I'm 23. I have Dermatillomania, and picking has made my lower eye skin sink. I look old and tired. What are my options? (Photo)

There are three compartments of fat in the lower eyelid.  The fat in these areas are referred to as "brown fat", not because they are brown in color but because this fat is biochemically the same type of fat that brown bears use to keep alive while hibernating.  The brown fat in both...

Hard to tell. Your photo is from a bad angle. Try taking a pic that is straight on. Not looking down. You can also make an appointment with a few Board Certified Plastic surgeons. Most do not charge a first office visit.Best of luck,Gary Horndeski M.D.

It will answer many of your questions.  It is normal for the forehead relax after upper blepharoplasty.  This recruits more skin into the eyelid space.  It is impossible to know ahead of time how much skin will come down.  The safest approach is to be conservative and take...

You may be a candidate for cosmetic orbital decompression, which sets the eyeballs back. This is an outpatient procedure.  Sometimes filling around the eyes can be complimentary as well to reduce the appearance of bulgy eyes. 

It is far too early to conclude you will have an issue.  Please let these eyelids heal 3-4 months.  The swelling will disappear and the asymmetry will lessen.  Will this heal perfectly?  Will these eyelids need revision?  Time is needed to know this.  Try to relax...

More than likely, you have milia.  Milia are small collections of sebum, little pearls of sebaceous material produced when sebaceous glands lose their opening to the outside world, and just keep making the sebum which keeps getting packed harder and harder.These little lumps are not...