MASSIVE Eyelids! Please help! What can I do? (photos)

PLEASE do not try to correct the shape, size of your eyes or size of your eyelids.  You have a slight (very slight) eyelid droop, that may need correction as you get older.  Otherwise you have no deformities.  You look good, far from horrific.  Please go out and have fun, stay away from websites like this.  I am speaking as a mom of 3 girls as well as a surgeon.  Jane

Thank you for your question. I understand you’re 23-years-old and concerned about the appearance of what you refer to as “massive eyelids”. You’ve done some research and you’ve been told that having injectables done around the eyes is dangerous, though you’d still like to improve the appearance of your eyelids.As aFellowship-trained oculofacial plastic and reconstructive surgeon, dealing with all manner of issues concerning the eyes is my specialty, so I can certainly share with you what I would do for someone of your age who would come to me with the same kind of concern. First of all, the appearance of your eyes is mostly the result of genetics, and is due to a number of factors such as bone structure and eye shape. In my practice, I’ve met many people who will choose to undergo surgery just to achieve that look of your eyes, while there are people who have volume placement done because they felt like too much fat around their eyes was removed during a procedure they had done elsewhere. In such cases, we usually usefillers such as a hyaluronic acid filler to restore this volume, though I have done procedures such as fat grafting to accomplish this as well. Keep in mind, however, that fat grafting is dependent onhaving something to push against, such as the bone structure of the orbit or the eye socket.Essentially, you cannot change the anatomy of your eye area, but you can create the illusion of more fullness by adding volume to the sub-brow area. We’ve done this procedure on people who had too much fat removed after Asian Eyelid surgery, and people whose eyes naturally became hollower as they aged.I am hesitant to recommend any procedure for you as it is fairly uncommon to add volume on people as young as you are. As distressed as you are with your appearance now, I fear you may become even more distressedwith the challenges of achieving the optimal final result. Fillers can still be quite unpredictable in terms of results and you may need to come in several times in order to achieve a certain desired end point.In addition to this, your skin seems to still be quite youthful and tight, and it’s very difficult to add volume when the skin is relatively tight. I would have to agree with the doctor you consulted and say it is dangerous to do things around the eye. As an eye specialist, I am not in any way hesitant to work around the eyes, butthere has to be a balanced risk; a balance of a justification to perform a procedure to try to help someone like yourself. I recommend that you wait before doing anything else, and take this time to seek and learn more about additional options.There may be many other concepts and ideas in the future that are still not fully developed or used as of yet, and until then, it would be wise to hold off. It might also be that you are a little overly critical of your appearance, and I would also suggest that you have this discussion with the people who are closest with you before you move forward with doing any procedure.I hope that was helpful and I wish you the best of luck!This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.

You have upper eyelid ptosis with anterior elevator dehiscence ptosis.  When this is repaired, it will help with the huge upper eyelid.  Sometimes it also brings fat forward from the orbit to help the upper eyelid sulcus.  You lower eyelid are also malpositioned.  This is a factor in how big your eyes appear.  There is no substitute for a consultation.  Oh and you can have fillers but you need a very experienced injector.