Why do my eyes always look tired? What can I do to get rid of the tired look?Been this way since I was little. 22 yrs old(photo)

The main reason your eyes look tired is because you have droopy upper eyelids (ptosis), which can be improved by eyelid ptosis surgery, which can be done under local anesthesia. See video and link below.

You have congenital upper eyelid ptosis. That means you were born this way.  Unfortunately people judge you as sleepy and uninterested.  The excursion of the upper eyelids determines which of the ptosis procedures are right for repairing this.  See a fellowship trained oculoplastic surgeon.  The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a regional directory on their website that can help you find a highly qualified surgeons for your eyelids.  Repairing this will make your eyes bright and address that tied look.

It impossible to say with certainty what is exactly causing your tired look. A series of photos including entire face would help. It seems that one of underlying issues may be in relatively small cheek bones and shallow orbits which pushes your eyeballs forward and creates bulging? Eyelid deformities shown on your photo are frequently related to this condition in young people. A more detailed clinical evaluation is needed.You should seek a consultation with an experienced board certified plastic surgeon or an oculoplastic surgeon for detailed clinical evaluation and discuss your options. Good luck.

Your eyes look tired primarily because of the drooping of your upper eyelids. This can be corrected surgically and should produce an excellent improvement.You also have some wrinkling and puffiness of the lower eyelids, but this would be more difficult to correct. Start with the upper eyelids - you can do more later if you need to.

By the photo posted it looks like you would do well with a lower blepharoplasty. Blepharoplasty or in other words eyelid lift can be used to treat problems such as saggy skin, excessive tissue and puffy under eye pouches. Please consult with an expert in this surgery. Sincerely, Dr. Rosenberg