Patients often express interest in eye rejuvenation. It is said that the “eyes are the window to the soul”. As a central facial feature, signs of facial aging in the eye region may have a dramatic effect on facial appearance and contribute to a fatigued look.

There are three main approaches to eye rejuvenation:

Botox may be injected around the eye region to soften the appearance of crows’ feet. These are wrinkles towards the side of the eyes, which become more pronounced with smiling and squinting.

While these lines initially appear only with facial animation, they eventually progress to become static wrinkles. Botox may halt this progression by weakening the muscles responsible for creating crows’ feet.

Patients often consider Botox treatment of their crows’ feet regions in their 20s, 30s, and beyond. It is most effective when performed before these wrinkles become apparent at rest.

  • Facial fillers

The junction between the lower eyelid and cheek often becomes more pronounced over time.

This contour depression is referred to as the tear trough deformity. It may be softened using hyaluronic acid fillers.

Similar to Botox, facial fillers are a non-surgical method of eye rejuvenation, also performed through a series of small injections.

While Botox acts through a mechanism of muscle weakening, hyaluronic acid fillers take effect as volumizers. They have a gel-like consistency and also retain water.  Thin fillers with low viscosity are commonly injected to correct the tear trough deformity, since it is a region of little tissue and very delicate skin.

The tear trough deformity may become more pronounced in the late 20s to 30s and later.  This is most commonly when patients begin to consider filler injections at the site.

As the skin loses elasticity through facial aging and orbital fat becomes more prominent, surgical options may ultimately be more effective for eye rejuvenation.

Eyelift surgery may be performed on the upper and/or lower eyelids depending on one’s eyelid appearance and concerns.  It may be performed to resect redundant skin and to remove or reposition fat.

While Botox and facial fillers are non-surgical treatments requiring little to no downtime, patients may require some time off work to recover following eyelift surgery. Generally a week is sufficient, however this may depend on your activity level and job responsibilities. It is important to apply cold compresses following eyelift, especially over the first 48 hours after surgery.  This may reduce bruising and swelling.

Eyebrow position is important to assess when considering an upper eyelift. If the brows have descended over time, this may accentuate the appearance of excess upper lid skin. Browlift may be more appropriate in this case as opposed to upper eyelift.

It is also important to tell your plastic surgeon if you have undergone previous treatments in the eyelid region. Brow position may be affected by Botox treatment effect. This may indirectly affect the appearance of the upper lid skin and is an important consideration for surgical planning.

There are many tools for eye rejuvenation. The right treatment for you will vary based on your unique clinical presentation and specific concerns. Please contact us to schedule a consultation.

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