Reduce the Signs of Ageing Around the Eyes

Australasian Society of Aesthetic Plastic Surgeons | 18 April 2018

There are some things in life that are unavoidable, and ageing is one of those things. Sadly the ageing changes start around the eyes and are first noticed in your late 30s or 40s and get worse with advancing age. The upper eyelid, eyebrow and the lower eyelid play important roles in the aesthetics of the eye area. Dr Naveen Somia, Vice President of the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), explains the effects of ageing in the eye area and what can be done to reverse the ageing changes.

Common Signs Of Ageing Around The Eyes

Upper Eyelid

The common ageing changes in the upper eyelid noticed by patients are:

  1. Excess eyelid skin that is thin, loose and crepey
  2. Excess skin resting on your eyelashes and covers the ‘eye shadow space’
  3. Droopy or saggy eyelid causing eyelid ptosis and a tired and dull look
  4. Excessive upper eyelid fullness due to bulging and sagging fat
  5. Excessive upper eyelids hollow and sunken eyelids due to retraction of fat into the eye socket
  6. Absent or a very high eyelid crease
  7. Asymmetric eyelid crease
  8. Uneven position of the eyelid margins (which is often due to a droopy eyelid)

Eyebrows

Since the eyebrows are closely linked to the upper eyelid they play an important role in the appearance of the eye area. Here are common ageing changes in the eyebrows noticed by patients:

  1. The high arched raised eyebrow
  2. The droopy eyebrow
  3. Uneven and asymmetric eyebrow

Lower Eyelid

Ageing changes in your lower eyelid are to a large extent determined by the ageing of the bone in the under eye area and to a lesser degree by the skin and soft tissue. This may sound counter intuitive but it is true. As you as you age the bone in the under eye area shrinks. As a result the eyebags bulge, the eyelids become loose and saggy and the under eye grooves become deeper.

The common ageing changes in the lower eyelid noticed by patients are:

  1. Excess thin and crepey skin
  2. Excessive bulging fat causing eyebags
  3. Excessive hollowing due to soft tissue and bony loss
  4. The lower eyelid is pulled down (eyelid retraction)
  5. The lower eyelid edge is turned out due to muscle weakness due to age or scarring from previous eyelid surgery (ectropion)
  6. Droopy corners of eyelids giving the eyelids a “sad look”
  7. The lower eyelid edge can be turned in due to muscle over-activity (entropion)


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