What can I do about downturned, tired, sad-looking eyes? (Photos)

You have bilateral upper eyelid ptosis and a compensatory eyebrow elevation compensation. The ptosis needs to be fixed to improve your appearance. Lateral canthal laxity does not appear to be a big issue here. However, there is no substitute for an in person consultation. Do not have a Zoom or Skype consultation and assume that can be used for planning surgery. That is not true or accurate unless you want cookie cutter surgery.

In this situation a lateral canthoplasty may be a reasonable option. You should have an in-person consultation with an oculoplastic surgeon for the best advice.

Mgonz: thanks for your question. I would recommend trying to give your brows a more arched appearance. Your eyes are pretty as is but your brows are a little low and flat. Botox can often give a little brow arch and lift and I would start there. If that didn't work you could consider a temporal browlift which would arch the brow a little more.  

There are different options but it is important to have personal evaluation to determine exactly what is bothering you and what changes are realistic. See an expert.

Dear Mgonz4Thank you for your questions and photos! To enhance the appearance of the eyes - adding FRAME - shaping the brow and the malar area (hollow ) can improve the contour and warm up the eyes.With Warm RegardsTrevor M Born MD

Thank you for posting your photo with your interesting question. I would recommend lower eyelid hyaluronic acid filler with Restylane that will address your lower eyelid tear troughs. Your lower eyelids are genetic and make you look tired. This is not a beginner technique however. I recommend that you have a consultation with a Board Certified Plastic Surgeon who is experrinced with lower eyelid filler injections. Best wishes, Richard Wellington Swift, M.D., F.A.C.S.

This is likely congenital in nature. An in person exam is necessary to evaluate the function of the musculature as well as any potential contributory factors with respect to your brows. Best wishes.

Dear Mgonz4,The upper eyelids are very dynamic structures.  This means they are movable and change constantly with expression and response to light and other stimuli.  For that reason, it is very difficult to assess your condition based on one single static photograph.  You may have eyelid ptosis, but its degree and functional implications can only be fully assessed with an in person evaluation.  Seek consultation with a board certified plastic, oculoplastic, or facial plastic surgeon.  Good luck!