Drooping eyelids, medically known as ptosis, affect countless individuals and can make you appear older, more fatigued, or less alert than you actually feel. The good news is there's now a non-surgical solution available. Upneeq is an FDA-approved prescription eye drop that lifts low-lying eyelids, helping you achieve a brighter, more refreshed appearance without the need for surgery.

At New York Eye and Face, board-certified oculofacial plastic surgeon Dr. Anaïs Carniciu offers Upneeq as part of her comprehensive approach to rejuvenating the delicate eye area. As one of only 750 ASOPRS-certified surgeons worldwide, Dr. Carniciu combines her specialized expertise in oculoplastic surgery with cutting-edge non-surgical treatments to help patients look and feel their best.

In this blog, we will discuss what Upneeq is and what makes it unique. 

What Is Upneeq?

Upneeq (oxymetazoline hydrochloride ophthalmic solution 0.1%) is the first and only FDA-approved prescription eye drop designed specifically to treat acquired ptosis, or drooping of the upper eyelid. Unlike traditional surgical eyelid lifts, Upneeq offers a non-invasive alternative that can be applied at home with ease.

The active ingredient in Upneeq works by stimulating the Müller's muscle in the upper eyelid, causing it to contract and lift the eyelid upward. This mechanism opens the eye wider, revealing more of the iris and the white of the eye, which creates a more alert and youthful appearance. Clinical studies have demonstrated that Upneeq can effectively lift drooping eyelids, with many patients experiencing visible results in as little as five minutes after application.

Understanding Why Eyelids Droop Over Time

Several factors contribute to sagging upper eyelids, including:

  • Weakening of the levator muscle: This primary muscle, responsible for lifting the eyelid naturally weakens with age.
  • Loss of skin elasticity: The delicate eyelid skin becomes thinner and less resilient over time.
  • Müller's muscle changes: This secondary eyelid muscle can lose tone and responsiveness.
  • Fat pad descent: Shifting of orbital fat can add weight to the upper eyelid.
  • Lifestyle factors: Frequent eye rubbing, chronic allergies, and sun exposure can accelerate eyelid aging.

Research published in the journal Ophthalmology indicates that ptosis affects a significant percentage of adults over 50, with the severity increasing with age. 

Benefits of Upneeq

The advantages of choosing Upneeq for eyelid lifting extend beyond simple cosmetic improvement:

  • Non-surgical and minimally invasive: No incisions, no anesthesia, and no downtime required.
  • Quick results: Many users notice visible eyelid elevation within minutes of application.
  • Convenient application: Simple once-daily use at home with single-dose vials.
  • Improved field of vision: Research shows that lifting drooping eyelids can enhance the upper visual field, making daily activities like reading, driving, and using a computer easier.
  • Natural-looking enhancement: Gradual, subtle lifting that doesn't look overdone or artificial.
  • Reversible effects: Since the results last only for the day, you have control over when and how often you use the treatment.

What to Expect When Using Upneeq

Application Process:

  1. Remove contact lenses before applying Upneeq (if applicable)
  2. Tilt your head back slightly
  3. Open the single-use vial by twisting or cutting the foil wrapper
  4. Apply one drop to each affected eye
  5. Avoid letting the vial tip touch your eye or any surface to prevent contamination
  6. Wait at least 15 minutes before reinserting contact lenses
  7. Discard the vial immediately after use

Upneeq vs. Surgical Eyelid Lift: Which Is Right for You?

While Upneeq offers a convenient non-surgical solution for mild to moderate eyelid drooping, it's not the ideal choice for everyone. Understanding the difference between Upneeq and surgical options like blepharoplasty can help you make an informed decision.

Upneeq is best for:

  • Mild to moderate acquired ptosis
  • Patients who prefer non-surgical options
  • Those who want a temporary, reversible solution
  • Individuals with busy schedules who cannot take time off for surgery
  • People who want to "test drive" eyelid lifting before committing to surgery

Blepharoplasty is best for:

  • Severe ptosis or significant excess eyelid skin
  • Patients seeking permanent, long-lasting results
  • Those with both functional and aesthetic concerns
  • Individuals who want to address multiple issues simultaneously (such as puffiness, wrinkles, and drooping)

Questions About Upneeq? Dr. Carniciu Is Here to Help

If drooping eyelids are affecting your confidence, your vision, or how others perceive you, Upneeq may be the solution you've been seeking. Schedule a consultation today at our state-of-the-art Westchester facility and discover how Upneeq can help you. 


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