Karan Chopra™ M.D.

Sunken Eyes –
Causes and Solutions


Sunken eyes are a cosmetic problem that can make you look older and give you an unnatural, unapproachable or tired look. There are many causes of sunken eyes including genetics, age, weight loss, dehydration, tiredness, and not sleeping enough. However, there are surgical and non-surgical treatments available to improve how your eyes look and fix sunken eyes.

Dr. Karan Chopra is an experienced and talented plastic surgeon performing surgical and non-surgical cosmetic procedures in Minnesota and Miami. Dr. Chopra can help rejuvenate your eyes and face.

What Are Sunken Eyes?

The scientific name for sunken eyes is enophthalmos. When experiencing this condition, people develop bags under their eyes. Sunken eyes develop when tear troughs or hollows develop under your eyes. And then, the eyes’ soft skin moves inwards and leaves a hollow.

This hollow looks darker than the rest of your cheek skin. While no vision problems usually occur, there may be a cosmetic concern. Luckily, your plastic surgeon can help rectify this problem.

Sunken Eyes Symptoms

Sunken eyes are different from person to person and can be accompanied by the following additional symptoms:
A hollowing under your eyes
Shadow or a darker appearance under the eyes
Thinner skin under the eyes, with visible blood vessels
Eye redness because of thinness
A lower eyelid that appears sagging
A face that looks tired

What Causes Sunken Eyes?

People with sunken eyes notice that they have a hollow space, as well as dark shadows under their eyes. In addition, their lower eyelids might present a similar appearance.
Skin under their eyes could become very thin as well. So, if you are wondering where sunken eyes come from, then know it could be genetic.
The eye socket’s position is related to genetics and could have a sunken appearance. Some of the other causes include severe dehydration, not eating enough, or a endocrine problem known as adrenal fatigue.
However, if your sunken eyes have appeared only recently, other factors might be relevant. For example, you could suffer from a temporary sinus infection that has your eyes sinking, or you could have an allergy.
On the other hand, your hollow-looking eyes might also have something to do with aging.
Now let’s see what you can do about this problem.

Fixing Sunken Eyes with Blepharoplasty Surgery

An option you should consider is the surgical procedure called blepharoplasty. This eyelid surgery removes or repositions excess fat, muscle, or skin around the eyelids for a rejuvenated appearance. Lower Blepharoplasty can also involve removing the bags from under your eyes.

How to Prepare for Blepharoplasty

Before the blepharoplasty operation, you will have to:

Prepare for the physical examination: the plastic surgeon will check your eyelids. You might also need to test your tear production levels, especially if you are at risk of dry eye.
Vision test: your peripheral vision and eyesight will be tested to determine if you’re a candidate for the surgery.
Photography: eyelids will be photographed so your surgeon can plan the surgery and establish your desired results.

What Does the Blepharoplasty Surgery Involve?

The blepharoplasty surgery takes place under general or local anesthesia. To avoid potential complications during and after the surgery, you will be required to avoid taking anti-inflammatory medication such as aspirin for a few weeks before the procedure.
Here are the steps of the blepharoplasty procedure. The plastic surgeon will be:

  • Making an incision along the eyelids in the natural skin folds;
  • Removing any excess fat, muscle, or skin;
  • Closing the incision, so the eyelid’s natural fold hides the scar;
  • Making an incision below the lower eyelash or on, the lower eyelid’s inside;
  • Removing or repositioning the fat that forms bags under yes so that less skin supports the eyelid’s tendon and muscles when necessary;
  • Closing the incision.


Then, the surgeon will apply sticky strips on your eyelids. These sticky strips will be suture strips. Around 1 week will have to pass to remove the suture strips.

Recovery from Blepharoplasty

Eyelid surgery requires only 1 week of recovery. This involves mild bruising. By the end of the second week 80% of the swelling has resolved. By 3 months you should be seeing final results.

Alternatives to Eyelid
Lift Surgery

When you are not sleeping well and are too stressed, this can show on your face, especially around your eye area. As a result, you might develop eye bags or folds, or your eyes can become droopy or sunken.

Therefore, you should aim to manage your stress less and get more rest. This can improve your appearance without the need for plastic surgery. You should aim to improve your sleep patterns and sleep every night for around 7 to 9 hours. Finally, you may be able to treat your sunken eyes with fillers and botox if you want longer lasting results.

Let’s see what each of these methods can do:


The Botox brow lift can help you reduce the muscles around your eyes. But, at the same time, it can lift your eyebrows higher. As a result, you can look more youthful. Repeat this treatment every two to three months.


You can inject dermal fillers around the eye area to lift and smooth the area. At the same time, you need to top it up every 3-6 months for the results to remain in place.

What Can You Do at Home to Treat Sunken Eyes

Many people want to know whether there are any home remedies they can use to reduce or correct the appearance of sunken eyes. Here are some ideas that may help:


  • Apply Green Tea Bags: green tea bags have a soothing effect on sore, tired eyes. Use them because they pack flavonoids and antioxidants that interact with your skin to promote blood circulation.
  • Change Your Lifestyle: Remember that your lifestyle reflects in how you look. Don’t miss sleep, don’t worry too much and don’t smoke. Worrying too much or stressing doesn’t only impact your appearance, but it can also cause many diseases. So instead, allow yourself some time for meditation, yoga, and other forms of physical exercise.
  • Wear Sunglasses: what you may not know about sunglasses is that they protect against dangerous UV rays. So when going out in the sun, always have your sunglasses on.
  • Almond Oil: the delicate skin under your eyes can benefit from using vitamin A and E-loaded almond oil around your eyes to soothe the area and lock the moisture in. Almond oil can help lubricate the area around your eyes, so you should notice a change in how you look as soon as you wake up every morning.
  • Sleep Enough: your beauty sleep is essential. Go to bed when it’s time to rest, and ensure your night is restful. If you do so, you can also reduce the puffiness under your eyes. Moreover, your face will have a healthier glow.
  • Eat Well: what you eat matters because if the body doesn’t receive the nutrients it needs, your eyes reflect that there’s something wrong in your body. If you want to fix any damage caused to your eyes, ensure that your diet is nutritious. Cucumber and watermelon do a great job at improving your sunken eyes problems.

FAQs about Sunken Eyes and Blepharoplasty Surgery

Am I a candidate for blepharoplasty?

If you have sunken eyes, then yes, you most likely qualify for blepharoplasty. Talk to your plastic surgeon about what procedure is right for you and what your results will be. This will help you make an informed decision about the best treatment.


Do sunken eyes reflect my general health state?

Sunken eyes reflect your state of general health. Therefore, if the problem persists, speak to your general doctor about it too.


Should I stop smoking after the blepharoplasty surgery?

Your surgeon will also recommend you stop smoking after your blepharoplasty surgery because this will help speed up your healing process and prevent complications.


Further Reading about Facial Plastic
Surgery Procedures

Leave a Reply

Your email address will not be published. Required fields are marked *

Ready to Discuss Next Steps? Book Your Free Consultation!

Are you ready to take the journey towards a more youthful, refreshed look? I invite you to reach out to me and my team. Let’s discuss your goals and how facial fat grafting can help you achieve them. Remember, the first step is just a conversation. Let’s start that conversation today.

Or you’re welcome to call us at +1 (305) 209-881