Lower eyelids drooping, can it be fixed? (Photo)

Question

Hello, I am a 32 year old man, I have recently noticed that my lower eyelids have started drooping, especially the lower right eyelid is more apparent. I have visited a general eye doctor/blepharoplasty doctor recently, he said that it was not initially apparent to him that I had this issue, even upon closer inspection he said that my problem was not severe enough to warrant an eyelid correction and that he was unable to fix it. I would like a second opinion to understand this problem.

Jonathan Kulbersh, MD · Answer

I appreciate your question and photos. Based on the images, I can see the scleral show beneath your pupils, which would indicate lower eyelid surgery. I recommend scheduling a consultation with a very experienced, board-certified facial plastic surgeon who has the expertise to diagnose your condition and create a customized surgical plan to treat it.

Dann Leonard, MD · Answer

Dear grejon10:With close exam of your photographs, I do see the problem you are talking about. The lower eyelid is definitely in a lower position on both the left eye, but even more so on the right eye, as evidenced by significant scleral show (white part of your eye) on the right. You are quite young to have this occur, but it can. The problem you have is not only cosmetic in nature, but often times with the lower position, your tears move in the wrong direction and produce dry eye symptoms. I believe that a lateral canthopexy could elevate and tighten your lower lids, which would achieve your cosmetic goals and may also help the eyes moisturize better. This is a fairly straight forward procedure, and I would encourage you to seek out a board-certified plastic surgeon that does eye work. Sincerely, Dann Leonard, MD

Lower eyelids drooping, can it be fixed? (Photo)

Answers (2)

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