44 with sunken eyes - I want to look more rested and refreshed, keep things natural. What is the best option? (Photos)

Question

I’m a 44-year-old woman looking into eye rejuvenation options. I currently do Botox around my eyes and forehead but am not interested in fillers. I’ve noticed more of a hollowed, sunken look around my eyes—especially near the orbital bone—and I’m not sure what’s contributing to that. I’d really appreciate your opinion on whether a brow lift, upper or lower blepharoplasty, fat transfer, or something else might help. Also wondering if a full facelift is something to consider now, or if that’s better down the road. My main goal is to look more rested and refreshed, while keeping things natural.

Tanveer Janjua, MD · Answer

You have deep set eyes and not too much skin in the upper eyes. You don't need browlift of upper eyes blepharoplasty. If you still want to then a limited left only blepharoplasty and a conservative browlift will work. 
Regards
Dr. Janjua

Zoran Potparic, MD · Answer

Based on these photos, a combination of fat grafting to improve cheek-eyelid area and upper brow with lower, transconjuctival blepharoplasty, would be my procedure of choice. Good luck.

Camille Cash, MD · Answer

For a refreshed look you can consider a lower blepharoplasty.  This will help improve contours around the eyes.  You can combine this with Morpheus8 or laser treatments to improve overall skin tone and texture.  Begin by visiting with a board certified plastic surgeon near you to learn more.

Asu Deniz Burhanoglu, MD · Answer

To make an interpretation, it would be very good if you could provide a full view of your face (not just around the eyes) from the opposite, right and left sides. It will be more accurate to evaluate by looking at the whole face

44 with sunken eyes - I want to look more rested and refreshed, keep things natural. What is the best option? (Photos)

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