I look so tired and old. What are my options for my eyes? (Photo)
Doctor Answers (12)
Options to Improve Your Puffy, Tired Lower Eyelids
The use of topical skin care products are an excellent idea for keeping the fine lines and wrinkles in this area at bay – so, I definitely recommend you continue a good skin care routine around the eyelid skin – but these products won’t prevent or treat the puffy, tired look.
The good news is that the puffy, tired eyes problem is very easy to fix with a minor surgical procedure: using a transconjunctival approach (so that there are no visible scars). Some of the bulging under-eye fat can be removed, some of it can be repositioned and the firm fibrous attachment right next to the nose (called the arcus marginalis), that creates the appearance of a deep groove there, can be released.
This option will give you a very natural-looking contour in this area, that will make you look healthier and more rested. Since there are no visible scars, the recovery from this procedure is very quick – only limited by any bruising you may have for a few days. Lower eyelid surgery patients are often some of the most satisfied cosmetic patients because eyes are such a central source of communication and appearance.
Check out this link to get a visual perspective of the type of improvement you would see from your own lower eyelid blepharoplasty...
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Fillers would be the best nonsurgical solution for your tired looking eyes.
What to do for tired looking eyes ?
So, to start with, the least invasive would be to perform some kind of filler around the area, to build up the upper cheek/lower eye loss of volume around the fat that has herniated, options for filler vary from different types of HA (hyaluronic acid) fillers to fat transfer.
Your other option would be a lower eyelid blepharoplasty, there are different approaches and an examination would be required to determine which, if any, would be beneficial for you.
Options for tired looking eyes?
Fillers can help improve the cosmetic appearance but you will get only a temporary and limited improvement with them. A better and long standing correction would be achieved with a blepharoplasty of the lower lids: Conservatively removing any excess loose skin that may be present, contouring the bulging fat pads, which are generally inherited, unrelated to weight, and tend to protrude more with time, and smoothing the tear troughs with micro-fat grafts or fat repositioning.
Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you what to do based on two dimensional photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of each operative procedure would not be in your best surgery. I would suggest that you find a surgeon certified by the American Board of American Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.
Robert Singer, M.D., FACS