Eyes are one of the most important features in the identification of a face. The eyes, in concert with the lids and brow, convey a wide range of emotions. Often, the first signs of aging of the face can be seen in this region. The mechanism for closing the eyes and squinting are related to underlying muscles just under the fine skin of the eyelids. This constant muscle activity can lead to fine lines commonly known as "crow's feet." Also, the effect of gravity and loss of skin elasticity can lead to migration of fat normally hidden inside the eye socket resulting in protrusion through the eyelid skin. A condition that results in constant swelling of the eyelid skin in youth can lead to early changes of the skin giving a prematurely aged appearance.
The goals in eyelid rejuvenation include removing excess skin, sculpting the fat around the orbit, and ensuring a balance with the brows and cheek region. Not infrequently an endoscopic browlift may be recommended, depending on the physical findings.