Whether it’s due to the wheel of time, inherited traits, or medical issues, hooded eyes can make you look older and tired, even when you’re actually younger and well-rested. If you’re frustrated by your hooded eyes, many cosmetic treatments can make them go away. In this article, I’ll discuss hooded eyes and the different treatments you can get for a more youthful look. How Can I Tell if My Eyes Are Hooded? Here are some signs that you might have hooded eyes: A Hooded Appearance If the skin droops over your eyelid, creating a hood-like appearance, you likely have hooded eyes. Eyes That Seem Small The excess layer of skin can obscure a part of the eyelid, making your eyes seem more petite than they truly are. Constrained Eyelid Area People with hooded eyes may find that there’s a reduced canvas on their eyelid for makeup or skincare application. Challenges with Cosmetics Putting on eye makeup might feel like a task and keeping it intact might be another challenge due to the unique structure of hooded eyes. Appearance of Fatigue The structure of hooded eyes might convey an impression of exhaustion or make one look more mature, even if you’re feeling lively. Reasons Behind Hooded Eyes Hooded eyes manifest due to a mix of natural factors and the passage of time. Inherited Traits Many have hooded eyes from birth, a result of their genetic code. It boils down to how their eyelid tissues, muscles, and even brow bones are structured. It’s just one of the myriad ways human eyes can be shaped, often a trait passed down through generations. Ageing As the years go by, our skin tends to lose its bounce and firmness thanks to a decrease in collagen and elasticity. Consequently, the skin around the upper eyelids might slacken, leading to a hooded look. Excess skin or fatty tissue on the upper eyelid Some people may have extra skin or fatty tissue on their upper lids, which can cause a hooded appearance. This can be caused by many factors, including genetics, ageing, or even weight gain. Medical conditions Certain medical conditions, such as thyroid disorders or ptosis (drooping of the upper eyelid), can cause hooded eyes. Hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone, can cause eyelid retraction and hooded eyes. Ptosis, drooping of the upper eyelid, can be caused by many factors, such as nerve damage, a congenital defect, or ageing. What Nationality Has Hooded Eyes? Hooded eyes can be seen in people of all ethnicities and races. The appearance of hooded eyes is caused by a combination of genetic, physiological, and environmental factors rather than ethnicity. Some people are born with hooded eyes, while others may develop them as they age or due to medical conditions or medications. Ultimately, hooded eyes are not tied to any particular ethnicity or race. What’s Your Eye Shape? Here are some steps to help determine your natural eye shape: Look in the mirror. Stand in front of a mirror and examine the shape and structure of your eyes. Look for any distinctive features or patterns. Take note of the eyelid crease. The eyelid crease is a natural fold in the skin that runs across the top of the eyelid. Its presence and location can help determine the shape of your eye. Measure the width (inner to outer corner) and length (eyelid to bottom). Use a measuring tape or ruler to measure the width of your eye from the inner corners to the outer corners of the eyes. Then, measure the length from the top of the eyelid to the bottom of the lash line. Compare your eyes with others. Compare your eye shape to other eye shapes, such as almond eyes, round eyes, upturned eyes, close-set eyes, and downturned eyes. You can find photos of these eye shapes online. You can take a picture of your eyes and print photos online to compare them side-by-side. Ask a professional. If you’re still not sure of what your eye shape really is, you can ask an eye doctor or plastic surgeon. Remember, your eyes are unique and the shape of your eyes can also change over time due to factors such as ageing or medical conditions. How Can I Reduce My Hooded Eyelids? Here are some ways to decrease the appearance of hooded eyelids: Makeup Harnessing the power of makeup can accentuate and modify the look of your eyes. Drawing attention to the outer corners with eyeliner or applying a pale shade of eyeshadow on the brow arch can simulate a more open and uplifted gaze. Non-Surgical Alternatives Options like anti-wrinkle treatment, dermal fillers, and laser treatments can provide a tightened look to the skin around your eyes, potentially decreasing the hooded effect of the lids. Surgical Intervention Blepharoplasty, also called eyelid rejuvenation surgery, involves extracting surplus skin and fat from either the upper or lower eyelids. This surgery can, in many instances, alleviate the hooded appearance by eliminating the overlying redundant skin. Throughout this surgical journey, the practitioner focuses on sculpting and refining the eyelid, ensuring enhanced muscular tone and a clearer eyelid contour. The ultimate goal is to achieve a revitalized gaze, wherein the eyes appear more alert, and the lash line