I Need Help for Hyperpigmentation Under my Eyes and I Have Ptosis on One Eye Too? (photo)

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hyperpigmentation ptosis

4 Doctor Answers | Asked by Fatsvalerio

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Factors to consider in ptosis and hyperpigmentation

Within the normal population, a 1-2 millimeter difference between the two eyes is natural. In order to properly assess ptosis, you have to be examined by an ophthalmologist and oculoplastic surgeon that may evaluate the level of ptosis or level of droop of the eyelid. It’s important that a proper ptosis evaluation be done so that any medical issue that could be associated with the ptosis is ruled out. From the photo that you sent, I assess that there may be a slight difference, but I... more

Eyelid hyperpigmentation

The hyperpigmentation eyelid problem mainly is from shadow effect from eyelid hollowness, which can be improved by eyelid filler injections. You are also candidate for ptosis surgery. See an oculoplastic surgeon for evaluation.

Mild ptosis with lid crease loss

The photo is helpful, but an in-person evaluation is more valuable. In general, there are three reasons why the skin around the eyes can be [or seem] darker: 1. The thin eyelid skin allows the darker muscle underneath to show 2. The hollowness around the eyes can create a shadow effect that exacerbates darkness 3. Skin pigmentation [sometimes from blood products from bruising, if you've had surgery] If it is blood product pigmentation, it could last months... more

A.J. Amadi, MD

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Seattle Oculoplastic Surgeon

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Hyperpigmentation and Ptosis?

I would definitely have an inperson consultation with a board certified plastic surgeon or oculoplastic surgeon to sort these issues out. There are many considerations here, including eyelid position, bony periorbital structure, brow position, amount of skin in upper eyelids, and your skin pigmentation may limit the options available for you in improving the hyperpigmented areas.