Can My Sad Tired Eyes Be Improved By Eyelid Surgery?

Q: Dr. Eppley, can excess skin be removed and remaining skin lifted up and under the eye? Can the outer corners of the eyes be lifted for “sad eyes” at this same time? How is this done? I have tired and sad looking eyes that need some help as they make me look so bad. The outer part of my eyes has always been turned down since I was young and I have never liked it.

A: Traditional lower blepharoplasty or eyelid tuck techniques can remove fat that causes bags and to tighten loose skin under the eyes. At the same time, the outer corner of the eye can be changed. The position of the corner of the eye is controlled by a tendon that attaches it to the inside of the bony socket of the eye. This tendinous position can be changed to raise the corner of the eye, known as a cantopexy procedure, making it either level to the inside of the eye or higher if one desires more of an upward tilt to the eye. This can be done at the same time as a lower blepharoplasty (or an upper blepharoplasty) through the same incision.

Dr. Barry Eppley

Indianapolis, Indiana