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A woman was born with hooded eyes and lower eyelids to the point that the red part of her eye (conjunctiva) can be seen. She wants to know if a blepharoplasty can correct these issues. Dr. Amiya Prasad, an oculofacial plastic surgeon, has observed from her photos that her eyes are prominent and have some similarities to someone who has thyroid eye disease or Graves' Disease. He advises caution in any enhancement procedure because of the unique anatomy this woman was born with. Unfortunately, an upper eyelid blepharoplasty is unlikely to deliver the best results for her and may only aggravate her condition. If too much fat and skin is removed, it would only make her eyes more prominent sometimes referred to as a bug-eyed look. Dr. Prasad explains that the main problem that she has is her lower eyes. Her lower eyelids are retracted to point where the pink part of her eye called the conjunctiva can be seen. This means that the lower eyelids are lower than the level of the iris. Some patients may have this as a genetic trait or sometimes may be a consequence of lower eyelid surgery. There are many ways to correct lower eyelid retraction. One straightforward procedure is called lateral canthoplasty or lateral tarsal strip. This procedure reattaches the eyelid by attaching the lateral canthal tendon to the internal aspect of the orbital rim of the bone. Dr. Prasad also uses a spacer graft to provide vertical support for the lower eyelid to add vertical height. So, he recommends that she meet with an experienced oculofacial plastic surgeon that can deliver the results that she wants. For more information, visit us in our website: http://prasadcosmeticsurgery.com/pras... http://prasadcosmeticsurgery.com/pras...