Lower Eyelid Lift, Maybe Fat Grafting, Filers For Thinner Eyes? (photo)

You have inherited lower eyelid retraction with scleral show. Need to see full face photo for better assessment.  Fat grafting is unlikely to help. However, lower eyelid retraction surgery with internal graft (with or without midface lift)  to elevate the lower eyelids is an option.  See an oculoplastic surgeon for evaluation.

I dont think adding fat to your lower eyelid or fillers for that matter will give you the look you are interested in. It seems you have overdynamic muscles in your lower eyelid I would try just a little botox to calm down those muscles

As a general rule we plastic surgeons do not prefer to produce scleral show beneath the limbus following lower eyelid blephs. Except in a small % of facial models where  scleral show is apparent, most other people do not like the aesthetic appearance of it nor its long term functional implications.

Hi Dannyboy, thanks for sharing your photo.

Your lower eyelid retracts a lot more than normal. It could be due to a condition such as inherited lower eyelid retraction with scleral show or a Droopy UPPER eyelid. Yes, upper eyelid droop can result in a lower eyelid retraction ( as a compensatory mechanism). You need to see an Eyelid Specialist who can advise you. Fat grafting is not a primary option

 

Hi dannyboy.  A picture that shows more of your face, as well as a side view would be helpful.  From what I can see you have a loose lower eyelid, with an overdeveloped orbicularis occuli muscle from squinting so much. I think you would benefit from an operation which will tighten the lower lid and remove some of the excess muscle.  I suggest you see a plastic surgeon who can examine you and recommend the appropriate treatment.

You have a normal variant in your lower eyelids where you have a very small amount of scleral show ( white of the eye showing below the iris).  When you squint you are contracting the orbicularis muscle and it shows as a slightly prominent ridge below the lid margin.  This is normal and should not be corrected.  If the prominence of the muscle is severe, the muscle can actually be trimmed surgically.  I would not recommend any surgery for correcting scleral show or the slight prominence of the Orbicularis muscle when you squint.  You could end up with worse problems.