I look tired and angry. Hate the dark circles, hollow eyes and sagging brows. Are my eyelids a problem too? Advice? (photo)
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Doctor Answers 5
Less than ideal photograph.
"SOOF lift blepharoplasty". Search the Internet for further information. Good luck!
Based on you photos, you may have a mild ptosis - left more than right. This often presents with a tired appearance, edge of the lid/ lid margin dropping down closer to the pupil, and a hollowing in the upper lids. When the levator is reattached to its normal insertion, it may advance the normal orbital fat with it and fill in the hollow to some extent. Your brows appear to be above the superior orbital rim - a good level. Surgically raising the brows can make the hollow in the upper lid more pronounced, so my opinion would be to focus on elevating the eyelid margin by advancing or reattaching the levator. The brows/ forehead would relax, but your relaxed position in the first photograph shows good brow position. Oculoplastic surgeons are most experienced with the levator muscle - so I would lean you in that direction.Dark circles may be related to allergies, and/ or eye-rubbing. If that is a problem, then using allergy medications - oral or topical drops, cool compresses with a soft clean cloth, and avoiding hand-to-eye contact and rubbing will help. A more aggressive option is CO2 laser resurfacing of the periocular skin. This eliminates fine wrinkles and induces collagen giving a smoother more "plump" look to the skin. The CO2 laser resurfacing can also be used to tighten and smooth the forehead area giving a fresh appearance to the skin. Best wishes on your decisions.
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Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.