up a bit and looks at the patient's eyes. As someone who is boarded with facial cosmetic surgery and who does a lot of facelifts and other rejuvenation procedures in addition to cosmetic eyelid procedures, he doesn't look at the eyes in isolation but looks at the eyes and how they impact the whole face. The impact of the improved appearance after eyelid surgery can be significant and at the same time it can be natural. Dr. Prasad always stresses particularly to many of his male patients and younger patients that less is more is the best way to go. So if the patient can see a difference when rolling up the eyelid skin and if that is significant enough for them to feel good about it, then it's worthwhile to meet with cosmetic surgeons. Unfortunately, there are a lot of male patients and celebrities who have eyelid surgery and had their eyelids overdone. Retaining a masculine appearance is very important. It's not about how much surgery done, it's how the surgeon does the surgery in an artful way so that it looks like the patient naturally looks that way. When a patient goes for consultations and meet with doctors, they should ask to look at their specific before and after examples of their male patient to get a sense of their aesthetic style. Unfortunately, a lot of people get surgery and then try to undo it. He recommends considering the option of doing an upper eyelid blepharoplasty. However, patients should understand that it's going to be relatively conservative and there are risks and benefits. This is a 3-dimensional procedure and so a photo alone doesn't allow anyone to make a definitive recommendation. If a conservative amount of skin removal makes a difference for the patient and they know what to anticipate after surgery, then moving forward with it may be right thing for them. For more information, visit our website: http://prasadcosmeticsurgery.com/pras...