Karan Chopra™ M.D.

What Are Hooded Eyes? – Causes and Solutions

What Are Hooded Eyes? – Causes and Solutions

The eyes are a defining characteristic of anybody’s appearance and the eyelids protect the eyes from the sun, water, and dust. Furthermore, the eyelids give the eyes their characteristic shape, size, and look. That is why people with droopy eyelids/hooded eyes look more tired and stressed.

Hooded eyelids occur when the extra skin from the eyebrow weighs down on the eyes, causing a droopy appearance. Unfortunately, hooded eyelids result from aging, congenital issues, underlying medical conditions, and eye injury. Therefore, they are mostly not preventable. But you can get an eyelid lift surgery to correct this issue.

Minnesota Plastic and Cosmetic surgeon Dr. Karan Chopra performs regularly eyelid ptosis surgery to help patients achieve the facial features they desire

Hooded Eyes vs. Droopy Eyes

It is sometimes easy to confuse hooded eyes with droopy eyes, but they are different. Hooded eyes are normal and hereditary, and they don’t affect vision. On the other hand, droopy eyes (Ptosis) result from aging or an underlying medical condition.

Ptosis is a condition where one or both eyelids droop. When dealing with eyelid ptosis, the skin covering the eyeballs, not the one near the brow, sags and affects vision.

What Are Hooded Eyes?

Hooded eyes are a common facial feature. When the eyelids have a small flap of excess skin under each eyebrow, they create hooded eyelids. Unfortunately, these extra skin folds give the eyes a droopy appearance, making you look tired and sleepy. They can also make your face look exhausted and older.

Like many visible genetic traits, your eyelids are one. Although not guaranteed, parents with hooded eyes usually pass the trait to their children. Furthermore, obesity, sleep apnea, eye rubbing, and sun exposure lead to hooded eyes in addition to genetics. Also, with age, people develop or have more pronounced hooded eyes.

Do I Have Hooded Eyes?

You can confirm if you have hooded eyes by looking in the mirror. When in front of the mirror, open your eyes comfortably. Then, check if the skin under your brow covers or almost covers your upper eyelids. If they do, then you most likely have hooded eyes.

You can also check if you have hooded eyes by checking your eyelash line. If the skin below your brow touches or almost touches the lash line, you may have hooded eyes. Generally, people with hooded eyes do not have much eyelid space.

Causes of Hooded Eyes

The leading causes of hooded eyelids include aging, underlying medical conditions, eye injury and surgery, botox, and congenital (from birth).


The natural aging process affects the muscles supporting the eyelids. With time, the muscles get weaker and loose, leading to Ptosis. In addition, gravity, eye blinking, and sun rays contribute to stretching and weakening the muscles supporting the eyelid skin.

Underlying Medical Conditions

When both eyelids droop, it is usually due to an underlying medical condition. These conditions include Myasthenia Gravis, stroke, brain tumor, eye infection, or eyelid tumor.

Eye Injury and Surgery

Although temporary, LASIK, glaucoma, or cataract surgery may lead to hooded eyes. In addition, injury affects the nerves in the eye, causing them to droop. Also, wearing eye contact for a long time may cause eye injury.


Botox injections in the forehead may over-paralyze the forehead muscle, causing upper eyelid heaviness and droopy eyes.

Congenital issues

Congenital Ptosis may occur at birth or develop later due to disease or injury. In addition, when the levator muscle holding the eyelid does not develop properly, the baby is likely to have one or two droopy eyelids.

Some people consider hooded eyelids attractive, especially when the sagginess is barely noticeable. But, if you experience any of the following, then you need to see a doctor:

When Are Hooded Eyelids A Cause for Concern?

Some people consider hooded eyelids attractive, especially when the sagginess is barely noticeable. But, if you experience any of the following, then you need to see a doctor:

  • Vision Problems: hooded eyelids cause concern when they obstruct the pupils, block your peripheral vision and make things look blurry;
  • Headaches: when the eyelids obstruct your vision, you tend to squint to see better—squinting strains the eye muscles, leading to headaches;
  • Dry Eyes: the eyes need to be constantly moist to prevent dryness and irritation. When droopy eyes don’t keep your eyes as moist as they should be, then you need to see your doctor;
  • Aesthetic Problems: hooded eyes can make your face look puffy and uneven. Consequently, you tend to squint to see or tilt your head while talking to people. All these make your face look wrinkled and off-putting.

What Are The Solutions To Hooded Eyes?

Hooded eyelid treatment can be surgical or non-surgical, depending on the severity of the condition. You can find out what the suitable treatment plan for you is after scheduling a consultation with Dr. Chopra.

Non-surgical Methods

Dr. Chopra may recommend a non-surgical treatment if your eyelid droopiness is not severe. Non-surgical treatment options include:

Botox injections

Botox is a neurotoxin that prevents muscle movement, keeping the skin from folding over. When Botox is injected into the skin surrounding the eyes, it relaxes the muscles pulling the eyelids down. Consequently, it relieves eye heaviness and lifts the upper eyelid.

Dermal fillers

Dermal filler injections can give the eyelids more volume, plumping their appearance. Hyaluronic acid and other eye fillers are injected into the upper eyelids and brows, rejuvenating your eyes and giving them a younger look. Although fast, dermal fillers do not provide permanent results. So, you may need to get repeat injections for the best results.


Some doctors recommend special eyeglasses with crutches to treat hooded eyes. The crutches lift the eyelids, improving your vision. Eyeglasses are a suitable treatment for people with temporary hooded eyelids that don’t droop too much.

