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Youthful eyes appear healthy and refreshed, while saggy eyes or under eyes fat bulges cause you to look tired and sad. 

The Upper Eyelids
With time, the upper eyelid skin sags and becomes increasingly heavy.  You may develop forehead lines as a result of the need to constantly lift the saggy skin off the eyelids.  The cause of this sagging is usually two- fold.  First, the eyebrows droop and push the skin down onto the eyelids as the fat volume on the forehead and upper eye area is lost over time.  Second, the eyelid skin loses its elasticity and there may be some bulging of the fat in the upper eyelid area.

Treatment of the upper eyes may require restoration of the lost volume to lift the brows with dermal fillers, lifting of the eyebrows by suspension methods or by an endoscopic brow lift, or removal of lax upper eyelid skin and bulging fat pockets through a eyelid lift blepharoplasty.  Early on, it may be possible to lift and tighten the skin on the upper eyelids as well as treat the crows feet wrinkles on the sides of the eyes with laser and Botox treatments.

The Lower Eyelids
The fat in the cheeks under the eyes is lost over time causing a tear trough deformity.  This results in a Tindal effect from the thin skin sitting on the veins, giving the appearance of dark circles under the eyes.  Also, as a result of the fat loss in the cheek area, the fatty support under the eyes may appear like small bags that bulge out.

Treatment for the lower eyelids include eye serums that reduce the Tindal effect, restoration of the fat volume that has been lost in the cheeks and under the eyes with the Stem Cell Lift™, or the protruding fat under the eyes can be surgically repositioned to help correct the tear trough defect.

New technologies and methods are allowing for more individualized treatments with less risk, and with natural looking results.

To learn more about Blepharoplasty & other Procedures for Upper/Lower Eyelids, please read Dr. Nathan Newman’s article: beautiful eyes