
While contact lenses might improve your eyesight without the need for
clunky glasses, they might also be having an unintended effect on your
appearance. According to a
new study published in Aesthetic Surgery Journal, use of contact
lenses seemingly leads to eyelid droopiness.
Researchers reviewed photographs
of 96 sets of identical twins who met in Twinsburg, Ohio, on a yearly basis
from 2008 to 2010, measuring the level of eyelid droopiness (called “ptosis”)
in each.
Nine different environmental factors were considered as a potential
cause for ptosis, and they were evaluated through an extensive questionnaire
and special standardized photography to determine the degree of eyelid
droopiness in each twin.
According to the data
collected, wearing either hard or soft contact lenses was associated with ptosis.
The average difference in eyelid droopiness between twins was 0.5 millimeters.
Among twins who didn’t wear contacts, ptosis was around 1.0 millimeter. In
twins who wore soft contacts, that number increased to 1.41 millimeters, rising
further to 1.84 millimeters for those who sported hard contacts. (Luckily, with
the advent of soft lenses, hard lenses have all but disappeared.)
The researchers also looked for
links between ptosis and BMI, smoking, sun exposure, alcohol consumption,
work-related stress, and sleep — none of which had a statistically significant
impact on eyelid droopiness. The association between contact use and ptosis has
been long assumed but never proven, says lead study author Bahman
Guyuron, MD, FACS, a facial plastic surgeon based in Cleveland, Ohio.

These 39-year-old female identical twins had differing levels of ptosis.
“Since the identical twins are genetically destined to have similar
facial and eyelid features, if there is a difference, it is primarily related
to the environmental factors,” Guyuron tells Yahoo Health. “We were able to
demonstrate that, of the external factors unrelated to the genes or aging, use
of contacts was the only factor that linked to the droopy eyelids.”
Guyuron says the effect they
saw was “related to the weakening of the muscles that lift the upper eyelid,
and not related to loose or redundant eyelid skin.” And while the
mere-fractions-of-a-millimeter difference might seem small, it’s enough to
affect vision and appearance.
“Even a minimal droopiness
of the eyelids denotes lack of vigor, tiredness, and getting old — often
prematurely on the contact lens users,” says Guyuron. And in a culture
constantly seeking the fountain of youth, this may matter to some.
Guyuron says that plastic surgeons regularly perform a couple of key
procedures for droopiness. According to data from the American Society for
Aesthetic Plastic Surgery, 165,714 eyelid procedures and 31,315 brow lifts were
performed on patients in 2014.
“Correction of droopy
eyelids is one of the simplest and most rewarding surgeries that plastic
surgeons do,” says Guyuron. “It is usually a very short procedure, it often
requires very minimal recovery, and it makes the patients look younger and more
energetic.”
Of course, eyelid droopiness
will occur with each passing year anyway — and you can always switch to glasses
if you’re concerned about the effects of contact use.
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