Tired eyes

As we age, there are a number of changes that can occur in the face and around the eyes that can lead to the eyes appearing ‘tired’.

This can be due to a number of factors:

Dark circles: these appear as darker areas of skin just underneath the eyes. They occur due to natural thinning of the skin that occurs with age. Dark circles can become more prominent with chronic sun exposure (causing darkening of the skin) or with changes in the distribution of fat around the face making the area under the eyes appear more hollow.
Looser skin: as we age the skin can lose its elasticity, causing it to sag over time. This can effect both the upper and lower eyelid.

Droopy eyelids: the muscles in the eyelid can drop overtime, meaning that the upper eyelid sits lower over the eye itself.
Lines & wrinkles: reduced elasticity in the skin and use of the muscles in the face in facial expressions can lead to the formation of fine lines and wrinkles, commonly at the side of the eyes which are referred to as ‘crow’s feet’

In addition to the factors above, there is generally a loss of volume in the skin of the face with age. This can exaggerate the effects listed above and contribute to the overall ‘tired’ look of the eyes.

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About this condition

There is a variety of treatment options to consider if you want to improve the appearance around the eyes. Initially, there are a number of lifestyle changes that can be made which can help to maintain healthy and youthful looking skin. These include practicing good sleep hygiene, adequate hydration and a healthy diet and stopping smoking. Having a good skincare regime that includes and regular moisturisation and sun protection can also help to slow the ageing process of the skin.

For those seeking more marked and immediate results, there are several surgical and non-surgical cosmetic procedures that are available. These aim to improve the appearance of the eyelids and the skin around the eyes to help them appear brighter, rejuvenated and more youthful. The right procedure for you will depend on which features are present in your skin, your treatment goals and your own preferences. An experienced clinician should be able to guide you as to the most appropriate procedure or procedures for you.

Possible treatment options include:

Muscle relaxing injections: these targeted injections use a substance, which can relax the underlying muscles to give smoother and lifted appearance to the treated area.
Filler injections: can be placed around the eyes to give a plumper and more youthful contour to treated skin
Needling: involves treating the skin with a device that contains a number of ‘micro-needles’ to promote general rejuvenation and smoothing of the treated skin
Laser treatment: a targeted, non-invasive therapy that can help to reduce the appearance of park patches and promote regeneration in the skin.
Eyelid lift: also known as ‘blepharoplasty’, is a surgical procedure whereby excess fat and skin can be removed from the upper or lower eye lid, or both, to eliminate the ‘sagging’ appearance.
Facial/brow lift: aims to surgically tighten any loose skin around the upper face or brow region, resulting in a more youthful and ‘lifted’ appearance of the skin.

Mr Ioannis Goutos is a clinically skilled plastic surgeon with an excellent reputation for his London-based clinics. He is able to offer a variety of surgical and non-surgical procedures, inclusive of initial consultations, examination and advice, pre-operative assessment and post-treatment follow up.

Testimonials

Mr Goutos is delighted to share some of his patient and peer feedback on their experiences of his services.

Louise Steel

2023-08-16

Mr Goutos performed keloidectomy surgery on both my earlobes, and I am so grateful to have been referred to him. From the first consultation, through surgery, and now my 3-month follow-up, I have nothing but good words to say.

Luke Ward

2023-07-10

This man is an extremely intelligent, professional gentleman. He will set realistic expectations from the beginning and will not ‘beat around the bush’ so-to speak. From the initial consultation to post-surgery, it has been a rollercoaster ride. However the high level of expertise & professionalism Mr Goutos maintained has been impeccable. All I can say to any other individual considering treatment with Mr Goutos, is that you are in incredibly safe hands. And on top of this, he has a great sense of humour. I wish nothing but the best for this man, and the best results for his future patients.

Mauricio Lucas

2023-07-06

Outstanding Doctor - Exceptional Expertise I recently had the pleasure of consulting and also going through surgery. Dr. Goutos removed a large class of keloids from my back and chest, and without a doubt, I can confidently say that he is the best doctor I have ever had the privilege of seeing. From the moment I entered his practice, I was immediately struck by his professionalism, knowledge, and exceptional bedside manner. Dr. Goutos possesses an extraordinary level of expertise in his field, and his technical skills are truly remarkable. His ability to diagnose and treat medical conditions is unparalleled, and I have personally witnessed his remarkable success in improving the health and well-being of countless patients. What sets Dr. Goutos apart is his genuine care and concern for his patients. He takes the time to listen attentively, ensuring that he understands every aspect of the medical issue at hand. He communicates clearly and effectively, explaining complex medical concepts in a way that is easy to comprehend, which greatly helps in alleviating any concerns or fears. One aspect that impressed me greatly was Dr. Goutos' commitment to staying updated with the latest advancements in his field. He incorporates cutting-edge techniques and treatments into his practice, ensuring that his patients receive the highest standard of care available. This dedication to continuous learning and improvement is a testament to his unwavering dedication to his profession. Additionally, the support staff at Dr.Goutos' practice deserves recognition for their exceptional service. They are friendly, compassionate, and highly efficient, ensuring that appointments run smoothly and patients feel comfortable throughout the entire process. Overall, I cannot emphasize enough how fortunate I feel to have found Dr.Goutos' exceptional skills, genuine care, and unwavering commitment to his patients make him a truly outstanding specialist. I wholeheartedly recommend him to anyone seeking top-notch medical care.

Kashmala Khan

2023-01-26

Mr. Goutos and his team did an amazing job reversing a scar I had on my forehead. This was a very old scar and had bothered for many years. The laser treatment and fat transfer procedure has changed my life and given me so much confidence. I would definitely recommend him, he is a fantastic and very skilled surgeon. Thank you so much!

Javier

2023-01-14

Mr Goutos and his team removed some lipomas from my arms. The initial consultation right through to the aftercare was professional, sensitive and genuine. Mr Goutos put me at ease right from the start, discussing my history and background and then discussing the various options for the incisions and sutures. The incisions were quick, efficient and professional. I felt completely at ease knowing I was in expert hands. The incisions were extremely neat and have closed and scared really well. I had a number of questions after the operation and one of the sutures became infected. Mr Goutos was quick to make an appointment for me, see me and deal with the infection and offered for me to see him again if the infection didn’t calm down. He was genuinely empathetic to my needs and took time to check each scare, explain things and assure me along the way. He didn’t at any point, make me feel I was asking silly questions or too many. I highly recommend Mr Goutos for his exceptional incisions and suturing as well as his professional conduct, caring approach and after care. The whole experience was smooth and easy and I am very grateful for what he has done for me.

Ieva Lihovida-Yarlett

2022-12-07

We came to see Dr Goutos a few month ago to remove invasive spider nevus on my 9 year old sons nose . After a lovely consultation with Dr Goutos , he suggested to do several laser treatment sessions. After a few sessions we already noticed a massive improvement. On the final laser treatment session the spider nevus was completely gone. Thank you to the Dr Goutos for tackling the problem so rapidly and with great results!

Amy Munson

2022-10-27

We took our 4yr old daughter to Mr Goutos following an accident which resulted in a small burn scar on her cheek. Mr Goutos gave us various options and we went for laser treatment. After 4 appointments the scar has gone! The care that Mr Goutos gave us was exceptional and so good with children. He made us feel very comfortable and confident in his ability. I would recommend him to anyone if they were looking for a doctor in that particular field. Can't thank him enough.