The Real Reason You Look So Tired

The Real Reason You Look So Tired

From Behind the Double Doors: The Houston Plastic Surgery Podcast by Bob Basu, MD

November 19, 2025 · 13 min · Episode 56

About this episode

Dr. Taylor DeBusk discusses the causes of tired-looking eyes and various treatments to refresh their appearance.

“Tired eyes” aren’t always caused by lack of sleep. Dr. Taylor DeBusk reveals the real culprits—dark circles, puffiness, and thinning skin—and what actually helps. From the basics of skin care to office treatments like fillers, lasers, and eyelid surgery, he shares how to refresh your eyes for a brighter, more awake appearance. Learn how long each option lasts, hear his take on eye creams, and find out why surgery can sometimes be scarless. Questions answered by Dr. DeBusk in this episode: Why do I look tired even when I'm not — what's causing that? What skincare products should I be using to improve the skin around my eyes? What procedures can help with fine lines and wrinkles under the eyes? What's the difference between needing filler versus needing surgery for my lower eyelids? How do you perform a lower blepharoplasty — do you remove the fat bags? What causes upper eyelid heaviness, and is it always the eyelid itself? How do you address the upper eyelids and brows, and what's the difference between a temporal and endoscopic brow lift? Am I too young (or too old) for eyelid surgery? Is filler a good option for my under-eye area, and is it safe? Will I have visible scars from…

People in this episode

Host: Bob Basu, MD

Guest: Dr. Taylor DeBusk

Topics covered

Mentioned in this episode

Organizations: Houston facial plastic surgeon

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