The lower eyelid is often the first area to show signs of aging. Volume loss and descent of fat in the mid-face lead to a hollowing of the lower eyelid known as the tear trough. Over time, excess fat also can accumulate in the lower eyelid leading to the formation of bags. In the upper lid, this volume loss leads to increased laxity of upper eyelid skin which droops and causes hooding of the eye. This can impair vision, and if significant, can be covered by insurance. Together, these changes give the eyes an aged and tired appearance.
Blepharoplasty Surgery Overview
Nonsurgical procedures such as chemical peels, lasers, and injectable fillers can be used initially, but as the signs of aging progress, blepharoplasty becomes the gold standard for rejuvenation. Blepharoplasty can be performed on the upper eyelids, the lower eyelids, or both. It will remove excess skin and tighten the tissues around the eyes to restore youthful contours. Blepharoplasty is often combined with brow lift, ptosis repair, and/or fat transfer to improve the appearance of the upper face.