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What Can I Do About my Tired Looking Eyes? Long-lasting Solution

asked 1 year ago by nudzzz in Netherlands
Latest answer by Francis R. Palmer, III, MD
Question viewed 672 times
Tags: age 18-24, female, tired eyes

I am an 22 year old female. Looking at my pictures i can see a tired person. I want to get more details why i have a tired appearance. I wonder what i can do about it. I heard about botox injections but they only last for a few months. I'm looking for a solution that lasts for years or longer.

15 answers to What Can I Do About my Tired Looking Eyes? Long-lasting Solution

Brow ptosis

It seems like your brow position is low set (left worse than right) and resulting in your tired appearance. I do agree that heavy-set brows tend to run in families and they do worsen with age. It's difficult to tell but I don't expect you to have too much redundant eyelid skin at age 22 but a proper examination will be necessary to rule that out. Given the heavy-set nature of your brows, I'm not sure if a chemical brow lift (ie Botox brow lift) would... more

Christopher Zoumalan, MD
Beverly Hills Oculoplastic Surgeon

Treatment of tired eyes

Based on your photos, your brow position appears to be a big low. This is creating a heavy look to your upper eyelid. Since you are only 22, it's unlikely that you actually have excessive upper eyelid skin, but this is difficult to determine from just a photo. Botox injections can reshape and improve your brow position-however this may only last four months. Brow lift and/or upper blepharoplasty surgery may give a more long lasting result. Please consult with a... more

William Bruno, MD
Beverly Hills Plastic Surgeon

Eyelid surgery, #blepharoplasty, #tiredeyes, #fatgrafting

Dear Nudzzz in Netherlands Thank you for your question. There are several options for making the eyes apear less tired- as the appearance can be from the upper or lower eyelids or both. Changing the eyebrow position can help- but may give a 'stylized' appearance....Botox can achieve this and will give you an idea of how a brow lift can look. Lower eyelid hollows also make the eyes tired appearing - and this can be treated with filling- either with fat or Restylane... more

Trevor M. Born, MD
Toronto Plastic Surgeon

Heavy brows may néed a Brow Lift

You are still at a very young age to be having surgery however sometimes genetics plays a larger role then age itself. An endoscopic forehead lift or brow lift would probably be the best long term approach for improvement. While searching for a skilled surgeon you may try and find one who has a digital imaging computer to show you your proposed results. I understand your concerns and no one likes to "look tired" at any age but please take your time with your consulting phase and really find... more

Michael Elam, MD
Orange County Facial Plastic Surgeon

Heavy brows can be treated with a browlift or Botox

Your brows seem mildly heavy. You have two good options - nonsurgical treatment with Botox for a "chemical browlift" effect, or a surgical browlift. You will do well to consult an experienced facial plastic surgeon to discuss which is right in your case- age, by itself, is unimportant here.

Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon

www.nayakplasticsurgery.com

Tired eyes.

A forehead lift may be needed as a long term solution, but you need to see an experienced plastic surgeon for an evaluation.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Eyebrows

It looks like yoru eyebrows are a bit low in the photo, although that could be positional based upon the angle of the picture. You should seek out a consult first to be evaluated.

Steven Wallach, MD
Manhattan Plastic Surgeon

What Can I Do About my Tired Looking Eyes? Long-lasting Solution

Hi nudzzz. The picture shows that you have significant heaviness over your eyelids. This is most likely due to your eyebrows drooping. Seek a surgeon that has experience in eyebrow and eyelid surgery.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon

www.neweyelids.com

Tired eyes, a longer solution

Your brow does look slightly heavy though you are only 22. Overall your lids are youthful and Botox to relax the side of the brow is a very safe and good option. Dysport may last longer if you object to a treatment every four months. Lid surgery may be more 'permanent' though not give a natural and youthful look for most. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

What Can I Do About my Tired Looking Eyes? Long-lasting Solution

Your upper eyelids are heavy because you have low set eyebrows. This contributes to the look of being tired, as you state. I suggest that you consult with a few Board Certified Plastic Surgeons and ask about browlift- this can permanently raise your eyebrows and give you a more open awake look. Computer imaging can show you what you would look like. Good luck!

Amy T. Bandy, DO
Newport Beach Plastic Surgeon

Heavy eyelids and tired appearance

There are both fixed and modifiable factors that contribute to aging. Modifiable factors include smoking, sun exposure, poor nutrition, and alcohol abuse, among others. Fixed factors include genetics and past medical history. Your upper eyelids appear to be slightly ptotic (droopy). This is likely a genetic and hereditary issue. IF you look closely at your mother or father, you will likely see similarities to your own eyelids. Age 22... more

Jason R. Hess, MD
San Diego Plastic Surgeon

You appear to have left eye brow ptosis.

Dear Nudzzz Those are heavy eyebrows. They tend to run in families. Given your age, I would advise you to not be in a big hurry for surgery. A very precise upper eyelid surgery or a modest endoscopic forehead lift could be very helpful long term approaches to help this situation. Start by studying the eyelids and eyebrows of actresses and models to help you understand what you are looking for. This will help you when you actually start interviewing surgeons. more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Options for Tired Looking Eyes - Blepharoplasty

The eyes are the windows to the soul. All too often, however, they seem to reveal exhaustion. The very delicate skin around the eyes tends to get crepey and puffy due to fatigue and stress. Eyelid surgery has become one of my most popular procedures. If excess upper eyelid skin is hooding the eye and needs to be eliminated, an incision is made in the crease at the top of the lid and excess fat and skin are removed. The incisions are closed and sutured on the underside of the skin. If... more

Michelle Copeland, MD, DMD
New York Plastic Surgeon

Eyebrows are low.

Both, of your eyebrows are low, with the left lower in position causing more fullness in the left upper eyelid. Have a consultation with a plastic and cosmetic surgeon who should place your eyebrows into the proper aesthetic position to determine if this fullness is from low eyebrows (most likely in a 22 year old) of excess upper eyelid skin (not very likely in a 22 year old). I have performed many Brow lifts, over the pasty 20-25 years but the youngest woman was 25 years... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Long lasting solution for tired eyes

It appears in the picture that your upper eyelid skin is touching the upper eyelashes and an upper blepharoplasty may be required to give a more youthful appearance to the upper eyelids. This incision is performed through the upper eyelid crease with removal of excess skin and fat to freshen the upper eyelids.