Eyelid Surgery before & after photos
73%
439 reviews
Worth It Rating Our index shows the percentage of community members saying this was "Worth it". See cosmetic treatment rankings
Eyelid Surgery Cost $4,300 average cost

Aging Eyes - I'm Only 27!

My eyes were my best feature - open, almond shaped and symmetrical. Now (in last 18 months) one eye looks more 'open' than the other i.e. skin seems to have draped downward. Oddly, this can change. It can sometimes happen to both eyes OR I can get a spell of a few weeks where they both look good and symmetrical again but I keep getting disappointed when I wake up and 'arrghhh' the problem is back. I'm only 27! Does anyone have an opinion on this? It would be much appreciated.

Asked 35 months ago by KittyLouise in Glasgow, UK
Sort 12 expert answers by:
+3

Anne Hathaway eyes

Unless we are suggesting Anne Hathaway go in for plastic surgery, you do not need to have anything done. You have an eye configuration that showcases your eyes nicely. Your globe is prominent and the eyes large. In case you haven't looked on television today at many of the news anchors, who are selected for their beauty as well as their ability, this is not a deformity.
Brent Moelleken, MD
Beverly Hills Plastic Surgeon
+3

Seasonal vs medical issue

I'm always disappointed when surgeons only look at a patient and don't listen to them. You stated that this problem of lid droop is intermittent and not always in the same eye. This tells me that we're not talking about an aging issue but a medical one. Many things will change the tissues of the face. This time of year is notorious for eye problems due to changing weather and pollen etc.. The fact that this is over the last 18 months suggests that maybe there could be a medical condition... more
Christopher L. Hess, MD
Fairfax Plastic Surgeon
+3

Based on your photo, I would not recommend any surgery

You have great eyes and a very nice overall shape to them, as well as a nice brow position and shape as well. In short, I would highly recommend leaving everything alone. There will be plenty of opportunity for cosmetic surgery in the future, but at the moment, you don't need any to your eyes.
Shahram Salemy, MD
Seattle Plastic Surgeon
+2

Fluid shift

The change that you are experiencing with your eyelids has to do with fluid shift. There is fluid in and around the eyelids that is retained at night while lying down. This is accentuated with a high-salt diet. Once the patient is up and around during the day the fluid comes out of the eyelids. If the patient sleeps on one side of their face all the time, the dependent side will be more swollen than the upward side because of gravity. This will continue to happen even after any upper... more
William Portuese, MD
Seattle Facial Plastic Surgeon
+1

You're reaching an age when these things start to present themselves

I see the extra skin in your upper eyelids. I hope that is what you are talking about. This happens when you lose volume around your eyes which happens when you age. Underneath your brow, you slowly lose fat, connective tissue within your skin that causes the skin to sag downward because of the reduction of volume. During the seasons, depending on how much water you drink and what your nutritional intake is, you will have a different state of volume. This can account for the different... more
Philip Young, MD
Bellevue Facial Plastic Surgeon
+1

You have difficult anatomy.

Hi. I see what you are talking about. Your lower lids are too low, specially on the outside, and specially in your left eye. But you have prominent eyes and flat cheek bones (what we call a negative vector). This combination makes surgery riskier. If you find a very experienced oculopastic surgeon, your lower lids can be improved. Otherwise, leave them alone. You look nice. There is time enough in the future for surgery.
George J. Beraka, MD
Manhattan Plastic Surgeon
+1

Lax lower lids

You are correct in your assessment. Your lower lids have lost support and are a bit low, especially toward the outside (laterally). This may be congenital, or acquired. Does anyone in your family have your eyelids? 27 is a bit young for a blepharoplasty, but it might be good for you. I would recommend a consultation with a ps for evaluation of the support structures so that if you need an additional procedure to cinch up the lower lid, it can be done at the same time. I also would... more
Scott E. Kasden, MD
Dallas Plastic Surgeon
+1

Your eyes still are a great feature

There is a strong argument for leaving well enough alone in your case. Your eyes still look terrific to me in the photo. Rather than have surgery, you could try Botox as one of the earlier responders suggested.......or just by yourself a new outfit, which can make you feel better without the potential complications from surgery.........
Darrick E. Antell, MD
Manhattan Plastic Surgeon
+1

Brow ptosis

Dear Kitty The surgeons here will tell you that you are very attractive, and it is true. But aesthetic surgery is so much about how you feel about your appearance. The issue you are having trouble with is the position of the upper eyelid fold. Where this sits relative to your eyelid platform is related to how you carry your eyebrow. In turn, the brow position is determined by a tug of war between the lifting muscle in the forehead, the frontalis muscle, and the muscles at the brow... more
Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
+1

You look great!

For some women seasonal changes can create mild swelling of the periorbital tissues causing slight asymmtries in relation to the bodies reaction to environmental stimulants such as dander, pollens, dust...  You may want to vist your ophthomologist to see if they might be able to help. 
Charles Perry, MD
Sacramento Plastic Surgeon
+1

Upper lid does cover your eyelid crease in this photo

You look very young and have pretty eyes. I do see the small amount of skin covering the eyelid crease, but this is normal for many people. You are very young to consider surgery. In the furture as you get older, you may decide you want an upper lid blepharoplasty, but I think you are too young now. Since you notice some weeks you are okay, watch your salt intake. Having popcorn, Chinese food or other salty food can cause the eyelids to swell and make the problem worse. Sometimes, Botox can... more
Brooke R. Seckel, MD
Boston Plastic Surgeon
+1

Lower lid deformity

It seems that you have some rounding of the outer aspect of the eye lid. it is not a frank ectropion where the lower lid is turned outwards or downwards. In mild cases it could help to massage the eye lid upwards,in any case a consultation with a qualified plastic surgeon is the best way to proceed.
Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
Use of this website and the posting of any reviews or other content on this website constitutes acceptance of the RealSelf® Terms of Service. The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. © 2011 RealSelf, Inc. All rights reserved.