My eyes look sad, tired, and sunken lately. The outer half of the upper lids are often swollen. I have festoons. Advice? (photo)
Doctor Answers 4
Sad, tired and sunken eyes lately.
Thank you for your question. First schedule your consultation with a Board Certified Facial Plastic surgeon. From your photos, you do look like you could benefit from upper and lower eyelid blepharoplasty.
Laser resurfacing under your eyes could also help with festoons which is edema to minimize the appearance of puffiness (not sure if yours are true festoons) it also helps with dark circles under the eyes, which can give you a tired look.
Best of Luck!
Lower lid bleph
Brow and lower lids
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Lower Lid Appearances
Thanks for your question and photos. In looking at your photos, I can appreciate mild fat prolapse and a prominent tear trough. These are both contributing to the "sad, tired, sunken" appearance you have mentioned. HA filler may be a reasonable conservative option to try and smooth out the lower lid appearance. However, a lower lid blepharoplasty with fat transpositioning would be a more permanent, definitive procedure to fill in those contour defects and obtain a pleasing result.
I would recommend an in-person evaluation with a skilled facial plastic surgeon in your area.
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