How to get rid of droopy eyelids?

How to get rid of droopy eyelids, submitted image.

I'm a bit alarmed at the severe droopiness of my eyelids. I was expecting some kind of drooping (I'm 56 now), but not at this level. Getting old isn't pretty, that's for sure. Ok, so now that I'm in this situation, what are my choices? I'm open to any reasonable suggestion.


F, 58, Tennessee

Tags:woman age 55-64 upper eyelids droopy eyelids

It looks like blepharoplasty would be the right choice for you. Blepharoplasty, sometimes referred to as an eyelid lift, is a very popular cosmetic procedure used to enhance the appearance of the eyelids and rejuvenate drooping eyelids.

Some patients only want surgery on their upper or lower eyelids, while others choose surgery for both. It’s worth keeping in mind that your eyelids do not exist in isolation; they’re part of your face, meaning a droopy eyelid could be caused by sagging skin around the eyebrow and/or forehead, which may also have to be addressed. Your doctor will discuss your options with you in more detail after evaluating your eyelids at your initial consultation.

The surgical procedure for treating sagging eyelids is fairly straightforward and typically doesn’t require you to go to the hospital or outpatient surgery center. First, your doctor will give you either intravenous sedation or general anesthesia to minimize pain. Second, your doctor will make a small incision along your eyelid crease or lower lash line, using the natural shape of your lower and/or upper eyelids to disguise any scars. Your doctor may use a scalpel or laser depending on their preferences. Finally, the incision is closed up with sutures or skin glue.

While the recovery process usually isn’t too extensive, it is important to follow your doctor’s recommendations in order to help your body heal properly. In the days following surgery, you will probably find that the skin around your eyes is irritated, bruised or swollen. Use a cold compress, sleep with your head elevated and abstain from alcohol to help speed up the recovery process. Your surgeon may also prescribe certain medications to support your healing and reduce the risk of infection. Most people are able to return to their regular activities after approximately two weeks, although it could take a few months before the skin is fully healed.

Judging from your photos, I think that blepharoplasty (otherwise known as an eyelid lift) would be a good option for you. This could possibly be performed in conjunction with a brow lift to reduce the amount of excess skin around your upper eyelids. 

An eyelid lift is a type of cosmetic surgery procedure that involves removing redundant skin from around your eyes. It can be used to treat a wide range of things, including loose skin, droopy eyelids, eye bags, fine lines and wrinkles of the lower eyelid. After assessing your facial anatomy, your plastic surgeon will be able to provide you with a recommended course of action.

Most people find cosmetic surgery to be a very effective option when treating sagging eyelids. After surgery, you may find that your eyes appear brighter, tighter, and more youthful in general. You may also experience some minor improvement to your vision as your droopy eyelids could be impairing your sight (even if you’re not aware of it). Do keep in mind that while an eyelid lift can effectively treat sagging eyelids and enhance the appearance of your facial features, the surgery doesn’t make your eyelids immune to the aging process.

The cost of blepharoplasty varies depending on the experience of your plastic surgeon, the type of procedure required, and your doctor’s geographic location. As a ballpark figure, you can expect to pay somewhere around $3,000 - $4,500 for eyelid surgery, although this may not include the cost of anesthesia and operating room expenses. This type of procedure isn’t typically covered by health insurance, but many surgeons offer financing options that enable you to spread your payments out over a period of time.

Dr. Alexander Ovchinsky has 2 Upper eyelid lift, Lower eyelid lift before & afters:

Upper eyelid lift, Lower eyelid lift before image performed by Dr. Alexander OvchinskyUpper eyelid lift, Lower eyelid lift after image performed by Dr. Alexander OvchinskyUpper eyelid lift, Lower eyelid lift before image performed by Dr. Alexander OvchinskyUpper eyelid lift, Lower eyelid lift after image performed by Dr. Alexander Ovchinsky

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It's hard to tell for sure from your photo, but it looks to me like your drooping eyelids may also have a component of upper lid ptosis. This can happen with age -- the muscle that opens the eyes separates from the eyelid at the insertion and can only be improved by repairing it. It’s important for this to be diagnosed following an examination, making an upper lid blepharoplasty a little more complex. As such, it should only be performed by a skilled surgeon who possesses ample experience in this area.

A drooping eyelid alone is most commonly caused by the normal aging process, which tends to lead to the skin around the upper eyelids losing its tautness. Sometimes, a sagging eyelid is caused by nerve damage to the muscles that control the eyelid, or could be the side effect of disease or injury. If you haven't yet done so, it's important to determine whether your droopy eyelids are a cosmetic issue or a symptom of an underlying problem.

When it comes to treatment, blepharoplasty is the most popular option. This surgical procedure can be very effective to help tighten skin around the eyes and rejuvenate droopy eyelids. However, while an eyelid lift is generally considered to be the most effective way to treat sagging eyelids, you do have other options.

For example, if your droopy eyelid is caused by a weakened eyelid muscle, your doctor may prescribe you the eye drop Iopidine. Iopidine only works for eight hours or so, meaning you’ll need to apply it several times daily in order to maintain results.

For longer lasting results, you might want to consider Botox. A good plastic surgeon can use Botox to lift your eyebrows and move loose skin away from the eyelid. This method of treatment is typically far less expensive than blepharoplasty and recovery time is substantially faster.

If you'd like to stay away from injections and surgical procedures altogether, you may find that a good skin care routine which includes quality collagen creams will help tighten the skin around your eyes and reduce saggy eyelids. However, the results probably won't be as visible as some of the other options I've described here.

During your research, you may have found a number of natural remedies that promise to fix your droopy eyelids right in the comfort of your home. While there's arguably nothing wrong or dangerous about experimenting with these methods, I have to warn you that they probably won't be very effective. Applying chamomile tea bags and chilled cucumber to your face can help puffy eyes in the short term, but unfortunately these home remedies can’t do anything for sagging eyelids.

Hi K

Looking at your pic, I would suggest a brow lift and upper eyelid lift.  These two procedures will directly and effectively address your issues.  Specificlaly, your eyebrows are low, flattened and a bit asymmetrical.  The descent of the brows over time helps to create redundant upper eyelid skin.  You also have transverse brow wrinkles, and they will be helped/eliminated.

The upper lid lift will removing remaining excess skin, and clean up the aesthetics to give a fresher more youthful look with more open eys.

If other areas of your face bother you, they can be addressed at any time.

Al the best.


Dear Katherine,

Your options would include eyelid surgery (blepharoplasty) with or without a brow lift. To discuss these options and select the best ones for you, consult an oculoplastic or a facial plastic surgeon in your area.


Flora Levin MD

Dr. Flora Levin has 18 Eyelid Surgery before & afters:

Eyelid Surgery before image performed by Dr. Flora Levin Eyelid Surgery after image performed by Dr. Flora Levin Eyelid Surgery before image performed by Dr. Flora Levin Eyelid Surgery after image performed by Dr. Flora Levin Eyelid Surgery before image performed by Dr. Flora Levin Eyelid Surgery after image performed by Dr. Flora Levin Eyelid Surgery before image performed by Dr. Flora Levin Eyelid Surgery after image performed by Dr. Flora Levin

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