stands out more prominently. Nonetheless, outcomes can differ, so it’s wise to engage in a detailed discussion with an adept cosmetic surgeon to chart out the most suitable plan tailored for you. Before & After Gallery: Hooded Eyes4 Take a look at the before and after photos of my patients: A 27-year-old female patient expressed concern about the bags under her eyes and her tired appearance. In her quest to meet her objectives, she chose a discreet eyelid treatment known as transconjunctival blepharoplasty. This technique encompassed fat extraction, fortifying tendons through a procedure called canthopexy, and revitalising the skin affected by sun exposure using CO2 laser resurfacing. In addition, she underwent an upper blepharoplasty to address the fullness in her upper eyelid and loss of the eyelid crease. The procedure gave her a youthful appearance and enhanced the natural beauty of her green eyes and eyelid shape. A 50-year-old female patient complained of heavy upper lids that caused her to look tired. She also had little to no eyelid visibility. I performed a conservative upper blepharoplasty, providing the patient with an elevated upper eyelid platform while preserving a natural appearance. Additionally, the skin on the lower eyelid was refreshed through skin resurfacing. The patient was very satisfied with the outcome, resulting in a naturally rejuvenated appearance. A 51-year-old Asian woman was noted for having significant heaviness in her upper lids, along with sun damage on her face. I performed an upper blepharoplasty, hiding the incision within the patient’s natural skin crease while conservatively removing skin, muscle, and fat. In the after photo, she has a more youthful, natural appearance with more visible upper lids. What Is the Best Treatment for Hooded Eyes? Surgery is considered the most effective treatment for hooded eyes, particularly when the cause is due to excess fat or skin. Blepharoplasty, also known as eyelid surgery, can be performed to remove the excess skin and fat, tighten the muscles, and reshape the eyelid. This can help create a more open and youthful appearance for the eyes. Cosmetic Surgery to Correct Hooded Eyes Blepharoplasty or eyelid surgery is done for ideal candidates with hooded eyes. This procedure involves removing excess fat and skin from the upper lids and, in some cases, the lower eyelids. The procedure can also tighten the underlying muscles and reshape the eyelid to create a more open and youthful appearance for the eyes. In addition, blepharoplasty can correct drooping eyelids. Droopy eyelids can cause cosmetic and functional problems (e.g., blurry vision), so getting surgery can help make people’s lives easier. Blepharoplasty can be performed under sedation or general anaesthesia, depending on the extent of the procedure. The surgery usually takes several hours and can be performed on an outpatient basis. Patient Story As a 46-year-old woman, this patient was tired of being asked if she was always tired. The overhanging skin below her brows weighed her eyes down, making her look older and more exhausted than she felt. As a result, the patient wanted to rejuvenate her tired eyes. She reached out to the London Centre for Advanced Facial Cosmetic Surgery, headed by me, Dr. Julian De Silva. During our consultation, we discussed her concerns. I suggested that upper and lower eyelid surgery was the best option for her. After the consultation, the patient decided to proceed with the procedure. The upper eyelid surgery removed the excess skin, fat, and muscle that made her eyes look tired and older. On the other hand, the lower eyelid surgery repositioned some fat to areas of hollowing in her eyelid. This smoothened the puffiness, making her eyes appear more youthful. She also underwent eyelid support and TCA skin resurfacing to enhance the results. The results of her eyelid surgery were amazing. As you can see in the picture, her eyes look much more alert. In addition, the excess skin is no longer hiding her eyes. The lower eyelid lines have been smoothened as well. The patient is extremely happy with the results, especially how well-rested her eyes look after the procedure. Upper Blepharoplasty Video: How Is Upper Eyelid Surgery Done? This upper blepharoplasty video shows how an upper eyelid is performed. At my clinic, I prefer sedation anaesthesia because it helps my patients relax more. Also known as twilight anaesthesia, this one is safer than general anaesthesia. To perform the eyelid surgery, I first mark the skin. This has to be extremely precise, as each patient’s eye is unique, and the incisions must be hidden under the natural crease of the eyelids. Then, I remove the skin. Depending on the case, I also tighten the underlying obicularis muscle. After this, the fat is reshaped based on the patient’s eye shape and goal. Next, the incisions will be closed through sutures and/or bioglue. Complementary procedures such as laser skin resurfacing can enhance the results. Tom Cruise’s Eyelid Surgery Source: NZ Herald Tom Cruise is one of the highest-paid actors in the world due in part to his good looks and