Cheek Support Will Help The Lower Eyelid

Tanveer Janjua, MD answers: Drooping lower eyelids or scleral show due to cheekbone structure?

I have droopy lower eyelids ('Sanpaku'/ScleralShow) at 19 years old. Over the past few years, I've had bad sleep patterns (bedtime 'procrastination').

However, research has lead me to believe that lack of sleep may not actually be my underlying problem. I asked my doctor about this, and he said the elasticity should return after getting sufficient sleep.

My question is, judging by the photo, does it look like my lowerlids are drooped due to a possibly weak cheekbone structure? I was thinking of just slightly squinting a lot to 'strengthen' the muscles responsible, but that would lead to wrinkles, apparently.


Tanveer Janjua, MD
1 month ago

You have made a great observation. I hope you become an artist or a plastic surgeon. You need support in your cheek bones and under the lower eyelid area to push up the lower eyelids. The other procedure that can help is called 'Canthopexy'. However, looking at your photo there is a lack of volume in the cheeks.

Squinting or other exercises will not help.

I would suggest Sculptra as a filler which would increase the volume of the cheeks and lower eyelid areas.  If that fails then you can try fat injections using your own fat.

Regards

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