Rejuvenating the eyes falls within the category of upper face rejuvenation. Time and gravity produce sagging wrinkles. It decreases the aesthetic appearance of the face in general. Specifically, in the upper third for our discussions. There are several very useful surgical procedures designed to reduce the signs of aging in the upper third of the face. The forehead is a large structure that sags on its own. It produces transverse forehead wrinkles. Furthermore, wrinkles between the eyebrows or blood below and flows into the crow’s feet of the lateral orbital eye area. You can’t really talk about sagging of the upper lids without addressing the forehead as well.
Generally speaking, there is no substitute for surgical procedures to remove excess and sagging skin. Also, to remove unwanted fat, and to trim offending muscles which can cause wrinkles. The upper lid blepharoplasty is a very strategic operation that will remove excess skin of the upper lids. Occasionally there is excess fat under this excess skin and it also can be removed.
Rejuvenating the Eyes
The gold standard for lower lid rejuvenating the eyes is to remove the herniated or bulging fat referred to as bags. This can be done with one of several surgical approaches both designed to remove the excess fat and restore the lower lid to its more youthful appearance.
Wherever there is a volume deficiency as is seen occasionally in the tear trough area fat can be prepared and use as a filler. This augments the areas of the phase deficient in volume. Numerous fillers can also be used for the treatment of this area.
The crow’s feet area deepens and elongates with age. This is because of several factors. However, the underlying reason is the activity of the muscles under the skin lateral to the orbit. This area can be treated with Botox as can the forehead transverse lines and the LaBelle frown area between the eyebrows. Botox is very useful for the treatment of these areas.
Radiofrequency devices and laser procedures can be offered to tighten the loose skin of the upper lid when rejuvenating the eyes. However, it must be noted that the gold standard for upper and lower lid rejuvenation surgery is blepharoplasty. This is for rejuvenating the eyes for both the upper and lower lids. All of the nonsurgical products, creams, and radiofrequency lasers are all temporary fixes. Just as well as fillers. As stated, the gold standard for restoration of the aging face is surgical procedures.
THOMAS TREVISANI, MD
BOARD CERTIFIED PLASTIC SURGEON
MEMBER AMERICAN SOCIETY OF AESTHETIC PLASTIC SURGERY
