What are Baggy/Hooded lids?

  • When there is extra fold of skin over the crease- dermatochalsis

  • Makes the eye look smaller and heavy

  • Is usually associated with droopy brows

  • Additional loose skin may be present

 

  • Fact: should not be confused with droopy lids (check here)

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Patient with both eyes dermatochalasis and brow ptosis

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Patient with pseudo dermatochalasis

 Eyes look normal once simulated brow lift is attempted

Patient complains of heaviness on eyes, headache in an attempt to open eyes and/or limitation or restriction of the visual field

 

It can be caused by the following reasons:

  • hereditary/familial

  • skin laxity/looseness - causing extra skin to hang over

  • atrophy of fat around the brows - leading to descent of the brows 

It can be present in all ethnicities but can specifically be seen in north-eastern Indians and Asians (corrected by the famous procedure called Asian blepharoplasty)

Treatment of Baggy lids

Skin Markings

(Surgeon: Dr. Shubhra Goel)

Extra skin excision

(Surgeon: Dr. Shubhra Goel)

Skin sutures

(Surgeon: Dr. Shubhra Goel)

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In milder cases, non surgical options may work. In most cases surgery - blepharoplasty with or without brow lift is recommended

Our results!

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Before

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After

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Before

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After