Is there something that could be done to improve the appearance of my eyes? 24M (Photo)

Question

I feel like they are tired, heavy and naive looking but I can't tell why

Gary M. Horndeski, MD · Answer

It appears you have extra eyelid skin and you would benefit from an upper blepharoplasty.

Best Wishes,

Gary Horndeski, M.D.

Mats Hagstrom, MD (license on probation) · Answer

Making an upper eyelid. Assessment is a little tricky using a single picture.
The assessment is better done from a dynamic perspective.
By simply moving your head or looking in different directions the appearance of the area can look quite different.
From the single picture included it looks like your left eyelid may be sitting a little bit lower than the right. Again, this is difficult to ascertain from a single picture.
In the picture, your pupils look quite constricted from the surrounding light.
With a more dilated pupil it’s possible that your upper eyelid may be encroaching on your visual field just slightly.
To get a quality assessment, you can consider consulting with plastic surgeons, facial plastic surgeons, or oculoplastic surgeons in your community.
All three backgrounds have training and experience in making assessments and treating upper eyelids and brow position.
 The training is not nearly as important as the amount of skill and experience, which is generally obtained during the first one over two decades after someone’s training period. 
Complex situations like unilateral, ptosis, may be better treated by an experienced oculoplastic surgeon.
Like I said, earlier, skill and experience is far more important than someone’s training program.
Potential brow ptosis should also be considered as part of the assessment.
Overall, I think your eyelids look fine, and you may want to consider waiting a bit before considering surgical intervention.
You can always have a few consultations and see what providers have to say.
I generally encourage people to always have multiple consultations before selecting a provider if they are moving towards having surgery.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients, who had very similar facial characteristics to your own.
 And experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Being shown a handful of pre-selected images, representing only the best results of a providers career may be insufficient to get a clear understanding of what average results look like in the hands of each provider, what your results are likely to look like or how many of these procedures they’ve actually done. 
 Because brow position is an important part of the assessment thorough consultation should probably at least involve some discussion about a brown lift.
That doesn’t mean you need to have that procedure it’s important to differentiate and explore all options.
When in doubt, slow down and schedule more consultations. Nobody has to have cosmetic surgery.
To get an assessment if you currently have blocked peripheral vision, you could do that with an evaluation by a local optometrist.
Best,
Mats Hagstrom, MD

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