Large Eyes with Scleral Show. Any suggestions? (photos)

Question

I am early 30s & have 2mm scleral show beneath my irises when looking straight ahead (more when expressive or face is slack). What is causing so much scleral show in my eyes? How abnormal is this? How unattractive/strange does this make my eyes look? What can be done to make my eyes look more attractive, & would fillers work? Thank you

Brian M. Derby, MD, FACS · Answer

While I agree with your assessment of scleral show being present, you have very pretty eyes and lids. It would be important to ask you if you repeatedly use eye drops to treat dryness? That would dictate operative necessity due to an overly exposed eyeball. With prominent eyes (which you have), I would be sure to rule out thyroid issues, so have your "thyroid levels" checked by your primary physician. There are procedures to elevate the eyelid closer to the colored part of your eye, including releasing your lower eyelid retractors and/or placing a "graft" in your lower lid to boost the lid position upwards. I'll remind you though, your eyes are attractive, so in the end, doing nothing may be your best bet.

Trevor M. Born, MD · Answer

Dear Quest8Your eyes are attractive- and it is important that your eyelid shape is NORMAL.  Scleral show is present is a good proportion of the population.  Unless you are symptomatic ( dryness), there is no reason to change the shape of your eyes.  There is NO - nonsurgical procedure to lift the lower eyelids.  Fillers can improve the hollow below the eyelids.  With Warm RegardsTrevor M Born MD

Mehryar (Ray) Taban, MD, FACS · Answer

It sounds like you have inherited lower eyelid retraction with sclera show. It can be abnormal but it also depends on the ethnicity and other factors. Classically, almond shape eye don't have scleral show. Filler injection will not work to lift the lower eyelids without making the area too puffy. However, lower lid retraction surgery can work to make more almond shape eyes. See link below.

Kenneth D. Steinsapir, MD · Answer

Your big eyes are beautiful.  Unsuccessful surgery it alter this feature is ugly.  You have to be very careful what you look for.  Unless you are having a functional issue with your big eyes like chronic eye irritation, do not let surgeons mess with your eyes.  For a detailed, personal assessment, there is no substitute for a personal consultation.

Lewis Diulus, MD · Answer

Facial beauty starts with your eyes.  Reviewing your photographs, your eyes are very attractive.  Surgery to correct your scleral show is possible but it comes with consequences.  Re-positioning you lower eyelid will decrease the volume of you viable eye, making the aperture smaller.  Personally, I would avoid surgery, but a consultation and evaluation with a professional never hurts.Good Luck.

Large Eyes with Scleral Show. Any suggestions? (photos)

Answers (7)

Answer: This is not abnormal or unattractive.

Answer: This is not abnormal or unattractive.

Answer: Big Beautiful Eyes

Answer: Big Beautiful Eyes

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Everything you need to know about Eyelid Surgery

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

Large Eyes with Scleral Show. Any suggestions? (photos)

Answers (7)

Answer: This is not abnormal or unattractive.

Answer: This is not abnormal or unattractive.

Answer: Big Beautiful Eyes

Answer: Big Beautiful Eyes

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.