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Hooded Eyelids: What Are They, Causes & Treatment

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What are hooded eyelids?

Hooded eyelids refer to a condition where excess skin droops over the crease of the eyelids, making the eyes appear smaller and, in some cases, impairing your vision. This condition may create a tired or aged look, and some people seek ways to correct it.

This facial feature is also sometimes referred to as “bedroom eyes”, due to their tendency to make the eyes appear heavy and partially closed. Most hooded eyelids are hereditary, while some are acquired as part of natural ageing. 

There are, however, ways to make the eyes appear fuller and more “alert”. 

In this blog, Artiste Plastic Surgery will discuss the causes of hooded eyelids and how surgical treatments like blepharoplasty surgery may help you achieve the desired results.

The Causes of Hooded Eyelids

Hooded eyelids are often associated with ageing, but here’s an in-depth look into how several factors can contribute to this very characteristic eye shape:


Hooded eyelids can be inherited from your parents or other family members.


They may also be due to a malformation of the levator muscle present at birth. A family history is usually attributable to this condition. But in most cases, the condition only affects one eye.

Age-related changes

Over time,  the muscles and tissues supporting our eyelids can weaken and stretch. 

Specifically, the levator palpebrae superioris (responsible for lifting the upper eyelids), orbicularis oculi (circular muscle surrounding the eye socket which also helps close the eyelids), and Müller’s Muscle (for support and lifting) all play a role in hooded or droopy eyelids. 

Underlying medical condition

One of the most common medical conditions is ptosis, the drooping of the eyelid due to nerve damage. 

For example, myasthenia gravis is an autoimmune condition affecting the communication between the nerves and muscles. It could lead to weakness of the eyelid muscles, leading to ptosis.

Third cranial nerve palsy is also a condition damaging the nerve that controls eye muscles, including nerves responsible for lifting the eyelids.

Lifestyle factors

Lifestyle factors like lack of sleep, dehydration, and UV exposure may all contribute to hooded or drooping eyelids, albeit minimally.

Without quality sleep, the body produces more of the stress hormone cortisol, breaking down collagen and elastin in the skin. This leads to a loss of elasticity around the eyes, making the upper eyelids appear heavier and droopier.

Sleeping also allows the levator muscles to relax. Not having enough rest causes these muscles to fatigue and weaken over time.

Hydration and UV exposure also play a part in damaging and weakening the supporting muscles surrounding the eyelids. Keep yourself hydrated and take the necessary precautions to protect yourself from harmful UVA and UVB rays by wearing sunscreen and proper clothing.

How Blepharoplasty Addresses Hooded Eyelids

Take note blepharoplasty is a surgical procedure with potential complications associated with it. It is possible to have eyelids that appear too high, lagophthalmos (inability to close the eye), and corneal exposure (dryness due to incomplete eyelid closure) in a botched surgery.

However, it is a practical way of addressing eyelid hooding. Any board-certified and licenced plastic surgeon will communicate with you the procedure’s risks and undertake all precautions and best practices necessary for a favourable outcome.

What Is Blepharoplasty

Blepharoplasty, or eyelid surgery, is a surgical procedure that can effectively address hooded eyelids, specifically the upper blepharoplasty procedure. 

The goal of blepharoplasty is to remove excess tissue and potentially reshape the eyelid crease and surrounding area for a more open, defined eye appearance. 

Depending on the patient’s needs, the surgeon might reposition or remove small amounts of orbital fat to create a more defined eyelid crease and less puffy appearance.

During the process, the surgeon makes precise incisions along the natural creases above the lash line. Your surgeon will remove or re-distribute the excess skin along the tear trough, resulting in open and brightened eyes.

The Benefits of Blepharoplasty for Hooded Eyes

Refreshed appearance

By removing excess skin, repositioning fat, and subtly tightening support structures, blepharoplasty creates a more rested and youthful appearance around the eyes.  This revitalises the entire face, combating signs of ageing and tiredness.

Improved vision

While not the primary goal, upper blepharoplasty can significantly improve the visual field in cases where severely hooded eyelids obstruct peripheral vision.

Personalised results

Skilled surgeons meticulously analyse individual eyelid anatomy, including skin quality, fat distribution, and underlying support structures. These allow them to customise the procedure for optimal results aligned with the patient’s expectations.

Restored proportions

Ideal eyelid proportions measured by the fold: pretarsal ratio can be restored via blepharoplasty. Overall, this procedure can enhance eye shape and openness.

Facial volume

Modern blepharoplasty techniques focus on fat repositioning and potential augmentation to restore lost volume. These techniques combat a hollow or sunken appearance, contributing to a more refreshed look.

Seek Advice on Hooded Eyelid Blepharoplasty from Dr Jack Zoumaras

If you want to find out if you’re a good candidate for a blepharoplasty surgery, reach out to Artiste Plastic Surgery. Our Specialist Plastic Surgeon, Dr Jack Zoumaras, will listen to your specific concerns and goals and determine the right procedure for you. 

We understand that every patient’s journey is unique. For your peace of mind, we offer a transparent discussion of potential revisions should they be necessary. Please be guided on how Artiste Plastic Surgery tackles patient reviews and surgery revision policies.

Book a consultation with us today, and Dr Jack Zoumaras will have an honest and open discussion on whether a blepharoplasty suits your ideal aesthetic outcome.

Disclaimer: At Artiste Plastic Surgery, our Plastic Surgeons led by Dr Jack Zoumaras have been trained to the highest possible degree. All plastic surgery has risks and it is always advised to get a second opinion. Risks are very real and we cannot guarantee any result. Recovery varies between 1-4 weeks. Results are illustrated as a guide only. All risks are managed and any need for revision surgery or complications (1-5%) can be managed by our specialist plastic surgeons. More information on our website. 

Any statements on how you will feel is based on Level V Evidence:

Level V:  How you will feel after plastic surgery varies between individuals, depending on psychological and physical factors. Our internal research is based on how patients in our practice feel after surgery.

The blogs are not a substitute for a medical consultation and do not form as part of the doctor to patient relationship.


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Artiste Plastic Surgery is an Award Winning Specialist Plastic Surgery practice led by internationally trained Dr. Jack Zoumaras, Plastic Surgeon and Peer Reviewed Face Surgeon

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