talent. He is known for performing daring stunts and is regarded as one of the sexiest actors in the world. His work includes popular movies like Mission Impossible, Jack Reacher, The Last Samurai, and Top Gun Maverick. Over the course of his career, fans have noticed a change in Tom Cruise’s appearance, transitioning from a more boyish look to a fuller face with weight fluctuations. In recent years, there have been rumors that he has undergone cosmetic procedures, including anti-wrinkle treatment, fillers, and eyelid surgery. Many experts have weighed in on Tom’s change in appearance to overusing fillers. As a result, he looked so puffy that fans were so shocked by the sudden change. The latest is the excess upper eyelid skin and wrinkles around the eyes. Over the years, Tom has benefited from a younger-than-his-age appearance, which can be attributed to various cosmetic procedures. As seen in his photos, Tom has likely benefited from eyelid surgery, also known as blepharoplasty. It is a procedure that removes excess skin, fat, and muscle from the upper and/or lower eyelids to improve the appearance of sagging or drooping eyelids. Regardless, we can’t help but say that Tom Cruise is one of the most handsome men around. Why Eye Surgery is the Best Treatment for Under Eye Wrinkles and Crow’s Feet From giving permanent results to being effective, eyelid surgery is the best treatment for wrinkle on eyeball. Here are the reasons why eyelid surgery is the best treatment for under eye wrinkles and crow’s feet: 1. Blepharoplasty effectively gets rid of under eye wrinkles and crow’s feet. Due to its surgical nature, blepharoplasty or eyelid surgery effectively eliminates under eye wrinkles and crow’s feet. Unlike non-surgical options, blepharoplasty can get rid of the most severe cases of under eye wrinkles and crow’s feet. 2. Eye cosmetic surgery produces permanent results. Eye lifting surgery is the only permanent way to get rid of under eye wrinkles and crow’s feet. The effects of blepharoplasty can last for up to a lifetime. In fact, many of my patients only had to get blepharoplasty once. 3. Blepharoplasty under eye is cost-effective in the long run. Blepharoplasty requires a large investment. However, you only have to pay for the eye lift cost once, as opposed to non-surgical options. Since the cost of non-surgical treatments accumulates over time, blepharoplasty is more cost-effective in the long run. 4. Blepharoplasty is safe. While eyelid surgery comes with risks, the procedure is safe. I spent many years honing my skills in cosmetic surgery, so you are in safe hands. Before Hooded Eye Surgery Knowing how to get rid of hooded eyes includes understanding what happens before the treatment. Before getting hooded eye surgery, you need to talk to a cosmetic surgeon who specialises in eyelid surgery. You can book a consultation with me here. At the start of the consultation, we will discuss your medical history and current state. Specifically, I will ask you about surgeries you had, if applicable. I will also ask about your current condition, including medication that you take, if applicable. Next, we will discuss your lifestyle. I will ask you to disclose your alcohol and cigarette usage. After this, we will talk about your goals. Each patient’s goal varies, so please openly discuss what yours are. Depending on what we discussed, I will explain whether blepharoplasty surgery is the best treatment for you or not. I might also suggest complementary procedures such as facelift and brow & forehead lift. If you agree with everything I discussed, you can then set an appointment for the surgery. Make sure that you set an appointment that best suits your schedule. Eyelid Surgery: Best Treatment for Hooded Eyes Knowing how to get rid of hooded eyes includes understanding the best treatment for them. Thanks to advances in the cosmetic industry, you have many options for treating your hooded eyes. In extremely mild to mild cases, non-surgical eyelift can treat your hooded eyes. While non-surgical eyelift sounds promising, it cannot treat all cases of hooded eyes. Only eyelift surgery can. Due to this, eyelid surgery is the best treatment for hooded eyes. For one, eyelid surgery or blepharoplasty can treat all cases of hooded eyes. From mild to severe cases, a cosmetic surgeon can manipulate your skin and underlying muscles to get rid of your hooded eyes for good. Blepharoplasty also produces permanent results. Unlike non-surgical procedures, the results of blepharoplasty last for decades to a lifetime. Lastly, blepharoplasty produces subtle, natural results. Your eyes will change, but people around you won’t notice it unless you tell them. However, these results can only be delivered by a highly qualified cosmetic doctor. Thus, you have to be extremely careful when choosing a doctor to work with. Visit Dr. Julian de Silva – Blepharoplasty, London Do you want to make your eyes open and look more refreshed? Book a consultation with me, Dr. Julian De Silva, to know the best treatment options for your jowls. Alternatively, you may visit us at 23 Harley St, London W1G 9QN, UK.

