Loss of volume and elasticity of the muscles, fat and bone around the eyes and face naturally occurs as part of the aging process. This leads to wrinkles in the skin and hollows around the eyes (tear trough). The most common areas in the face where wrinkles appear are the forehead (glabella and frown lines), crows feet and bunny lines. As the cheek area becomes droopy and loses volume, the area underneath the eyes appear hollow and develop a tired appearance.
There are a number of different treatments available which can refresh the appearance of the face, reducing lines and wrinkles and smoothing the skin to give a more youthful glow.
Non- surgical treatments include Botulinum Toxin Treatment and fillers, which reduce the appearance of lines and replace lost volume in the tissue. Tear trough fillers are a popular treatment which can reduce the appearance of dark circles under the eyes and rejuvenate the under-eye area without the need for surgery.
Sometimes surgery needs to be carried out to achieve the desired result. Excessive loose skin and eye bags can be corrected by Lower Blepharoplasty surgery to reduce the tired appearance that many patients with heavy eyelids experience.
Generally, there are two different approaches that can be used to reposition or remove the excess skin, fat and weak muscles in the lower eyelid.
For younger people where fat bulges are the main concern and the lower eyelid skin is not wrinkled, an incision is made through the inner surface of the eyelid (transconjunctival approach) which hides the scar.
If there is also loose skin and muscle to be removed, a small incision, just beneath the eyelash line, can be made (transcutaneous approach), which allows for the lower eyelid to be tightened if needed. The skin incision is then closed with sutures or glue.
Your surgeon will assess you and decide which option will give you the best possible outcome.
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