Droopy eyelids, medically referred to as ptosis, occur when the upper eyelid sags lower than its normal position. This condition can affect one or both eyes and may range from a subtle droop to a more significant sag that obstructs vision. While droopy eyelids are commonly associated with ageing, they can also appear in younger individuals due to genetics, lifestyle factors or underlying medical conditions.
There are different forms of eyelid drooping. Dermatochalasis refers to excess skin on the upper eyelids that may hang over the lashes, while true ptosis involves the weakening or dysfunction of the muscles responsible for lifting the eyelid. In some cases, droopy eyelids may also be accompanied by under-eye puffiness or hollowness, which can further contribute to a tired or aged appearance.
Ageing is the most common cause of droopy eyelids. As we grow older, the skin loses elasticity and collagen, leading to a loss of firmness in the delicate eye area. The muscles responsible for lifting the eyelids, may weaken or stretch over time, contributing to the sagging of the eyelid.
However, several other factors may cause or exacerbate eyelid drooping. These include:
In rare cases, neurological and muscular disorders such as myasthenia gravis may lead to ptosis.
Often due to allergies or fatigue, can loosen eyelid skin, worsen pigmentation, and cause more dryness over time.
Repeated insertion and removal may strain the eyelid muscles, weakening them over time.
Scarring or nerve damage may affect eyelid function.
Some individuals are born with a predisposition to eyelid sagging.
In some instances, temporary eyelid drooping can result from fatigue or fluid retention, but persistent drooping should be evaluated to determine if aesthetic or functional treatment is required.
At Mizu, we offer non-surgical options for individuals seeking to address mild to moderate eyelid sagging. These treatments aim to improve skin laxity, stimulate collagen production and provide a lifting effect around the eyes without downtime.
Thermage Eye is a non-invasive radiofrequency (RF) treatment designed specifically for the delicate eye area. It works by delivering controlled RF energy to the deeper layers of the skin, stimulating collagen regeneration and tightening existing collagen fibres. This results in a gradual lifting and firming effect that helps reduce the appearance of saggy eyelids and fine lines. Thermage Eye is FDA-approved and suitable for those experiencing early signs of ageing around the eyes. Read more
HIFU Eye utilises focused ultrasound energy to stimulate collagen production in the skin around the eye. It comes with a 2.0mm handpiece that is designed to fit the contours of the eye area. This treatment helps to contract and lift the tissues, providing a subtle but noticeable lifting effect. HIFU is well-suited for patients who are not ready for surgery and want a non-invasive solution for eyelid drooping. Read more
In addition to in-clinic treatments, maintaining a consistent skincare routine that includes ingredients such as peptides, retinols (if tolerated), and antioxidants can help support skin elasticity. Eye creams formulated to improve hydration and firmness may offer temporary improvement in the appearance of mild droopiness.
Lifestyle changes, such as reducing sun exposure, avoiding excessive eye rubbing and ensuring sufficient sleep, can also slow the progression of droopy eyelids. Wearing sunglasses outdoors and staying well-hydrated are small but effective habits that help protect the delicate skin around the eyes.
For individuals with severe drooping that affects vision or does not respond to non-invasive treatments, a referral to an ophthalmologist or plastic surgeon may be necessary. Blepharoplasty or ptosis repair surgery may be considered in such cases, but this falls outside the scope of aesthetic treatments at Mizu. Interested patients may contact us for recommendations of a suitable doctor.
While ageing is inevitable, certain preventive measures such as using sun protection, avoiding eye rubbing, maintaining a good skincare regimen and having a balanced diet can delay the onset of droopy eyelids.
Both treatments are generally well-tolerated with the application of numbing cream. Patients may experience a warming or tingling sensation during the procedure, but discomfort is minimal.
Results from Thermage Eye and HIFU Eye can last between up to a year, depending on individual skin condition and ageing process. Maintenance treatments are recommended annually for best results.
These treatments are non-invasive and involve little to no downtime. Some individuals may experience slight redness or swelling that typically resolves within a few hours.
If you have mild to moderate drooping and are looking for a non-invasive option, Thermage Eye or HIFU Eye may be suitable. During a personalised consultation at Mizu, our doctors will assess your concerns and recommend the most appropriate treatment plan.
At Mizu Aesthetic Clinic, we focus on providing safe, evidence-based treatments that are tailored to your unique concerns. Our doctors take the time to assess each patient’s skin concern comprehensively, designing a treatment plan that is both safe and effective. We believe in subtle enhancements that preserve your natural features, helping you look refreshed, not altered.
Take the first step towards brighter, refreshed eyes. Schedule a personalised consultation with our medical team to discuss your concerns and explore the best treatment options for your skin type.
This page is intended for educational purposes and does not constitute medical advice. For an accurate diagnosis and personalised treatment plan, please consult with our licensed medical professionals.