Eye drops

Incorrect placement of botox injections can partially paralyze eyelid and eyebrow muscles, causing droopiness. Iopidine eyedrops can help with this hooded eye because they make the eyelids contract quickly.

Surgical Methods

Surgical hooded eye treatment is suitable for more pronounced droopy eyes. In addition, they offer a more permanent solution, improving overall appearance. Surgical hooded eye treatment includes:

Upper Blepharoplasty Surgery

Upper blepharoplasty surgery is the most durable solution to droopy eyes. The procedure produces immediate results, a low downtime, and a dramatic change in appearance. Dr. Karan Chopra is a highly skilled cosmetic surgeon who can help you achieve the desired results.
During the surgery, Dr. Chopra will tighten the levator muscle, controlling the upper lid, and then lift the eyelid into a better position. The surgeon removes excess fat and skin from the upper eyelid, making the eyes look younger and bigger. Consequently, the eyes regain their youthful appearance, and you get to enjoy improved vision and eyesight. Children with droopy eyelids can also undergo blepharoplasty surgery to prevent lazy eyes.
The blepharoplasty procedure usually takes about 45 minutes. In addition, the post-operative pain is minimal. You should be able to recover and return to work within ten days of the surgery.

Brow Lift Surgery

Brow lift surgery lifts the brows, making the eyes look younger. The surgeon will lift the deep forehead muscles and overlying skin during the surgery, bringing the whole face up. The brow lift surgery requires a minimally invasive endoscopic technique where the surgeon makes a small incision above the eyelids. Then, the surgeon can pull the eyelids up by lifting the forehead muscles.
Brow lift surgery is not only suitable for droopy eyes; it can also help you get rid of wrinkles, smoothening the skin around the eyes.

How to Treat Hooded Eyes At Home

Home remedies for hooded eyes are temporary. But they can still help you look younger. Some home remedies you can try include:

Using chamomile teabags

Chamomile contains anti-inflammatory agents that treat hooded eyes. Before placing the bags over your eyes, keep them in hot water, then store them in the fridge for 15 to 20 minutes. Afterward, keep the bags on your eyes for 20 minutes

Using chilled cucumbers

Cucumbers contain vitamin C and folic acid, helping to stimulate cell growth. Also, the cucumber cools your eyes because they are chilled, making them look refreshed and energetic;

Using iced water

The cold temperature of ice water firms the skin and reduces sagging;

Adding grapes to your diet

Grapes have high resveratrol content. And resveratrol is known to slow cellular aging

What Is The Best Solution To Hooded Eyelids?

As discussed earlier, there are several solutions to hooded eyelids. Now, the best solution for you depends on the level of sagginess in your eyelids. Furthermore, suppose you are experiencing vision problems or are unsatisfied with your look. In that case, eyelid lift surgery could be the best treatment for you.

Before getting a solution to your hooded eyelids, you must first consult with Dr. Karan Chopra. Generally, if you have minor drooping, the surgeon may recommend non-surgical options like botox or hyaluronic acid dermal fillers. Although they provide immediate and natural-looking results, they are not durable in the long run.

Suppose you have significant droopiness in your eyelids. In that case, your surgeon may recommend a more permanent fix like a brow or eyelid lift. Sometimes, you may even get both procedures at the same time.

It is important to note that home remedies are not a permanent solution to hooded eyelids.

Frequently Asked Questions (FAQs)
about Hooded Eyelids and Eyelid Lift Surgery

Are Hooded Eyes Attractive?

  • Hooded eyes are not necessarily a bad thing. Instead, they are a common trait. Some people have hooded eyes from birth, and most consider this eye shape attractive. Furthermore, anyone can develop hooded eyes, especially with age. Nevertheless, it is a natural sign that is still attractive.

What Does It Mean When You Have Hooded Eyes?

  • Hooded eyes mean that the skin around your eyes sags. Excess skin folding down from your brow line means you have hooded eyes. The condition is more noticeable toward the outer edge of your eye. In addition, hooded eyes make your face look puffy, tired, and older.

Can Hooded Eyes Be Fixed?

  • Surgery like blepharoplasty removes the excess skin and fat that causes the eyelids to sag. The procedure also tightens the muscles and tissue surrounding the eyelid. Brow lift surgery also lifts the forehead muscles to give your face a younger and more appealing look. On the other hand, non-surgical methods or home remedies do not fix hooded eyes permanently.

Are Hooded Eyes Uncomfortable?

  • The extra layers of skin on your eyelids cause heaviness and discomfort. They make it hard for you to see. In addition, droopy eyelids cause dry eyes, irritating your eyes.

Can You Lift Your Eyelids Without Surgery?

Fillers and injectables can plump and add volume to your eyes. Nevertheless, only surgery can remove the excess fat and skin surrounding the eyelids. So, suppose you are looking for a more permanent solution to your hooded eyelids. In that case, a blepharoplasty or eyebrow lift surgery is necessary.

Does Weight Gain Cause Hooded Eyes?

Weight gain increases fat accumulation in the body. Unfortunately, the eyelids also accumulate fat. Consequently, the eyelids sag and become heavy due to fat accumulation. Eventually, weight gain causes your eyes to droop.

Can You Prevent Hooded Eyes?

  • Some people have hooded eyes at birth; for most individuals, the condition occurs due to aging. Unfortunately, you cannot prevent hooded eyes. Instead, you can slow its occurrence by avoiding sun exposure, smoking, and staying up too late. You can also get early surgical treatment to prevent further drooping.

Further Reading about Facial Plastic
Surgery Procedures

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