I'm 23 and hate my sunken in and drooping eyes. What can I do to fix them? (Photo)

Question

Over the course of 7 years, I've lost 100 pounds. That's left me with a lot of elasticity problems. My stomach's been fixed, but now I find myself unhappy with my face. My eyes are sunken in, and my right lid droops. Honestly I feel that they aren't even, if you compare the eyebrows. It's more obvious when I'm not smiling. I'm unsure what surgeries there are available. I'd like to lose more weight first, but need to know what I can plan for in the future. And what would it look like? Thank you!

Dilip D. Madnani, MD, FACS · Answer

From your pictures, I do see that you have some fullness in the brow area, extra upper eyelid skin, some fat protrusion in your lower eyelid with volume loss in your tear trough area. You also have a mild asymmetry (difference) from one side to the other- perfectly normal. You have lots of options as already detailed. Ranging from quick fixes with little downtime (neuromodulators like botox or Xeomin and fillers like belotero/juvederm etc), to more permanent options that require more down time like using a filler with fat transfer to surgical procedures to rejuvenate the area around the eyes (periorbital region). This requires an extensive conversation with you to discuss the pros and cons of each procedure and to examine your face to show you what can realistically be done. Make an appointment or if you are not ready for a one on one meeting, see if any physicians in your area give talks on facial rejuvenation. I give a monthly talk at my offices to educate patients on facial aging an options for rejuvenation. Good luck!.

Ryan Neinstein, MD, FRCSC · Answer

Congrats on the weight loss, you could have surgery to improve your eyes which would have one week of downtime or you could have filler (liquid sugar) injected in the office with zero downtime. Surgery is permanent and the filler will last 6-9 months

Lu-Jean Feng, MD · Answer

Due to your age, you have many options besides surgery. Some of the non-surgical treatments can correct your complaints. Botox can be used to lift the eyebrow. Fillers can be used to fill your dark circles. Thermage can also lift your eyebrow. There are many options for you other than surgery. You should consider them before any surgical procedures. We offer all these options.

Joseph A. Eviatar, MD, FACS · Answer

As outlined below, you have deep set eyes with a strong brow bone and some skin laxity.  You require a consultation, obviously, to review the options, but from the photo is appears that botox and some skin tightening procedures such as ThermiRF Tight or Ulthera would be excellent and safe options to improve your appearance.  Make sure to see an Oculofacial plastic surgeon, with experience in minimally invasive treatments if you can since you are young and usually would be well without the need for more invasive treatments.best of luck!

William B. Rosenblatt, MD · Answer

It looks like you have major bags of the lowers, see a board certified plastic surgeon and talk about a blepharoplasty. That might be all you need.

I'm 23 and hate my sunken in and drooping eyes. What can I do to fix them? (Photo)

Answers (6)

Answer: Sunken eyes

Answer: Sunken eyes

Answer: Come in for a consultation

Answer: Come in for a consultation

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

I'm 23 and hate my sunken in and drooping eyes. What can I do to fix them? (Photo)

Answers (6)

Answer: Sunken eyes

Answer: Sunken eyes

Answer: Come in for a consultation

Answer: Come in for a consultation

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.