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Periorbital edema (swelling around the eyes) is a common manifestation of sinus infections or allergies. This may give the appearance of tired eyes but usually is not a neurological or muscular condition. When the sinus issues are resolved via medication or surgery, or a combination of the two, your eyes should return to their previous appearance.Best of luck!
Repeated infections can definitely cause peri ocular swelling and some chronic inflammation. Depending on the severity of the problem, a balloon sinuplasty may benefit you as it is a minimally invasive I would suggest waiting 3 to 6 months before you consider eyelid surgery.
Eyelid swelling associated with a sinusitis often does resolve. However, there can be some wear and tear associated with the inflammation. Especially with repeated cycles of eyelid swelling, the eyes can be subject to premature aging. I recommend letting the tissues to settle and see if things resolve to your satisfaction. If not, you may benefit from surgical or non surgical options to improve the appearance of the eyes.
Sinusitis by itself usually doesn't cause a droopy eyelid unless there is significant swelling. If you have significant eyelid swelling then the sinusitis treatment may improve the ptosis (drooping eyelid) but I'd recommend a consultation with an oculo-facial plastic surgeon if you have a droopy eyelid that is not directly related to swelling that you get when the sinuses become infected (in other words, doesn't resolve once you use medication for the sinus condition).Best of luck!
It's important to perform sinus surgery to reduce chronic nasal polyposis and the repetitive infectious cycle inside the sinuses. Many cases of chronic sinusitis are caused from allergic nasal polyps located inside the nose. Allergies must also be under control with medications. The polyps are removed with endoscopic sinus surgery but they can come back unless allergies are under control. Some mild edema from the allergies may subside after sinus surgery, however it is doubtful that the droopy eyelid and swollen eyelids will go back to being normal. For more information about eyelid surgery and sinus surgery, please see the links below