An oculoplastic surgeon or oculofacial plastic surgeon can assess the best treatment for your needs. These treatments can smooth out wrinkles around your eyes, fill in hollows or tighten sagging eyelids. Nonsurgical treatments - including hyaluronic acid fillers, or injections like Botox® or Dysport® - can help you look more youthful. How to fix droopy eyelids without surgery Perry.ĭoctors divide the options for correcting these issues into nonsurgical and surgical approaches. “Treatment for aging eyelids focuses on the particular anatomical change that’s causing the problem,” says Dr. More and more people are investigating cosmetic fixes to smooth out the wrinkled skin around your eyes. If you’re bothered by drooping eyelids and sagging skin, you’re not alone. “For example, a tear might fall and run along that pathway.” “We call it the tear trough, but that’s a name for one of the more major periorbital hollows,” explains Dr. Tear trough indentations - or the area of skin under your eye, in the inner corner of your lower lid - become more obvious as you age. A lot of people have it and don’t even recognize it.” “All those things can contribute ptosis of the eyelid,” he adds. This can occur due to long-term contact lens wear, eyelid surgery or frequently rubbing your eyelids. The common condition ptosis, which is a weakness of the muscle that opens the eye, “refers to the height of the eyelid, where the eyelid crosses the pupil, basically,” says Dr. “And then with time and gravity, it can herniate (move) forward and show up as ‘eyelid bags.’” “That fat is actually normal, natural fat that exists behind our eyes to cushion all of the important structures there - the nerves, the vessels, the muscle,” explains Dr. If your upper or lower lid appears puffy, it can be from fatty tissue deposits. And then some people have a tendency to deposit extra pigment in the skin in that area, which can also contribute to the dark circles.” As it descends, it leaves that hollow area in its wake. Other factors include the cheek descending with time, just like other tissues drop with time. Another is when the area that separates the eyelid and the cheek becomes hollow. “Periorbital hollows are one contributing factor. Dark circles come about due to multiple aging-related processes, says Dr. Excess skin causes wrinkles and bags under your eyes. That casts shadows and contours to our eyelids.” What causes your eyes to look different as you age?Īs you age, several other factors contribute to a potentially undesirable look of the area around your eyes. And with age, we lose fat and we gain these hollows and we get skeleton eyes. “If you think about a baby’s face, it’s chubby. Plus, as we age, our body composition also shifts. That combination of thin skin, constant movement with blinking, and exposure to the sun causes that particular area of skin to really stretch with time and gravity and age.” “It’s also exposed to the sun because it’s on our face. However, any bags and sags, as well as dark circles around the eyes, are related to aging skin.“The skin around the eyelids is some of the thinnest skin in our entire bodies, and it’s constantly moving,” says Dr. Finally, we look at the skin that folds in between those two structures, in between the brow and the eyelids. When people look in the mirror, a droopy eyebrow shows up and manifests itself as a full or heavy or droopy eyelid. “And then the second kind that we look at is the height and position of the eyebrow. “The first kind of drooping that we look at is the height of the eyelid,” says Dr. They’re noticing that extra folding of skin.” What causes droopy eyelids?ĭetermining the source and severity of a droopy eyelid is more complicated than you might think. With other people, it can even be the skin in between these two things. “The term ‘droopy eyelid’ has a multitude of meanings,” says ophthalmologist and oculoplastic surgeon Julian Perry, MD. In fact, it can often look like you have a droopy eyelid. We do not endorse non-Cleveland Clinic products or services. Advertising on our site helps support our mission. Cleveland Clinic is a non-profit academic medical center.
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