I've never had that wide-awake look, but in my late 40s, it seemed like my eyelids were collapsing. It became really noticeable at around the same time I developed chronic conjunctivitis. The ptosis doesn't impair my vision, it just makes me look even more tired. I read that Thermage CPT can stimulate production of collagen and help tighten the eyelids. Blepharoplasty makes me think of Kenny Rogers. Something went way wrong there.