As we get older, there are many tell-tale signs of aging around our eyes.  In the upper region, these signs are seen with drooping of redundant skin and fullness of the excess underlying fat of the upper eyelids.  At the outside corners of our eyes, fine wrinkles, which we call " crow's feet ", radiate outwards and are also signs of aging.   In the lower region, laxity, bagging, and fullness of the lower eyelids can occur, and these are additional signs which we see with aging.
          These signs of aging can not only make an individual look old, but it can make an individual look tired, angry, and unhappy.
          Many factors contribute to the aging process around our eyes.  These factors can include:  1) decrease in tone and elasticity of our aging skin and underlying structures, 2) excess fat around the eyes, 3) repeated motion and contraction of the muscles around the eyes, 4) the excessive exposure to sunlight, and 5) the effects of gravity. 
          By understanding the factors which cause the aging and anatomy of the eyelid region, the surgeon can help correct and improve the tell-tale signs of aging around the eyes.