The aging process often causes the eyelids to sag with excess skin and fatty pockets. As the skin relaxes, the natural fold of the upper eyelid can become more apparent due to excessive skin, while wrinkled, redundant skin of the lower eyelid may reveal protrusions of fat. A deep crease known as a “tear trough” can form at the junction of the lower eyelid and the cheek that exacerbates the aged look.
A blepharoplasty involves the removal of excess skin and fat pockets, or repositioning of the fat pockets to correct the tear trough deformity. This cosmetic procedure gives the eyelids a trimmed, tightened, more youthful look.