Eyelid drooping, also called ptosis or blepharoptosis, is caused by the eyelid’s edge being lower than normal, the presence of excess baggy skin in the upper eyelid, or a combination of both conditions. The malfunctioning levator muscle, responsible for lifting the eyelid, causes these conditions. These can affect your appearance and eyesight. Thankfully, congenital ptosis, severe ptosis, age related ptosis, or acquired ptosis can be treated by eyelid ptosis surgery or blepharoplasty. In this article, I will talk about several options for when your upper eyelids sag. These options include non surgical treatments and eye surgery. How Do You Fix Droopy Eyelids? Eyelid surgery, medically known as blepharoplasty or eyelid ptosis surgery, is the universal surgical procedure for addressing the drooping of the eyelids. These sets of surgical techniques target the upper eyelid (upper blepharoplasty), lower eyelid (lower blepharoplasty), or both, aiming to improve the appearance of droopy eyelids. Be it for cosmetic or functional purposes, this ptosis plastic surgery alters the appearance of the eyelids by removing the excess skin or fat in the region. It helps correct defects and deformities and modifies the eye region aesthetically. Upper blepharoplasty and lower blepharoplasty are separate sets of operations. The results of the ptosis surgery in your upper eyelid are long-lasting and can last for up to a lifetime. The effects of the surgery on your lower eyelids are essentially permanent. How Can I Tighten My Eyelids Without Surgery? While surgery produces the best results for ptosis or droopy eyelids, several nonsurgical options are available to address ptosis. Droopy eyelid or ptosis treatments generally don’t require downtime, except for laser resurfacing. These options target the skin around your eyes to tighten and smoothen the treatment area, fill the saggy skin on your eyelids, or stimulate your body’s healing process. Botulinum toxin, more popularly known as anti-wrinkle treatment injections, is one of the most popular non-invasive droopy eyelid treatments. It targets the wrinkles and sagging skin in the treatment area, effectively reducing the appearance of ptosis or droopy eyelids. These products are injected to correct droopy eyelids or ptosis caused by ageing, which severely weakens the muscles in the eye region. It results in a more youthful look, eliminating unwanted folds and fine lines around the eyes. Hyaluronic acid-based dermal fillers are products used to fill the volume around the cheeks and the lower eyelid area. It removes the depth of circles under the eyes caused by eye bags, giving a more refreshed appearance. These treatments typically require additional sessions to maintain their effects, which fixes the fluid buildup and unsightly contours that form over multiple injections in the eye region. They are often paired with other nonsurgical options to achieve the best results. Laser resurfacing is also a non-invasive ptosis treatment that softens and smoothens wrinkles and fine lines by targeting the upper skin cells to stimulate the formation of new ones. The younger skin cells produced from the healing process are smoother and can help lessen droopy eyelids in the process. Finally, certain medications and prescription eye drops can also help reduce droopy eyelids without undergoing surgery. These options require professional medical advice, so it’s best to consult a doctor before opting for these alternative ptosis treatments. What Causes Your Eyelids to Droop? Ageing The most common cause of ptosis is ageing. Our body reduces collagen and elastin production as we age, which impacts the elasticity of our skin and its appearance over time. As a result, the eyelid droops. While the signs of ageing can be reduced, it’s up to the person whether they want to address them for cosmetic purposes. However, for some people, it can obstruct eyesight and affect their everyday lives when the eyelids are not positioned lower than usual. Genetics Genetics plays an essential role in how your eye region is formed. If your parents have prominent ptosis, you are most likely to acquire these physical traits. As such, while older patients tend to be more vulnerable to this condition, younger people can manifest symptoms of droopy eyelids early in their lives due to their genes. Excess Skin on the Upper Eyelid Extra skin on the upper eyelid can cause them to droop. It makes wrinkles and creases more prominent with age, which accentuates other skin concerns such as dark circles, bags under the eyes, and ptosis or the weakening of the muscle tissues in this region. Nerve Damage A droopy eyelid condition caused by nerve damage is called neurogenic ptosis. When there are problems with the nerve pathways that control the muscle movements in the eyelid region, it causes the upper eyelids to droop and lose shape. The person’s eyesight can be obstructed by this functional concern. Trauma, Injury Trauma or injury in the eye region can destroy nerve endings and weaken eyelid muscles, causing them to droop. Droopy eyelid surgery can address this functional issue. Underlying Medical Condition Several medical conditions can cause droopy eyelids. In some patients the actual eyelid can be droopy, this is termed ptosis in medical jargon. There are many causes including diabetes, stroke, Myasthenia gravis, Horner syndrome, and tumours, as well as ageing and contact lens wear. An examination in person is required to look at the cause and the treatment is different from blepharoplasty surgery alone. Droopy Eyelid Symptoms 1. Appearance of the eyelids The most prominent clue of droopy eyelids is their appearance. The upper eyelid tends to sag and cover parts of the eye. The lower drooping eyelid appears as stretching away from the eyes. These are visible signs of drooping eyelids. 2. Vision problems People with droopy eyelids would feel a subtle sensation in their upper field of vision as being blocked. Over time, when the upper eyelid drops further and covers part of the pupil, it may completely block eyesight. 3. Fatigue and pain in the eye region Droopy eyelids can cause fatigue, mild pain, and discomfort in the eye region. It’s a consequence of the vision being slowly blocked by the sagging eyelids. People who suffer from this condition can expect increasingly teary eyes paired with dryness. 4. Unusual behaviour People with droopy eyelids and weak muscles are more difficult to examine. Symptoms typically do not appear in early childhood unless genetics plays a key role in its cause. However, some behavioural changes can be observed when their vision is affected, and no visible signs are present for adults to notice. Those who have droopy eyelids at a young age usually tip their heads back to improve their vision under the eyelid muscle. When the person complains about vision issues in their upper field of vision, it may be a sign of eyelid sagging. Book a Consultation Are you looking for a doctor that can lift your eyelids and eyebrows without having to go under the knife? I, Dr. Julian De Silva can help. As one of the best cosmetic doctors in the UK, most patients come to me to invigorate their eye area through a personalised procedure. If you want to enjoy the benefits of the said procedure, book a consultation with me now!

