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Is It Possible to Achieve a More Deep-set Eyes?

I am half-Asian with large eyes, thick eye creases. An Asian Eyelid surgery wouldn't really make sense for me since I already have very thick caucasian creases.

Oddly, my eyes are pretty shallow-set, in fact, they bulge out a bit. This makes my profile look very weird. I think that if my eyes were deeper set into the head..it would look much better. It sounds like a drastic and scary operation though. Any idea if it can be done and how? Thanks!

Doctor Answers (7)

Wanting deeper set eyes

+1

The eyeballs cannot be made more deep-set into the orbit of the face. Fat pads when present on the lower lids can make the area look puffy, these can be removed to create the illusion of a more inset eyelid. However, the puffiness has to be present first prior to removing any of that lower orbital fat.


Seattle Facial Plastic Surgeon
5.0 out of 5 stars 56 reviews

Have your thyroid checked

+1

Smilebaby,

Bulging eyes or exophthalmos can be caused by metabolic/endocrine conditions such as hyperthyroidism. Start with a visit to your internist for some simple blood tests to rule out these conditions. Then, you might want to see a board certified plastic surgeon for options to correct your eye appearance. Good luck!

Kenneth R. Francis, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 31 reviews

Deeper set eyes

+1

Trying to make the eyes deeper set in the orbital cavity is usually not done for patients unless they have sever exopthalmos.  When this is performed, usually out fracturing is performed to make the cavity larger to accomodate the eye.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

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Wanting more deep set eyes is an unusual concern

+1

Dear Smilebaby

This is an unusual concern that you are describing. It is the nature of the world we live in that you may find someone who will try to do whatever you ask. However, you need to be carefully assessed to determine if what you are considering makes sense. Orbital decompression with fat and bone remove is used to set the eyes back into the orbit when thyroid eye disease pushes the eyes forward. However, it is much less common to use these surgeries to perform "comsetic' orbital decompressions for the purpose of moving the eyes back.

My best advise is to seek several opinions for expert ophthalmic plastic surgeons. These are board certified ophthalmologists with specialized training in eyelid and orbital plastic surgery.

The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a directory that will help you located a quailified doctor near where you live: www.ASOPRS.org.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 16 reviews

Deeper eye sockets: It can be done, but it should NOT be done.

+1

Orbital decompression is the name of the procedure done to achieve what you're describing. But it's an operation reserved for significant eye problems from diseases such as Graves' ophthalmopathy. A frequent side-effect of such decompression surgery is diplopia--double vision--which has to be subsequently corrected by additional surgery on the eye muscles.

From a cosmetic standpoint, the risks don't justify the procedure.

All the best,

--DCP

David C. Pearson, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Achieving more deep-set eyes

+1

As we age, we lose fat volume in our orbits and our eyeballs naturally sink in. The same happens if FOR ANY REASON the volume of the eye socket is made larger (such as a fracture of the floor of the orbit, removal of part of the side wall of the socket (as is sometimes done in hyperthyroidism where the periorbital fat increases in volume due to inflammation).

It is really NOT complicated to cause the eyeballs to fall more into the socket. The question is how much floor or side wall widening needs to be done ? and Is it worth it? Uniformly, the long term result will be poor. It will prematurely age you.

Personally, I do not feel such an operation is an ethical operation in your case NOR would I want to be associated with such a result.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 60 reviews

Not possible to deepen your eyes

+1

 What you are describing can be done for certain extreme conditions like hyperthyroidism but for purely cosmetic purposes, this would not be safe to try.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 48 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.