The Patient's Question: Due to genes, I have these "boats" below my eyes and upper cheek bones. Family history tells me they will get worse over time. Taking these pictures I noticed that one eyelid seems to be fuller than the other. I've given up my contacts because of the eye boats simply because eyeglass frames cover them. I've finally come to terms that I'm 50 and don't even want to be 20 either in looks or age again. I've earned some of this! I'd like a little bit of me back. Also, being the mom of an 8-year-old I'm sick of being mistaken for her grandmother instead of her mom! Not interested in Botox or fillers.
In looking at your photos, the features that standout include your heavy upper eyelids and flat irregular lower eyelids.
Your upper lids have redundant skin and if you look closely, it is quite clear that your left eyelid hangs a little lower than your right. The ideal treatment would be a blepharoplasty with correction of the asymmetry. In my region of the country, upper eyelid assymetry is routinely treated by oculoplastic surgeons (doctors who only specialize in deformities of the eyelids).
As for the lower eyelids, my favorite treatment is fat grafting. This is a procedure whereby I take fat from another area of your body (routinely the hip or belly) and place it under the eyelids and in the cheeks. With few exceptions, most people lose volume in there cheeks and midface as they age. Fat grafting is a natural way to correct volume loss. Newer techniques improve the long-term outcome and make the results softer and smoother. My favorite technique uses the Viafill system.
In the after photo, I have used the computer morphing program to show you what you could reasonably look like with an upper blepharoplasty and fat grafting to the lower eyelids, cheeks and nasolabial folds.
Of course, if you would like more information on these procedures or any other procedures related to looking younger, read my book "A More Beautiful You – Reverse Aging Through Skin Care, Plastic Surgery and Lifestyle Solutions."
Robert M. Freund, MD, FACS
The health or medical information in this article is for informational purposes only and is not intended to be used as a substitute for professional medical advice, diagnosis or treatment. Please consult your doctor or a qualified healthcare provider with any questions.
Read about common cosmetic surgery and procedures on AOL Health.