How Do I Get Rid Of My Heavy Hooded Eyes?

Q: Dr. Eppley, Hooding of eyes began years ago, paternal family has very hooded eyes. Botox worsens the issue and eyesight is slightly decreasing due to eyelid falling. Constantly feel tired from heavy eyes. 

A: Thank you for your inquiry and sending your pictures. In the young person with ‘hooded’ eyes, the question is whether this is due to true excess of upper eyelid skin, a low brow position or a combination of both. Your pictures support a low medial brow position with some mild upper eyelid skin excess. I think the low eyebrows are a major contributor in your case to the hooded eye appearance and their heavy feel. Thus removal of eyelid skin alone may only provide a mild improvement in your concerns and probably only very short term. While a browlift is the correct anatomic approach, if their low location is not a concern or your high hairline a concern for taha procedure then an upper eyelid procedure alone would need to be done.

Dr. Barry Eppley

Indianapolis, Indiana