What can be done to correct the appearance of tired eyes with excess eyelid skin? (photos)

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on the situation.

For less significant upper eyelid skin excess or more mild improvement, there are nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin.

Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if the hooded eyelids have more excess skin present.

Dr. Donald Groves is an expert facial plastic surgeon that I work with, who specializes in these types of procedures. It is important that if you are considering surgery that you go to someone who is well trained and very experienced with these delicate operations to get the best results. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Groves; we are both located right here in Los Angeles.

Best,
Dr. Emer

It looks like you have mild ptosis Of your upper eyelids.
This can be corrected with a procedure that shortens the muscle that raises your eyelids putting your eyelids in a higher position. This can be done with or without removing skin from your upper eyelid.
There are also eyedrop’s that can give you temporary relief using a medication called Oxymetazoline.
I suggest having a few in person consultations with oculoplastic surgeons in your community.
This procedure is also sometimes done by facial plastic surgeons or general plastic surgeons.
This is a fairly complex procedure and I suggest trying to find someone who has a proven track record and can show you an impressive collection of before and after pictures.
I would probably start by consulting with oculoplastic surgeons in your community.
Personally, I suggest patients avoid virtual consultations whenever possible.
Best,
Mats Hagstrom MD