Why the Eyes Age

Aging can change the face in a number of ways. Initially, most people notice the signs of aging around their eyes before other parts of the face. Overall, even these changes may relate to the loss of volume and descent of muscular tissue in the midface. Because the skin around the eyes is so delicate, it may thin and wrinkle more quickly due to years of sun exposure (wear those sunglasses!) and even stomach- and side-sleeping. And the changes don’t stop there.

In addition to thinning and wrinkling, the eyes may seem to change shape somewhat over time. This is related mainly to the downward movement of the brow line. Some people develop a slightly angry look as the inner corners of the brows pull together and downward in a perpetual scowl. In some cases, the face takes on a sad appearance due to a downward slope at the outer corner of the brow. Whether inner or outer edges are pulled, a sagging brow causes the upper eyelid to become heavy, sometimes to the point of obstructing the natural crease of the eye or the eyelashes.

Non-Surgical Eyelid Rejuvenation

Brow drooping is often correctable without surgery. Many men and women can see the rejuvenation they desire with a quick and comfortable Botox or Dysport treatment. These injectable medications prevent neurotransmissions that cause muscle contractions. They don’t “freeze” the face; they just relax expression to the brow can sit across bony structure as it should. If drooping has become severe, a brow lift may be a more suitable approach.

The effects of aging tissue can also be seen beneath the eyes, where fragile tissue may loosen its hold on underlying fat. One of the common complaints expressed by middle-aged men and women is that they have bags under their eyes no matter how well they sleep. This is because collagen stores have depleted enough that superficial tissue cannot adequately press back against fat pads.

Undereye puffiness is also a problem that Dr. Holds can initially treat with injectables rather than surgery. Doctors often use dermal fillers to fill in the crease below under eye bags at the upper cheek. This area is called the tear trough. By adding volume into the crease and upper cheek, the appearance of the bags diminishes. In some instances, patients choose to have lower blepharoplasty to eliminate the need for routine touch ups with dermal fillers.

We treat a wide range of eyelid concerns in our St. Louis office. For more information on surgical and non-surgical eyelid rejuvenation, call 314-567-3567.