My upper eye lids are heavy... They've gotten worse over the last two years. When I smile, my eyes disappear into this cocoon of skin! I might be young but I want to fix this. Please advise
November 5, 2016
Answer: My eyes look angry/tired and slant down too much: what can be done? You have mild ptosis (drooping) of the eyelids and it is noticeable laterally (the outside portion). Also your lower eyelids slant downward slightly at the outside corners. These can be addressed, but they are also variations of normal that eyelid surgeons see in their practices each day. An in person-consultation would be optimal to go over your concerns if you wanted to have this addressed. Botox can help the eyes not become as narrow when you smile, but not completely. Hooding of skin can be conservatively removed and the outside corners of the lower eyelids can be raised by a canthopexy technique. The eyes can be made to open wider by subtle ptosis surgery of the levator tendon that raises your eyes, but caution is advised as you don't want to undergo radical changes as you will no longer be the "you" that your friends have always known. I would advise caution on proceeding surgically, but if you do want to consult with a plastic surgeon be sure they are very experienced with eyelids. Oculoplastic surgeons primarily perform eyelid surgery in their practices, and often are the best for the concerns you have. However, many other plastic surgeons are excellent at eyelid surgery as well, so find a surgeon with a great reputation. Best regards.
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November 5, 2016
Answer: My eyes look angry/tired and slant down too much: what can be done? You have mild ptosis (drooping) of the eyelids and it is noticeable laterally (the outside portion). Also your lower eyelids slant downward slightly at the outside corners. These can be addressed, but they are also variations of normal that eyelid surgeons see in their practices each day. An in person-consultation would be optimal to go over your concerns if you wanted to have this addressed. Botox can help the eyes not become as narrow when you smile, but not completely. Hooding of skin can be conservatively removed and the outside corners of the lower eyelids can be raised by a canthopexy technique. The eyes can be made to open wider by subtle ptosis surgery of the levator tendon that raises your eyes, but caution is advised as you don't want to undergo radical changes as you will no longer be the "you" that your friends have always known. I would advise caution on proceeding surgically, but if you do want to consult with a plastic surgeon be sure they are very experienced with eyelids. Oculoplastic surgeons primarily perform eyelid surgery in their practices, and often are the best for the concerns you have. However, many other plastic surgeons are excellent at eyelid surgery as well, so find a surgeon with a great reputation. Best regards.
Helpful
Answer: Endoscopic Browlift to Open Eyes Dear sunnydays27, An in office consultation would be needed to provide a proper diagnosis however in some young patients like yourself when we see hooding of the eyes and complaints of looking tired or angry I often opt for an endoscopic browlift. This helps open the eyes and provides a natural youthful appearance with no tell tale signs of surgery. See some examples in the link below and video above. Best regards, Michael V. Elam, M.D.
Helpful
Answer: Endoscopic Browlift to Open Eyes Dear sunnydays27, An in office consultation would be needed to provide a proper diagnosis however in some young patients like yourself when we see hooding of the eyes and complaints of looking tired or angry I often opt for an endoscopic browlift. This helps open the eyes and provides a natural youthful appearance with no tell tale signs of surgery. See some examples in the link below and video above. Best regards, Michael V. Elam, M.D.
Helpful
