How Can I Make My Eye Appearance Look Less High All The Time?
Q: Dr. Eppley, I’ve always been self conscious of my eyes, I think I have a mild ptosis and a somewhat negative canthal tilt. If I open my eyes all the way I look crazy, but everyone thinks I’m always high if I just let my eyes do their own thing. I was wondering if there was anything that could be done to make me look less high all the time, I feel like on top of eyes, a stronger brow bone would definitely help. Thanks so much for the help!
A: Thank you for your inquiry and sending your pictures. I would agree that you do have some upper eyelid ptosis which accounts for your ‘sleepy or ‘high’ appearance. An eye opening procedure (upper eyelid ptosis repair) with a lateral canthopexy to provide some canthal tilt improvement would be a good combination. While you may benefit by brow bone augmentation, such implant procedures cause a large amount of eyelid swelling which would be counterproductive to your ptosis repair. It would reasonable, however to do fat injections into the brows which causes none of that swelling. The end result may not be as magnanimous as implants but it does offer some very modest improvement.
Dr. Barry Eppley