What procedures can help with my lower eyelids sclera show and droopiness? (Photos)

Question

Hi I’m 25M and I’m curious what kind of procedure could help with my lower eyelids. My eyes seem to have some lower eyelid droopiness and a bit of sclera show. Also the transition from my lower lid to cheek isn’t very smooth, causing shadowing and a tired look. I have naturally large eyes and I think the problems might come from a lack of orbital support and or lower lid laxity. When I push up on my cheek very slightly, it gives me a more desired look. I have included some photos of my eyes (first 2), as well as an AI generated version of what would be more desirable (ignore the eye color change). I’m curious if this result is realistic or a bit of a stretch. Thanks!

Rajaie Hazboun, MD, MBA · Answer

Thank you for posting your question and pictures here!please take the following as an opinion and not as medical advice, for medical advice I would recommend that you consult with your local plastic surgeon so that they can do a proper history and physical exam. 
to discuss lack of lower eyelid or skeletal support a lateral profile view would be helpful. That being said you bring up a couple of other issues.
- negative canthal tilt , from the pictures the corner of your eye laterally points more downward , and that seems to be bothering you , this can be addressed with a canthopexy or canthoplasty but that being said it will change the way your eyes look and might make them appear slightly smaller .
- you also mentioned that you feel that lifing up your cheeks gives you a more desirable look , this can be from a number of reasons , lack of skeletal support is one of them which can be corrected with an implant but i cannot assess that based on the frontal pictures provided , other possible solutions if the hollowness is the result of lacking volume then fat grafting in the area can help improve it , and if that hollowness resulted from your cheeks drooping then a midface lift can help with that.
What ever the solution is please keep in mid facial surgeries in general can change the way you look permanently and each surgery carries it's own set of risks and benefits so study your options and reason for surgery well before venturing down that road.
I hope this helps , best of luck !

Albert Yang, MD · Answer

Hello, the AI generated image has included a canthopexy which brings the lower lid up higher so the shape of the eye is more almond shaped. In terms of volume underneath , you can start with nanofat/PRP to improve the volume in that area first. I There may be a little fat that can be improved from lower bleph, but hard to tell from picutre

What procedures can help with my lower eyelids sclera show and droopiness? (Photos)

Answers (2)

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