The delicate skin around the eyes is often the first to show signs of aging. Blepharoplasty is the removal of excess skin and fatty tissue from the upper and lower eyelids. It can create a more alert appearance by eliminating wrinkled folds of skin on the upper lids and bags under the eyes. Expression wrinkles such as crow's feet and smile lines will not be eliminated with blepharoplasty only, but can be addressed with the CO2 laser or Botox therapy.
Heredity and lifelong allergies often cause eyelid problems. However, most undesirable eyelid appearances are simply a result of the aging process. Because there is a natural loss of elasticity in the skin, fatty tissue pockets under the eyes start to bulge out of the eye socket creating bags under the eyes. Skin above the eyes sags, which, in some people, can actually inhibit peripheral vision.
To correct this, the excess skin of the upper and lower eyelids is excised. The fatty tissue that contributes to puffiness of the inner aspects of the upper eyelids can also be removed. The fatty tissue of the lower eyelids can be removed or can be recontoured to help fill out the tear trough groove, which is the groove of the lower eyelids that tends to contribute to a dark circle look.