Most people focus on the eyes when they look at the face of another. The appearance of the eyes can make us look “tired”, “angry” or simply “old.” While it is true that the skin of the eyelids (particularly the upper eyelid) becomes looser with age, some patients develop bags around their eyes in their early twenties.
With age the skin of the lid thins, stretches and becomes less elastic. This “extra” skin is unsightly, but can also impair vision. The “puffiness” is actually fat normally surrounding and cushioning the eyeball. Over time, the structure that normally retains this fat behind the lid may weaken, allowing some fat to slip forward and produce a bulge in the lid. Surgery of the upper lid uses an incision in the crease, so that the final scar is no more noticeable than the crease itself. Excess skin can be removed, and the bulging fat can be removed as well.
Traditionally, lower eyelid surgery was performed through an incision just below the eyelashes, after which excess fat and a small (usually very small) amount of skin was removed. Alternatively, a transconjunctival blepharoplasty allows cosmetic surgery of the lower eyelid to be performed without any visible scars. By making an incision on the inside of the lower eyelid, the fat bulges of the lid are approached more directly. For the patients with fine wrinkles on the lower eyelid, the skin can be resurfaced to smooth the lines, as well as tighten and contract the loose skin of the lower eyelid. The results of blepharoplasty are seen quickly and patients can return to their usual activities within a few days.
For more information, visit http://nyface.com/index.php/eyelid-surgery-overview