I'm tired of looking tired. What should I do? (Photo)
Doctor Answers 15
Fillers And Neuromodulators Work Well For Hollows And "Tired" Eyes
Many of the changes we typically encounter in the lower lids with the passage of time--namely tear trough deformities, hollows and bags, result from shrinkage, shriveling, and a downward descent of the once robust, heart-shaped fat pad that sat immediately under the lower lids and extended out toward the temples, inward toward the root of the nose, and downward about half-way to the angles of the mouth. The loss of this volume and its downward displacement in the direction of the jaw (due to weakening of the supporting ligaments and the downward pull of gravity) elongates the lower lid to several times its narrow youthful width and leaves it somewhat sunken. In addition, like a balloon having lost its air after being fully inflated for a long while, the skin of the lower eyelid fails to snap back to its youthful smoothness, and instead remains crinkled and baggy. The result: tired looking eyes.
Happily we can address these problems nonsurgically with the injection of fillers and volumizing agents to restore the volume to the lower lids and recontour them, mask the bags, and diminish the darkish discoloration.A variety of materials have been tried for these purposes. My personal favorites for dealing with tear troughs--for providing overall smoothness, shape and lift-- are the recently approved Belotero Balance and Restylane L. When more cheek support and buttressing are needed for the lower eyelid, the upper inner cheek immediately below may be supplemented with with Perlane L, known for its lifting capacity. It usually takes about five minutes to treat each lower lid with immediate that typically evoke a "Wow!" response from patients when they look in the mirror.
While minimal bruising, tenderness, swelling and redness may occur following treatment in this delicate region, these are usually temporary and disappear spontaneously within one to seven days. Most people can return to work or social activities immediately or the following day and coverup may be used if desired.
From the photo, there are prominent "eleven" lines (scowl lines, frown lines) between the eyebrows that have resulted from years of movement of the muscles in this region and resulting overlying creasing of the skin. This, too, can contribute to a tired or even angry look. A few microdroplets of Botox or other neuromodulator (Dysport or Xeomin) to soften the overactive muscles and small amounts of a filler, such as Belotero Balance, would further improve the eye unit as a whole and lessen the tired, aged look.
Blepharoplasty or eyelid surgery can often eliminate the tired look
Thank you for your question and photographs. A combination of upper and lower blepharoplasty will remove loose skin correct puffiness and open the eyes to give you a more awake look.
Please consult a plastic surgeon who is certified by the American Board of Plastic Surgery, or Ophthalmology, wth special training an oculoplastic surgery.
Blepharoplasty To Correct "Tired Eyes"
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Properly performed blepharoplasty would be your best option for rejuvenation. You should go from "Tired of looking tired" to as Madelyn Kahn complained in "Young Frankenstein", "I'm tired…tired of being admired!" Choose your surgeon most carefully. Good luck and be well.
Tired of that tired look to your eyes
Surgical options for tired appearing eye area
Lower lid blepharoplasty under eye bags
I am tired of my tired looking eyes, what should I do?
I'm tired of looking tired. What should I do?
Tired Baggy Eyes
This procedure will remove the excess skin and bags (fatty tissue) that are causing the problem. The surgery is outpatient surgery. In my West Orange, NJ practice, I use Essex Surgical, a Medicare Approved surgicenter, and Board Certified Anesthesiologists from St. Barnabas Hospital. The entire fee is $4100 including facility, anesthesia, and professional fees. Consult a Board Certified Plastic Surgeon