What can I do to make my eyes look youthful again?

Question

I'm 44 and my eyes look so much older now. I see hollowing upper lids,loss of fat ,slight ptosis. is that what's going on not sure but all came in my older age

Michael I. Echavez, MD · Answer

Based on your photos, you do appear to have ptosis of your upper eyelids, with one being worse than the other.  I would recommend consulting with an oculoplastic surgeon or a surgeon experienced in ptosis repair.

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photos. You may be a candidate for a blepharoplasty procedure to address the drooping upper eyelids, or ptosis, while also defining the eyelid crease. 
In some cases, excess skin may be removed and fat may be repositioned around the eye to volumize where needed. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to discuss your concerns with you and determine the best course of action.

Irena Karanetz, MD · Answer

Hello,
Thank you for your question and photos. 
You appear to be a good candidate for upper eyelid surgery (blepharoplasty). This operation removes excess skin and produces a refreshing effects for the eyes. It can be performed in the office under local anesthesia with minimum downtime.
I would seek an in-person evaluation by a board-certified Plastic Surgeon, in order to discuss your goals and concerns for the best cosmetic results. 
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon

Jason Emer, MD · Answer

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

C. Blake Perry, MD · Answer

You have slight ptosis of the upper lids and hollowing of the superior sulcus. Ptosis surgery (raising the lids) will certainly help. Adjunct procedures to consider would be fat transposition or grafting to the superior sulcus or filler.

Camille Cash, MD · Answer

From your photos it appears you have some upper lid ptosis and loss of volume under the eye.  I encourage you to begin by visiting with a board certified plastic surgeon near you to discuss options, including surgical and nonsurgical procedures to address these concerns.

Thomas Spalla, MD · Answer

First, see your primary care physician, if you haven't, for a complete physical examination to evaluate for any underlying medical issues that may be contributing to some of these changes - in particular, thyroid issues.
Assuming that is all normal, there are things to be considered to rejuvenate your eyes:Botox (or similar) to your Crow's feet and glabellar regionFiller or fat to the under eye hollowsconsideration for a conservative brow lift - focusing around your mid brow
I hope this helps!

Robert T. Buchanan, MD (retired) · Answer

Your problem is your ptosis which is quite significant. Correcting it should make a significant difference. Make sure you see a Plastic or Ophthalmic Plastic Surgeon who is an expert at both cosmetic correction and ptosis. See the last example in the attached link.

What can I do to make my eyes look youthful again?

Answers (8)

More Eyelid Surgery Questions

Upper eyelid surgery - too round eyes. What are my options? What to do next? (Photo)

What can I consider to improve the look and symmetry of my upper eyelids? (Photo)

What’s causing my eyes to look so uneven? Is there any procedures that can help me fix this issue? (photos)

Asymmetry and squinting in right when smiling. Are there procedures that can help minimize this? (photos)

25 y/o concerned about uneven, hollow eyelids. What are my options? (photo)

How to fix my eyes? Blepharoplasty 2 yrs ago & over time, my eyes look wonky (Photos)

WE SEND PRETTY
EMAILS