What should I do about loose upper eyelids with double eyelids?

In general, ptosis or laxity of the upper eyelid in double eyelids may be caused by genetic constitution, environmental factors, unhealthy lifestyle habits, conjunctivitis, or eye trauma. Improvement can be achieved under a doctor's guidance through treatments such as hyaluronic acid injections, thread lifting, blepharoplasty (eyelid surgery), or medication. Specific analyses are as follows:

1. Genetic Constitution

Genetic factors may affect skin structure and elasticity, making some individuals more prone to upper eyelid laxity. It is important to maintain proper eye care and avoid unhealthy habits that accelerate skin aging. Under a doctor’s recommendation, hyaluronic acid injections (commonly known as "water light injections") may be used. The primary component, hyaluronic acid, helps hydrate the skin and improve elasticity, thereby reducing fine lines and skin looseness around the eyes. The typical cost ranges from 800 to 2,000 yuan per session, with visible improvement usually occurring within 1–2 weeks. However, side effects such as bruising and swelling may occur.

2. Environmental Factors

Prolonged exposure to sunlight, wind, or dry environments can lead to skin dehydration and accelerated aging, potentially causing upper eyelid laxity in double eyelids. Sun protection and moisturization during outdoor activities are essential, and prolonged exposure to harsh conditions should be avoided. Thread lifting under medical supervision is another option. This procedure involves implanting absorbable protein threads into the dermal layer to stimulate collagen regeneration, resulting in lifted and tightened eyelids. The average cost ranges from 3,000 to 8,000 yuan per session, with results typically noticeable within about one week. Possible side effects include redness and pain.

3. Unhealthy Lifestyle Habits

Habits such as staying up late, smoking, and excessive alcohol consumption may accelerate skin aging and contribute to upper eyelid laxity. Daily routines should be improved by ensuring adequate sleep and avoiding tobacco and excessive drinking. Blepharoplasty (facelift-type eyelid surgery) may also be performed under professional guidance. This involves removing excess loose skin, tightening the area, and suturing it for a firmer, lifted appearance. The typical cost ranges from 5,000 to 15,000 yuan per procedure, with improvement generally seen after about three months. Potential complications include allergic reactions or infections.

4. Conjunctivitis

Conjunctivitis may be triggered by low immunity, allergic reactions, or infection. If left untreated over time, it may cause inflammation and damage to ocular tissues, potentially affecting eyelid structure and function, leading to upper eyelid laxity. Common accompanying symptoms include eye redness, pain, and increased discharge. Patients may use medications such as levofloxacin eye drops, tobramycin eye drops, or erythromycin eye ointment as directed by a physician to alleviate symptoms.

5. Eye Trauma

Physical injury or surgical trauma to the eye area may damage ocular tissues, resulting in upper eyelid laxity. This condition is often accompanied by scarring or deformity. Under medical supervision, patients may take medications such as amoxicillin capsules, cefuroxime axetil tablets, or ibuprofen tablets to aid recovery.

It is recommended to seek treatment at a reputable medical facility under the guidance of a qualified physician to ensure safety and effectiveness. In daily life, use mild, non-irritating eye skincare products.