Deep set eyes - any solution? (Photo)

The levator aponeurosis is the tendon of the muscle that raises the upper eyelids.  Over time this tendon tends to give in almost all of us.  For some this happens sooner than others.  As the tendon gives, the anterior orbital fat is pulled upward into the orbit with the tendon.  This makes the upper eyelid sulcus look hallow.  Eventually the tendon slippage causes a loss of support for the upper eyelid which becomes droopy.  Currently, at least in the photos you have produced, you have a small degree of upper eyelid ptosis.  This cause the eyebrows to elevate.  The challenge for you eventually will be to find a solid oculoplastic surgeon in your area who makes sense.  To get a natural result, you will need to find a oculoplastic surgeon who really knows what they are doing.

Sometimes fillers can help volume deficiency around the eyes and younger patients. I don't think this is indicated in your situation.

I see that you have more upper and lower eyelid show than average which mimics deep set eyes but is not truly deep set eyes.  Women, usually older than you, can take on a truly deep set appearance from periorbital bone and fat resorption and skin laxity due to aging.  To open up your beautiful eyes, I would recommend a little Botox in your lower eyelid orbicularis oculi muscle to treat the "banana roll."  I think with that simple treatment, you will see a significant improvement. A small upper eyelid blepharoplasty can be done to slightly decrease the upper lid show but this would be difficult to do with fillers.  

It is an aesthetic advantage to have eyes that
are deep set. Nearly all beautiful eyes are deep set rather than prominent.
However, with normal ageing. over time the eyes become deeper set and this
becomes less attractive. They start to look hollow, sometimes giving a gaunt
look and strangely, the expression on the face alters to give a cold look, that
is not appealing.

The usual remedy for ageing deep set
eyes is to add volume back into the upper lid. These days, fat injections, which
is a relatively minor procedure, provides a permanent correction without the
risk of irregularity and lumps the way this was done a few years ago. Some
doctors use fillers and although not permanent they last a few years in the
lids.

You would need to be seen in person
to determine the suitability of this procedure and to rule out other less usual
causes. The main one is, true lid ptosis where the internal muscle of the lid,
the levator apparatus, that opens the eye is not working fully and needs to be
adjusted.

Correction of this is real surgery
and should be performed by a surgeon with expertise in eyelid surgery, but if
required, the dramatically reverses the heavy lidded look.

My impression based on the photo of
you in the dark dress is that the lid muscle is working well and that simple
fat injections will be all that is required, but the second photo, with you in
the red dress, suggests a true weakness of the lid muscle.