How can I fix my downturned eyes? (photos)

Question

First picture is when i was 10, I’m 22 now. It seems like my eyes have changed for the worse, I have a lot of excess upper eyelid skin which i feel weighs my eyes down making them downturned and asymmetrical, how can i fix it?

Ankur Mehta, MD · Answer

Hello and thank you for posting photos along with your question! Many people have some of the same complaints you do about the upper eyelids and even the lower eyelids. In your case it not only appears that you have excess upper eyelid skin but also some "droopiness" to your upper eyelid. This is called ptosis, pronounced "toe-sis." The droopiness can be due to several different factors and because of that you would need an in person consultation with a board certified plastic or occuloplastic surgeon. This way, once the reason for your ptosis is determined, the appropriate surgical intervention can be determined to correct for it. Also, an in person evaluation is needed to determine your brow position. When looking at the upper eyelids you not only have to look at them but also the forehead. If the eyebrows are low then you may also need a brow lift. I hope this helps and wish you the best in your upper eyelid correction journey!

Mehryar (Ray) Taban, MD, FACS · Answer

Based on the photos, you have large protruding eyes and lower eyelid retraction with negative canthal tilt. There are surgical treatments (orbital decompression, lower eyelid retraction surgery with canthoplasty) for improvement but consultation is needed to determine risks/benefits and realistic expectation.

Zoran Potparic, MD · Answer

It appears that you have  a certain degree of eyelid ptosis (droopy upper eyelids) in all photos except the first one. In person evaluation by a board certified plastic surgeon or occuloplastic surgeon is recommended. Good luck.

Callum Faris, MD · Answer

Thanks for the question
Your photos are suggestive of a condition called ptosis, where the upper eyelid is lower than normal and covers the upper part of the iris of the eye. This gives a tired appearance as well as other issues. There are various causes and you should seek a suitablity trained surgeon to assess you. I hope this helps

Thomas J. Walker, MD, FACS · Answer

It appears that you have eyelid ptosis and should see an oculoplastic surgeon for an evaluation. This is surgically correctable and those surgeries are typically performed by oculoplastic surgeons.Best,

David A. Lickstein, MD · Answer

Hello and thank you for your question and photos. You appear to be a good candidate for an upper eyelid blepharoplasty. In this procedure, excess upper eyelid skin can be excised, reducing or eliminating a droopy or saggy appearance with the added benefit of helping you look more rested and awake. Any asymmetry between the two eyes can also be improved through skin excision. To determine if you are a candidate for an upper eyelid blepharoplasty and to select your appropriate course of treatment, schedule an in-person consultation with a board-certified plastic surgeon in your area for a full examination. Good luck!

Mark Taylor, MD · Answer

Check with an occuloplastic surgeon who can fix the Ptosis and remove the excess skin. This can be done under local anesthesia.

Robert E. Zaworski, MD (retired) · Answer

Looking at your photos, you have ptosis of the upper eyelids.  This is causing the droopy tired look.  I would recommend having a conservative upper blepharoplasty to give you a refreshed look.  Consult with a highly experienced board certified plastic surgeon for an in person evaluation.

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