A beautiful pair of eyes highlight the face the most. one of the first evidence of ageing is the ageing of eyes, both upper and lower. Accumulation of fat and evidence of extra skin cause the eyes to look tired, smaller and old. In the lower lid appearance of tear trough is particularly bothersome. The basic problem in an ageing face is the loss of volume in the cheek, loss of support for the eyes which causes the sunken appearance, and extra skin which reduces the width of the eyes. Blepharoplasty is the common name for eyelid surgery. It is said that we see the world through our eyes. Also, the world can also judge us by eyes. Any problem with the eye can, therefore, lead to a major flaw in this judgement. In addition to this, eyes also convey one's age. Age-related changes occur early in the eyelids, both upper and lower. An eyelid with hanging fat bags can indeed give a feeling that the person is older than they actually are. Another problem that can signify aging is the tear trough deformity. It is a condition in which a hollow crease is present just below the eyes. This condition can actually accentuate the aged appearance. These conditions can be cured using blepharoplasty.
Fat is visible in inner and middle part of the upper lid, with extra skin that is visible as folds. This causes a shrunken appearance of the upper eyelid. The treatment is with a small surgery known as upper blepharoplasty. Extra skin and fat is removed and the eyes suddenly look younger again. The scar of the surgery is invisible.
The lower lid is more complex as compared to upper. The ideal treatment involves correction of extra skin, fat, treatment of tear trough and cheek enhancement. In younger patients, a scarless form of blepharoplasty is done, called trans - conjunctival blepharoplasty.