Invasive and non-invasive options for stabilization of the lower eyelids? (photos)

You would benefit from a brow lift. Your eyebrows are below the orbital rim and the brow lift will pull upward and lateral. This will stabilize the lower eyelids laterally and may solve your problem.

Best Wishes,

Gary Horndeski, M.D.

For puffiness and sagging under the eyes, we often use Renuvion helium plasma radiofrequency energy to achieve incredible results and take years off of your appearance. Combining RF energy and cool helium plasma, the signs of aging (wrinkles, pigmentation, skin laxity) are improved in a ‘Nonsurgical Eyelid Lift.' The focused heating tightens and peels the upper layers of skin with extreme precision, leaving the surrounding area undamaged, smoothing and tightening the periorbital skin, and improving the overall skin quality around the eyes. It's an aggressive treatment, and the recovery time is longer than with other nonsurgical procedures, but the results can be life-changing.​ See an expert to determine if this is the best solution for you. Best, Dr. Emer

To refresh the eyes you can consider blepharoplasty and brow lift. This will remove excess skin and raise the brow position for the eyes. You can consider Morpheus8 treatments which combine microneedling and RF technology to improve overall skin tone and texture. We always recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

There are a number of treatment options available for the lower eyelids, both surgical and nonsurgical.
These may or may not give you the changes you’re hoping for.
Non-surgical options would include treatments like chemical peels, laser, resurfacing, Botox, injections, or conceivably the use of fillers.
Surgical options would basically be a lower eyelid blepharoplasty.
The procedure can be done transcutaneous, or through the conjunctiva on the inside of the eyelid. When a skin incision is made for a lower eyelid, blepharoplasty skin may or may not be removed.
I generally recommend against removing skin and obi is muscle with lower eyelid blepharoplasty for those who have concerns about premature entropion.I suggest scheduling multiple in person, consultations with plastic surgeons, facial plastic surgeons, or oculoplastic surgeons in your community.
Best,
Mats Hagstrom, MD