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As you age your skin gradually loses its elasticity and begins to sag, but the effect is most obvious on your face — especially around the eyes. There are several factors that contribute to the undesirable look of the area around your eyes as you age, which include ptosis, a weakness of the muscle that opens the eye and tissue deposits that may cause the upper or lower eyelid to appear puffy. In general, treatment for aging eyelids focuses on the particular anatomical change that’s causing the problem. 

Injection products that contain Botox and hyaluronic acid fillers, which include products such as Juvéderm, can help tighten sagging skin and smooth out wrinkles. These products work in completely different ways to correct eyelid issues associated with aging. Botox works to weaken muscles in the crow’s feet area around the eye, giving you a more youthful look when you smile; whilst injectable fillers provide extra volume to fill in deeper crevices on the cheeks and around the lower eyelid areas. It’s often a good idea to use both types of products, since they treat different problems, as they complement each other to deliver a better overall result.

The surgical options are designed to treat structural issues around the eyelids, such as crow’s feet or crevices due to aging. We can perform surgeries to remove excess skin and fat, reposition fat and tighten the skin. If a patient has excess skin, the surgeon can remove a small amount in the lower eyelids, but it’s important to realize that removing this skin doesn’t really treat the underlying problem of laxity and bags under the eye. This skin removal only treats part of the problem. Patients who want a more dramatic, rejuvenating effect from surgery will need to undergo deeper restructuring that treats the problem of excess fat and bags. For the hollow underneath the eye bags, it can be better to reposition the fat rather than remove it completely. Taking fat from one area and repositioning it addresses both the bag and the hollow area underneath it. 

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