How to improve eye area? Look tired and unhappy with extra skin on eyelids when smiling/squinting (photos)

Thank you for your question and photos. You may be a candidate for blepharoplasty to enhance to improve the appearance of your eyes. During this procedure, excess skin can be removed, loose muscles tightened, and fat repositioned to create a more awake and symmetrical appearance. You may also benefit from volume restoration with dermal fillers or facial fat grafting to achieve a more supple result.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to assess your concerns and help you decide on the treatment option.

Hello! Thank you for your question.As far as I can see from your photos you have extra saggy skin both upper and under your eye area. For get rid of the extra skin, have a nice, elegant and fresh look I recommend you upper and lower eyelid blepharoplasty.Best Regards!

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

It looks like you are a great candidate for a lower blepharoplasty. The procedure aims to remove excess skin and, where necessary, pockets of fat under the eyes due to aging. The incision follows the lower lash line where it heals invisibly. There is also an incision behind the lower eyelid through which the surgeon can remove any excess fat. About 30 % of patients will need to get the fat “bags” reduced. Fat can be carefully transferred to the “hollows” below the eye to produce a smooth transition from the lower eyelid onto the upper cheek.


Of course, an “in person” exam is necessary.

I hope this helps,
best of luck !

An exam is needed to know for sure, but you may be a candidate for lower blepharoplasty. This surgery can address excess skin and also can smooth the under eye contour. See a board certified plastic surgeon near you to learn more.

Two main points to consider when planning lower eyelid surgery. Is the problem mostly due to an excess skin issue, bulging fat, or both? In your case, it's mostly a bulging fat problem. Blepharoplasty done through the inside of the eyelid will work great. During the procedure, the bulging fat can be used to drape down and correct the tear troughing.

Thank you for your question and photographs. Your very young and have excellent facial skin.

I do see puffiness of the lower eyelids and excess skin creating a fold on the upper eyelid.

A trans-conjunctival lower blepharoplasty with arcus margin Iles release and fat grafting for the lower eyelids and a simple upper blepharoplasty from the upper eyelids will correct the issues that bother you.

Although you are young usually these procedures are only done once-in-a-lifetime. Therefore if they bother you there is no reason that you cannot correct them now.