The skin on the eyelids becoming loose due to aging; a sagging forehead/brow is another important cause.  Most of the time, it is a combination of these two factors that causes a tired look.

Non-surgical options include Botulinum Toxin, Tissue Tightening, and lasers. BOTOX® Cosmetic, Dysport, Jeuveau®, or Xeomin can help lift droopy eyelids by relaxing the muscle groups that pull the lids down, thus allowing the elevator (lifting) muscles to raise the lids.  Brow and eyelid lifting can also be improved with the non-surgical treatments Ultherapy®, Thermage®, Profound, Pellevé™

Theses devices tighten the collagen in the forehead and eyelids that in turn help lift the lids.  Sometimes the loss of collagen is too great for non-surgical procedures and needs to be addressed with surgery (blepharoplasty, brow-lift).