There are many lifestyle changes that you can make to help minimally decrease the severity of sagging eye skin. One of the first procedures that we suggest to many of our patients who are not ready for a surgical option is a botulinum toxin like Botox.
We treat around the eyes to help relax the muscle which will give you the appearance of a lift. The treatment time is short and performed in the office. There is little to no downtime, with many of our patients going to work directly from their appointment with us. (Hannah Vargas, MD, Columbus Plastic Surgeon)
Botox can often work to help elevate the lids by elevating the brow. This is a fairly inexpensive way to improve the upper lid appearance. This lasts about 3 months or so. (Susan D. Vasko, MD, FACS, Bethesda Plastic Surgeon)
Non-surgical lower eyelid correction
We always look for the most minimal non-invasive way to correct an aesthetic issue. Lower eyelid surgery is often needed to correct eyelid aging, but there are many other non-surgical treatments that may offer an improvement if not total correction.
A specifically designed skin care program can help lighten dark lower eyelid circles, remove dark age spots and remove small wrinkles.
Botox can help with the crows feet and elevate the eyebrow. Fractional laser can help with upper and lower eyelid wrinkles. A “scarless” procedure can remove the fat bag in the lower eyelid using a small incision behind the eyelid (under local anesthesia in the office) without a scar on the outside. (Franklin D. Richards, MD, Fairfax Plastic Surgeon)
Other options for Eyelid tightening
As mentioned by some of the other surgeons Lasers can be used to tighten your eyelid skin and get some lift to the brow region. Another more recent option is Ultherapy which can without lower eyelid surgery or significant down time tighten the brow region as well.
Ultherapy utilizes ultrasound waves to tighten the deeper layers of the face and skin without surgery it also works to tighten the neck and jowl region. (Joseph B. Eby, MD, FACS, San Diego Facial Plastic Surgeon)
Non-surgical treatment for lower eyelids
The answer depends on the individual’s signs of aging. If you are asking about lower eyelid sagging, often times good skin care can give you a subtle improvement.
Assuming you are living a healthy lifestyle and don’t have any medical conditions that may be contributing, fillers such as Restylane or Belotero can fill in the shadows that form under the lower lid bags making them much less conspicuous. If you are talking about the upper lids, filler can sometimes be used to fill in the volume loss if you have hollowing.
This results in less laxity of the upper lid skin. Autologous micro fat transfer may also be used in both cases. Filler to the brow area can also be used to combat the signs of aging and give a subtle elevation to droopy upper eyelids. You can see how this might work by looking in the mirror and raising your eyebrow with a finger (be conservative and raise it a millimeter or so).
You should notice that it opens the aperture of the eye. Every face, every eye is different, so a consultation with a specialist is necessary to give you an individualized treatment plan. (Sirius K. Yoo, MD, Danville Plastic Surgeon)
Droopy lids
Everyone at some point in their lives will have loose skin on their eyelids. Genetics and your anatomy will determine how soon and how much. Whilelower eyelid surgery is the main treatment their are certainly some options that are less invasive.
Lasers can tighten and smooth the fine lines and wrinkles around the eyes and radiotherapy can tighten the skin on the lower eyelids. Botox/dysport can give a temporary eyelid lift. (Michelle J. Place, MD, Kansas City Facial Plastic Surgeon)
Alternatives to eyelift surgery for droopy eyelids
There are many reasons for sagging eyelid tissue including muscle or hormonalproblems so the first step for anyone with those concerns should be a thorough evaluation by a board certified plastic or ocular surgeon. If the cause is felt to be laxity of the tissues there are various approaches.
Nonsurgical approaches will provide some improvement but are not likely to yield a long term solution. These approaches include getting enough rest, minimizing fluid retention, and using topical agents such as sunblock and retinol products. Botox injections to the appropriate areas may provide benefit by elevating the brow and eyelid tissue. Laser resurfacing performed by a qualified surgeon can also yield significant improvement but carries additional risk. Above all else, make sure you get a thorough evaluation and have realistic expectations. (Andrew Goldberg, MD, Seattle Facial Plastic Surgeon)