Why do my eyes look so old? (Photo)

Question

My eyelids have started to get saggy and "crepey". I also have dark circles and lines under my eyes which make me look tired and old, despite being 28. I think part of the issue is due to allergic reaction I had last year. My eyes swelled up and the skin became loose when the swelling resolved. What can I do to improve the appearance of my eyes? I'm starting to look so old!

Mehryar (Ray) Taban, MD, FACS · Answer

You may benefit from conservative upper blepharoplasty and lower blepharoplasty but the technique is critical in achieving safe, natural results. Eyelid filler injection may also be another complimentary treatment.

Gregory Turowski, MD, PhD, FACS · Answer

Thank you for your photos and pictures. I would suggest a dual approach to correcting the eye area based on your concerns. I suggest an upper blepharoplasty to address the skin laxity on the upper eye lids. This is done through a small incision in the crease of the eyelid and allows me to remove the excess skin and probably small amount of fat. The scar is very thin and gradually fades over time. For the lower eyes I would suggest starting with a filler to fill the hollow space. That will give your eyes a less tired look and allow you to visualize yourself without those hollows. In the future you might benefit from a lower blepharoplasty which would remove the excess fat pads under the eyes. The upper blepharoplasty is done under local anestheisa and most patients use Tylenol for post op pain control. The under eye filler can be done at the same time as well. I would suggest going to see a board certified plastic surgeon. However, make sure your eyes are in their natural state with no allergic reactions for a few days so the surgeon can properly assess you.

Jason Emer, MD · Answer

There are many things you can do to treat under eye bags, but a combination approach with nonsurgical treatments would give the most improvement: fillers (Belotero, Juvederm Volbella), lasers (Fraxel/CO2), Renuvion (J-Plasma), microneedling/PRP, Cosmelan peels and stem cells. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest getting a formal evaluation with a cosmetic dermatologist to see what is best for you and your goals. Best, Dr. Emer.

Mark Taylor, MD · Answer

The appearance of you upper eyelids could be greatly improved with a conservative laser blepharoplasty to remove some skin and possible a small amount of fat in the upper eyelids.

Chase Lay, MD · Answer

From the photos you're looking down mostly or closing your eyes which only gives us a chance to see  your skin quality.  You look as though you may have some ptosis and maybe some skin laxity.  A lot of it is just your skin quality.  Consult with an eyelid specialist and a dermatologist.  Also remember the way you've photographed yourself isn't the way people see you.  I"m sure your eyes are quite lovely.Chase Lay MD

Why do my eyes look so old? (Photo)

Answers (7)

Answer: I would recommend a conservative laser blepharoplasty to remove excess skin a fat.

Answer: I would recommend a conservative laser blepharoplasty to remove excess skin a fat.

Answer: Why do my eyes look so old?

Answer: Why do my eyes look so old?

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Everything you need to know about Eyelid Surgery

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Why do my eyes look so old? (Photo)

Answers (7)

Answer: I would recommend a conservative laser blepharoplasty to remove excess skin a fat.

Answer: I would recommend a conservative laser blepharoplasty to remove excess skin a fat.

Answer: Why do my eyes look so old?

Answer: Why do my eyes look so old?

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.