Sunken eyes make you look tired all the time. For many, sunken eyes are an annoying feature made worse by dark shadows and a hollow eye socket. Sunken eyes can also make sensitive skin worse. With all these issues surrounding sunken eyes, many people ask if they can be fixed. In this article, I will talk about sunken eyes and their causes. I will also discuss whether they can be fixed or not. On top of that, I will show you pictures of my patients with sunken eyes so you can make an informed decision about treatment options at my clinic. What Causes Sunken Eyes? Here are the common causes of sunken eyes: Ageing As we age, we lose bone density and body fat all over, including on our faces. The underlying frameworks that hold everything together are also deteriorating. Moreover, the skin thins and becomes more translucent as it loses collagen. Part of the ageing process involves the appearance of sunken eyes or hollow eyes. Dramatic Weight Loss When you shed a lot of pounds, you lose fat from all parts of your body, including your face. If you lose weight and your collagen production goes down, the hollow looking space under your eyes becomes more noticeable. Additionally, a significant loss of facial fat can make the blood vessels more transparent and visible. Genetics Your genetics also play a role in how your tear trough hollows appear. Tear trough deformity can also be passed on. Consequently, you will likely have sunken eyes if other members of your family have them. Not Enough Sleep Inadequate and poor quality sleep is another common factor that can worsen the appearance of sunken eyes. However, the effects of inadequate sleep are temporary. The appearance of your eyes will get back to normal once you get 8 hours (or more) of sleep. Dehydration Sunken eyes can also result from inadequate hydration. Consult a doctor if you have sunken eyes, diarrhea, or vomiting. This could indicate severe dehydration. Sun Exposure Sun exposure can make the thin skin under your eyes appear darker. Dark circles under your eyes that resemble shadows can also get worse due to sun exposure. Allergies Seasonal allergies, also known as allergic rhinitis, can also result in the development of under-eye puffiness, leading to a sunken appearance. People with allergies may also rub or scratch the skin around their eyes, causing irritation. Therefore, your sunken eyes become more noticeable. Smoking Smoking damages collagen and reduces the elasticity of your skin. This may cause your facial skin to sag and result in the appearance of sunken eyes. Thinning of the skin also gives rise to more fine lines and wrinkles particularly seen when smiling! How Do You Fix Sunken Eyes? You can fix sunken eyes through lower eyelid surgery or blepharoplasty. In particular, the procedure can fix dark circles and sunken eyes. It can also smooth out the thin crepy skin and crow’s feet around the eyes. Before eyelid surgery, you must consult with a cosmetic surgery expert like me, Dr. Julian De Silva, to see if it’s the best option for you. During the consultation, we will discuss your medical history and goals. Once you agree to everything we discussed, you can then schedule an appointment for your treatment. With the right doctor, eyelid surgery rejuvenates your facial appearance, making you look youthful and less tired. The eyelid anatomy is complex, so choosing the right eyelid surgeon for blepharoplasty is a must. At my clinic, the procedure involves reshaping excess skin, muscle, and prolapsing fat. I also use advanced techniques during this cutaneous and aesthetic surgery. What Are Sunken Eyes? Sunken eyes refer to the hollows under the eyes. A hollow is left behind by the delicate skin that appears to slide inward under the eyes. Typically, the hollow appears darker than the surrounding skin. While sunken eyes may not cause issues with your eyesight, they mess up your appearance. Fortunately, sunken eyes can be treated through surgical and non-surgical methods like dermal fillers with hyaluronic acid, a naturally occurring substance in the body. The results of surgery are permanent. On the other hand, dermal fillers offer temporary results. At the end of the day, the best treatment depends on whether you are a good candidate for eyelid surgery or dermal fillers. Pictures of Sunken Eyes and Dark Circles Here are some pictures of my patients with sunken eyes before and after treatment: Before and After Blepharoplasty: Patient 1 This patient reported sagging skin that appears sunken under her eyes. As a result, she became bothered by her fatigued appearance. She aimed for a completely natural appearance and didn’t want her friends to suspect she had surgery. She underwent transconjunctival blepharoplasty, a procedure with the lower lid incision hidden. The treatment also removed fat, tightened her tendon (canthopexy), and restored her sun-damaged skin (CO2 laser resurfacing). I also performed upper blepharoplasty to correct the fullness of her upper eyelid and the disappearance of the eyelid crease. She was pleased with the outcomes of the surgery. As you can see in the picture, it provided her with a more youthful appearance and enhanced her green eyes and eyelid shape. Before and After Blepharoplasty: Patient 2 The 61-year-old CEO thought that his ageing eyelids made him appear furious and exhausted even though he wasn’t. Morevoer, they