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No. A standard blepharoplasty removes skin and/or  fat and as a rule gives you less upper eyelid skin to work with after surgery  than before surgery. If you are lacking in skin or have what is called lagophthalmos, I would  certainly consider doing nothing with your eyes that would add to the problem  such as a blepharoplasty. Correction of this problem unfortunately is not easy  and usually involves skin grafts and visible scars.  My recommendation is at this time that you do  not do a blepharoplasty

Certainly a brow lift and eyelid surgery would increase the youthfulness of the upper part of the  face. Whether you need one or the other is something we would have to see on examination. If brow ptosis or wrinkling of the forehead is a significant problem, then certainly a brow lift would be an excellent procedure. If you have eyelid skin in excess and lateral hooding caused by this excess skin in the upper eyelids, a blepharoplasty would be an excellent procedure. Both surgeries can  be done at the same time and your overall look would be excellent.

Generally speaking, I recommend that people have any medical type procedures before they have cosmetic procedures to rule out any secondary complications from the cosmetic work.  So I would tell you to go ahead and get the Lasik surgery and then within a month or two after, if that is successful, go ahead and have your blepharoplasty.

An Asian American blepharoplasty takes a certain amount of experience due to the fact that it is important to remove the necessary skin and increase the patient's vision while at the same time maintaining the ethnic appearance. If you have experience with this particular procedure you certainly can do what you would like, which is create a less puffy upper eyelid and still maintain an Asian looking appearance to the eyelid.

At 48 years old,  there is most likely enough skin and the skin elasticity has been lost to the  point that if you do any suctioning you also have to pull the skin back a  little bit or it will just hang loosely. You can do a relatively non-invasive  procedure which involves suctioning underneath the neck and a post-auricular  neck lift, meaning just elevating the skin from behind the ear, which can  provide an absolutely wonderful result. This is something that should be  discussed personally and by taking a very close look at your specific problem,  but I would usually say that at 48 years old you would need to have some degree  of post auricular neck lift besides the suctioning alone.  Both of these things could be done even under  local anesthesia or with mild IV sedation.

Posted by Richard Galitz, MD, FACS

Botox works  absolutely wonderful around the glabellar lines, which are the lines between  the eyebrows.  It works wonderful on the  forehead lines across the forehead as a whole.   It works very good on the lateral canthal lines of the eye, which are  the squinting lines. I find in all those areas we get an excellent result with  Botox and it can also lift the eyebrows and give you a temporary brow lift,  which is very nice.

Posted by Richard Galitz, MD, FACS

Generally speaking, I  use Juvederm in all the creases on the face.   If I have extremely fine or superficial creases, I may use some Restylane,  which is a little bit thinner.  However,  there are two or three versions of Juvederm that work at different depths in  the skin and last for different lengths of time and I have gotten excellent  results using them. Sometimes Perlane also works very nicely along the  nasolabial lines and, again, this would be tailored very specifically to the  particular problems that you have.

Posted by Richard Galitz, MD, FACS