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

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.

Thank you for sharing your problems and photos. Your eyelids do not look as bad as you think they appear. You have mild ptosis (drooping) of the eyelids and high lid crease due to loss of tissue. You need a comprehensive evaluation by an Oculoplastic Surgeon for possible ptosis repair and injections of dermal fillers into the area where the eyelids seem to be sinking in. Make sure you have a consultation with an experienced doctor familiar with these techniques. Good luck.

You could have some upper eyelids droop - ptosis, that is contributing to your appearance.  Filler in the upper eyelid/brow areas can camouflage some of the hollow look.  Seek out an experienced injector for an in person evaluation.  Fat graft can also be performed in this area, but seek out a surgeon with lots of experience and skills treating these type of issue.

You have upper eyelid ptosis which contributes to the "hollow" ness of your upper eyelids.  This can be repaired and your upper lids filled with your own fat to help fill the upper eye sockets.  There are risks to any surgical procedure - consult with a board-certified plastic surgeon who specializes in facial surgery to discuss your options with you.

Thank  you for posting your pictures. I get the immpression that you have mild eyelid droopyness (eyelid ptosis) as well as a deep upper eyelid sulcus.  In my opinion, the best way to treat this problem permanently is with a surgical procedure known as a blepharoplasty. This will help re-create a symmetric and new upper eyelid crease and will elevate your eyelid. A filler material will help with the deep upper sulcus and this can be performed during your surgery with your own fat. This will ensure a long lasting result. The periorbital area is very delicated and it requires speciaI knowledge and expertise in order to minimize complications. I strongly suggest that you look for a surgeon with special training in oculoplastic surgery. Hope this was helpful and good luck! 

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.