had gotten worse over time. He started looking into plastic surgery in London to see which procedure would be best for him. He wanted to soften his looks and make his eyes appear more attentive. After giving it some thought, he chose to arrange an appointment with me, Dr. Julian De Silva. The pictures of this patient show that after blepharoplasty, his eyes appeared kinder and more alert. He was also thrilled with the outcome and was relieved that he was no longer concerned about coming off as angry. Before and After Blepharoplasty: Patient 3 This 45-year-old working woman was starting to see the symptoms of ageing and wanted to look younger. She was particularly dissatisfied with the bags and puffiness under her eyes. She scheduled a consultation with me, Dr. Julian De Silva to go through her alternatives. I carefully listened as she discussed wanting to look younger and more refreshed on the day of her visit. She said she wanted her skin to look tighter and smoother because the bags under her lower eyelids made her eyes appear fatigued. I recommended lower eyelid surgery to get rid of the extra fat that was creating her eye bags. The procedure would enhance her face contours and give her the refreshed appearance she desired. Her post-operation pictures show that the procedure was successful as her sunken look was gone. She now looks rested and renewed. Her hazelnut brown eyes also look more noticeable. The blepharoplasty helped to smooth the creases and tighten the skin around her eyes. Before and After Blepharoplasty: Patient 4 This 63-year-old woman was brought to me by a friend who thought her puffy lower lids and drooping brows were hiding her brown eyes. She sought to make her eyes appear bolder and more awake by getting eyelid surgery. However, she wanted subtle and natural-looking results. The “after” photo was taken roughly six months following the operation. They show a reduction in the drooping above the eyes, giving her eyes a bigger, more attentive appearance than in the “before” photos. She was delighted with her new look because her huge, gorgeous brown eyes received many praises. They also stand out now, rather than hide in plain sight. This also gave her more confidence to face the world. What Are the Symptoms of Sunken Eyes? Here are the symptoms of sunken eyes, though the precise appearance may vary from person to person: Hollowing Under Your Eyes Because of their depth and location in the face, hollows beneath your eyes, also known as tear troughs, are a condition caused by a lack of volume in the under-eye area. Similar to puffy under-eye bags, it can make people appear exhausted, older, and less energised. A Dark Shadow Over Your Lower Eyelid This has a number of causes, including hyperpigmentation and changes to your blood vessels and surrounding skin. Additionally, congenital disorders and eye traumas may cause dark eyelids. It’s possible to have both black eyelids and under-eye circles at once. Additionally, one can exist without the other. Thin and Delicate Skin Under Your Eyes Your skin ages with you and becomes drier and thinner as you get older. Collagen is a substance found in the dermis, the middle layer of your skin, and accounts for the majority of the thickness of your skin. As you become older, your body creates less collagen. Research reveals that persons with darker complexions likely have thicker skin than those with lighter skin. It’s because some people are born with skin that is inherently a little bit thicker than others. Purple Blood Vessels Under Your Eyes The skin under your eyes is thinner than in other locations. Therefore it’s possible that these veins will become noticeable. Your periorbital veins are present naturally around your eyes, although not everyone has noticeable ones. My clinic might be able to assist you if your periorbital veins are bothering you. Moreover, the skin surrounding your eyes may become more transparent and pale as you age. The veins beneath may become more noticeable and pronounced as a result. Tired or Fatigued Look On Your Face The most frequent cause of fatigued skin is sleep deprivation. Staying up late, whether it be to use social media, play games, watch movies, or engage in any other activities that cause you to lose track of time, can cause it. As a result, your sunken eyes will begin to show themselves. In addition, lack of sleep causes our bodies to produce more of the hormone cortisol. This causes inflammation and dull skin. If you continue to sleep less than the recommended 7 to 9 hours, your sunken eyes will become worse. Can Sunken Eyes Cause Other Conditions? Sunken eyes caused by ageing or genetics are not usually harmful. They also do not cause other conditions. However, unfavourable changes to someone’s appearance might cause emotional responses. Depression or anxiety may eventually result from low self-esteem and lack of confidence. Visit Dr. Julian De Silva Are you looking for a doctor with over 20 years of experience in cosmetic surgery? Do you want to get rid of your sunken eyes and other symptoms that make you look older than you really are? Are you looking into minor surgical treatments that will make your look younger? Let me help you. Contact us and book a consultation with me now! As an alternative, you can visit my Harley Street Clinic at 23 Harley Street, London W1G 9QN, United Kingdom.

