Sagging Eyelids - What Can Help Them?

Sagging eyelids, also known as droopy eyelids or hooded eyelids, are a common issue that can affect both appearance and daily quality of life. This condition occurs when the upper eyelid droops lower than normal, either partially or fully covering the iris. Sagging eyelids can give a tired or downcast appearance, even if the person is well-rested and in a good mood. Depending on the severity, it can be purely an aesthetic concern or significantly impair vision, reducing the functionality of the eye.

In cases of ptosis, the movement of the eyelid may be limited. This can make daily tasks such as reading or driving challenging. Some people also experience physical discomfort, like a heavy feeling on the eyelids or headaches due to constantly lifting their eyebrows for better vision. The problem may occur in one or both eyes, and its severity varies greatly. Although more common in older people, sagging eyelids can affect individuals of all ages, including children.

What Causes Sagging Eyelids?

There are many different reasons behind sagging eyelids. The causes and underlying mechanisms vary from person to person, and often several factors contribute to the problem.

Identifying Sagging Eyelids

Sagging eyelids can be assessed based on their type, origin, and effects. Each form has its own unique characteristics that impact both appearance and vision.

• Drooping Eyebrows: With aging, the elasticity of the muscles in the eyebrow area weakens, causing them to droop. This increases pressure on the upper eyelids, leading to sagging, even if the eyelid muscles themselves are functioning properly. This condition narrows the visual field, especially from the upper part.
• Hooded Eyelid: In hooded eyelids, excess skin accumulates on the upper eyelids, forming a fold. This condition is common with aging and becomes more noticeable when the eyes are opened. Although hooded eyelids are often a cosmetic issue, in more severe cases, they can impair the visual field.
• Ptosis (Droopy Eyelid): Ptosis affects the eyelid's lifting mechanism. This can be caused by weakness in the levator muscle, neurological issues, or structural abnormalities. Ptosis can be categorized into the following stages:
  • Mild Ptosis: The eyelid droops slightly but does not obstruct vision.
  • Moderate Ptosis: The visual field narrows, and the person may compensate by raising their eyebrows or tilting their head.
  • Severe Ptosis: The eyelid covers part or all of the eye, causing significant functional impairment.

In addition, congenital and acquired eyelid issues can be distinguished. Congenital forms are often due to underdevelopment of the levator muscle, whereas acquired issues are related to aging, medical conditions, or injuries.

How to Get Rid of Sagging Eyelids?

• EXION Face: Utilizes targeted ultrasound and monopolar radiofrequency to stimulate the production of hyaluronic acid, collagen, and elastin, effectively tightening sagging skin.
• EMFACE: A non-surgical, modern facelift treatment designed to address age-related changes, treating both sagging facial skin and muscles. The result is firmer skin and the smoothing of wrinkles, including frown lines and nasolabial folds.
• Botulinum Toxin Injections (Botox): Can correct sagging caused by drooping eyebrows by lifting the eyebrows and enhancing the overall appearance.
• Physiotherapy: In cases of neurologically induced ptosis, physiotherapy can help strengthen the muscles that control eyelid movement.
• Surgical Intervention (Blepharoplasty): Eyelid surgery removes excess skin and tightens muscles or connective tissue. This is the most effective and long-lasting solution.
• Ptosis Surgery: This procedure targets the muscle directly responsible for ptosis, such as the levator muscle, helping to lift the eyelid back to its proper level.
• Skincare and Laser Treatments: In mild cases, various skincare treatments or laser therapy can improve eyelid skin and prevent further sagging.

Each treatment option plays a role in managing sagging eyelids, and an individualized treatment plan is essential for effective results.

Combination Treatments

• EXION™ Face + EMFACE™ Combination Treatment: An effective solution for addressing both the aesthetic and functional issues caused by sagging eyelids. EXION™ Face tightens the eyelid skin and improves its texture, while EMFACE™ stimulates muscles and lifts sagging eyelids without surgery. This treatment is particularly suitable for patients looking for a non-invasive and painless solution to sagging eyelids.

The treatment plan for sagging eyelids should be customized individually, and the right choice of treatment depends on the cause of the issue and its impact on the quality of life.