Hooded, sagging eyelids are problematic from an aesthetic standpoint. If drooping tissue is severe enough, it can also be detrimental to vision. Most people who visit our Las Vegas and Henderson offices have cosmetic concerns related to aging eyes rather than functional problems. One of the most common questions we receive from patients interested in eye rejuvenation is what they can expect from injectables. Here, we discuss how to determine if injectables may be the right solution.
What Causes Droopy Eyelids?
Droopy eyelids occur for the same reason we see nasolabial folds and wrinkles above our knees, because the body doesn’t continue making the collagen and elastin that are necessary for firm, supple skin. It’s that simple. The skin on the eyelids is very thin, so it is more vulnerable to the drop in vital chemicals than some other parts of the body. This is why we tend to notice signs of aging around the eyes first. As existing collagen and elastin fibers in the dermis lose integrity over time, we may see this as:
- Fatty pockets formed under the eyes, creating puffiness
- Loss of volume under the eyes, resulting in dark circles or a sunken appearance
- Loss of volume in the upper eyelid, resulting in sagging and creases
Can Injectables Help?
Injectables have been a frequent go-to for the past two decades. Botox, in particular, is known for improving the eye area. This injectable can work some magic, but may not be the ultimate solution to aging eyes. With Botox, we can achieve a slight lift of the brow and a reduction in crow’s feet and frown lines. Patients should keep in mind that the Botox brow lift is very subtle; careful application prevents a surprised look. When it is the lower eyelids that need rejuvenation, we may use dermal fillers. These products add volume so can disguise puffiness and correct hollowness and the dark circles it causes. Like Botox, though, there are limitations to dermal fillers. What this means is that, while injectables are an option, they may not be the best option for every situation.
When To Consider Surgery
Over time, plastic surgeons have developed techniques that target specific cosmetic concerns. We are no longer limited to a cookie-cutter facelift. Today, patients can address aging eyes with procedures like upper or lower blepharoplasty or brow lift surgery. Often, it isn’t the skin on the eyelids that is the problem, but the muscles that operate the eyebrows. A brow lift tightens the sagging muscle and skin to relieve hooding and sagging. In more severe cases, this procedure may be combined with blepharoplasty to also trim excess eyelid tissue.