Celebrity Plastic Surgery – The Drastic Changes This is a very topical question; we have all seen celebrities who appear to look very different after undergoing plastic surgery. One of the most common surgeries that can truly alter a person’s appearance is a blepharoplasty or upper eyelid surgery. Good examples of this are Renée Zellweger and Mickey Rourke. Renée Zellweger Before & After When Renée was younger she had hooded eyelids, relatively low eyebrows and her upper eyelid could barely be seen. Hooded eyelids can be genetic or acquired with age. Some examples of young celebrities with hooded eyelids are Blake Lively, Jennifer Lawrence and Taylor Swift. Renée Zellweger is one example of a person born with hooded eyes that became even more hooded with age. The effort to restore a youthful look to her eyes was overachieved, as the surgeon overcorrected Renée ’s eyelids, causing them to lose their distinctive hooded feature. In more recent photographs of Renee, the difference in her upper eyelid can be seen. The eyes look more open and significantly different from the distinctive hooded eyes of her youth. Mickey Rourke Before & After Micky Rourke looks very different than he did when he was younger and it is particularly his eyelids that have changed with time and alleged plastic surgery. When we look at people we naturally look at the eyes in communication and changes in this area can make a celebrity look very different if the surgery performed is not conservative and specific measures are not taken. Mickey had hooded upper eyelids when he was younger. This is a common appearance in men which often makes men’s eyes appear smaller. In more recent photos of Mickey, more of his upper eyelid can be seen and as a result, his eyes appear larger. Having more visible eyelids is common in many men; many other A-list celebrities including George Clooney, Richard Gere and Tom Cruise all have relatively full eyelids and low eyebrows. Eyelid surgery in men needs to take these factors into account. Dr De Silva specializes in blepharoplasty and eyelid lift surgery, taking these aspects into account is of key importance in giving a natural looking rejuvenation. With good blepharoplasty surgery, a person will look the same after surgery, only refreshed. Why Has This Happened? Eyelid surgery, also known as blepharoplasty or eyelid lift, can be achallenging cosmetic surgery as it can change a person’s appearance, though when the surgery is performed to a high standard the surgery looks completely natural. If too much soft tissue is removed, or if the natural shape and creases of the eyelid are not considered or respected, eyelid surgery can completely change a person’s appearance. All of us look at each other’s eyelids in communication whether socially or professionally, and a change in the appearance around the eyelids can really change a person’s appearance. The results from blepharoplasty are dependent on both technical excellence and artistry by the surgeon. As a specialist in facial cosmetic and plastic surgery, Dr De Silva only performs facial surgery. Blepharoplasty, also known as an eyelid lift, is the most common surgery that he performs. “I have performed surgery for many celebrities, actors, actresses and singers, and no two people need the same surgery. It needs to be tailored to the individual to look natural. It is key with eyelid rejuvenation and blepharoplasty to consider with every celebrity how they looked when they were younger to avoid a change in the person’s appearance and discuss with the individual what they would like to achieve. The surgery can then be tailored to achieve this. I use my own customised techniques to ensure my patients have natural looking results. This does result in the surgery taking more time; however, my philosophy is to do things only once and with a natural looking outcome,” said Dr De Silva. Can Plastic Surgery Be Reversed? The upper eyelid is very intricate in terms of anatomy and function. It is challenging to reverse the previous surgery and to restore more volume to the upper eyelid. More than 20% of all eyelid surgeries Dr De Silva performs are revision surgeries on patients who have had primary surgery elsewhere. Once volume is taken away from the upper eyelid it can be difficult to restore it while still maintaining a natural look. Surgery to restore volume to the eyelids often includes a number of specialized techniques including the use of fat transfer, CO2 laser, canthopexy, 3D telescopes and tissue glue. The surgery is highly intricate and specialized as less than one millimeter of a change can make all the difference. For this reason, it is important that patients seek a facial plastic surgeon to perform eyelid surgery and revision eyelid surgery. A general plastic surgeon that performs surgery on the entire body is accustomed to surgery of centimeters of the breast and body. Eyelid surgery requires fine millimeter precision work for a great result. “The advice I would give anyone looking to have eyelid surgery is to take your time and research your surgeon. Natural surgery requires a degree of artistry by the surgeon to ensure that your appearance is only a rejuvenation of how your eyes used to look, not a complete overhaul,” said Dr De Silva. Click here for more information on eyelid surgery. Dr Julian De Silva is a London facial cosmetic surgeon who Specialises exclusively in the eyes, nose, face and neck areas. Dr De Silva is recognised as an expert on the latest advances in facial cosmetic surgery, and previously worked in both Beverley Hills and New York before settling in London. Top Qualifications from World Class Cosmetic Surgery Centres International Speaker and Surgical Trainer in Facial Cosmetic Surgery Voted Best Leader by colleagues, Awarded the only Distinction in Masters Known for Innovative techniques that deliver Natural Looking Rapid Results Nomination by Peers for Best Cosmetic Surgeon in 2011-2012-2013 Talk through your concerns with a facial cosmetic surgery expert. Contact us today. Centre for Advanced Facial Cosmetic & Plastic Surgery Dr Julian De Silva MBBS MD FACO FACS BSc PGc DIC The Centre, 89 Hammersmith Grove, London, W6 0NQ, UK 10 Harley Street, London, W1G 9PF Phone: 033 0808 4392 Email: [email protected]

This is a very topical question that many of my patients have asked me. It is difficult not to be curious when you come across photos of Renee and how much her appearance has changed over the past few years. Many articles in the media have suggested she has had some radical plastic surgery, so what has really happened? What Has Changed? Renée’s appearance has changed, specifically her eyelids. When she was younger she had very full upper eyelids, relatively low eyebrows and a relatively short distance between her eyebrows and her eyelid. As a result, you could barely see her upper eyelids. They were quite hooded. Now you can see a great deal more of her eye and her upper eyelid. While most women have relatively high eyebrows and a more open eyelid appearance, it can be an error to over-generalize appearance. Why Has This Happened? It appears that Renee had an upper eyelid blepharoplasty. It looks as if too much soft tissue was removed with the eyelid surgery, changing her appearance. All of us look at each other’s eyelids in communication whether socially or professionally, and a change in the appearance around your eyelids can really alter person’s appearance. As a specialist in facial cosmetic and plastic surgery, I only perform facial surgery and blepharoplasty (also known as an eyelid lift.) Eyelid surgery is the most common procedure that I perform. A key factor in eyelid rejuvenation and blepharoplasty is maintaining the patient’s facial identity. A surgeon must consider what the patient looked like when they were younger so as to avoid an unrecognizable change in his/ her countenance. Eyelid surgery is both delicate and intricate as the human eye can notice even a one millimeter difference between the two eyes. A general plastic surgeon is accustomed to performing surgery of the centimeters of the breast and body. Eyelid surgery requires fine millimeter precision work for a great result. It is important to discuss what the patient would like to achieve; the surgery can then be tailored to achieve this. I use my own customized techniques to ensure my patients receive natural-looking results. The attention to detail does require a longer surgery time, however my philosophy is to do things only once and with the best outcome. Can This Appearance Be Changed? The upper eyelid is anatomically and functionally intricate. It is challenging to reverse the previous surgery and to restore more volume to it. Approximately 20% of all eyelid surgeries I perform are revision surgeries on patients who have had an initial blepharoplasty elsewhere. Once volume is taken away from the upper eyelid it can be difficult to restore the appearance while still maintaining a natural look. Fat transfer to the upper eyelid is a viable option for restoring volume to the upper eyelid, but it is a highly intricate and specialized procedure that requires an expert hand. Do you want to know more about eyelid surgery? Check out this web page on eyelid surgery. Avoid the Situation in the First Place The advice I would give anyone looking to have eyelid surgery is to take your time, and research both the procedure and your surgeon. Watch my video for suggestions and tips for choosing the best blepharoplasty surgeon for you. Natural surgery requires a degree of artistry by the surgeon to ensure that your appearance is only a rejuvenation of how your eyes used to look. Although Renee’s appearance has changed she still looks healthy, rejuvenated and happy. About the Doctor Dr Julian De Silva is a London facial cosmetic surgeon who specializes in the eyes, nose, face and neck areas only. Dr De Silva is recognised as an expert on the latest advances in facial cosmetic surgery, and previously worked in both Beverley Hills and New York before London. Top Qualifications from World Class Cosmetic Surgery Centres International Speaker and Surgical Trainer in Facial Cosmetic Surgery Voted Best leader by colleagues, Awarded the only Distinction in Masters Known for Innovative techniques that deliver Natural Looking Rapid Results Nomination by Peers for best Cosmetic Surgeon in 2011-2012-2013 Talk through your concerns with a facial cosmetic surgery expert. Contact us today. Centre for Advanced Facial Cosmetic & Plastic Surgery Dr Julian De Silva MBBS MD FACO FACS BSc PGc DIC The Centre, 89 Hammersmith Grove, London, W6 0NQ, UK 10 Harley Street, London, W1G 9PF Phone: 033 0808 3923 Email: [email protected] (Photo: Brian To / WENN.com)