Dr. Wong Thoughts

Bringing the Sparkle Back to Your Eyes

posted September 24th, 2013 by waesthetics in Eyelids

The youthful eyes have a certain sparkle that radiates energy and intensity. Aesthetically, the youthful eyes have the following characteristics; the eyelid opens widely exposing most of the cornea.  The upper eyelid crease is crisp with firm and smooth skin below and above the crease. The lower eyelid is smooth with a full mid cheek with and the absence of any eye bags (Figure 1).

Figure 1: Sparkle in the youthful eyes.

Figure 1: Sparkle in the youthful eyes.

With aging, this sparkle gradually fades as a result of aging of the upper and lower eyelids. The upper eyelid becomes droopy (medically called ptosis of the upper eyelids) exposing less of the cornea, the crease gradually looses its integrity and the upper eyelid skin and brow gradually descend. The skin below and above the skin becomes loose and creepy, making the application of make up more difficult. Hooding of the upper eyelids dull the eyes and gives an impression of heaviness of the upper eyelids. The appearance of eye bags in the lower eyelids makes the person look tired (Figure 2).

Figure 2: With aging around the eyes, the intensity radiating from the eyes gradually fades.

Figure 2: With aging around the eyes, the intensity radiating from the eyes gradually fades.

Modern surgery of the upper and lower eyelids is able to reverse these changes, with the aim of bringing the sparkle back to the eyes. In contrast to ‘traditional’ upper eyelid surgery that focuses of skin excision only, modern upper eyelid surgery addresses all aspects of the aging eyelids with the focus on contouring of the upper eyelid with less skin excision. As skin excision is minimized, the results are also more natural. Depending on individual needs, the eyes may be ‘widened’ (ptosis repair), the skin below the crease tightened and the lashes turned up slightly and a crisp and firm upper eyelid creased formed by re-establishing the attachment of the skin to the mechanism that open the eyes. The brows if it is droopy may be address at the time of upper eyelid surgery with a brow lift.

Modern approach to the eye bags focus on fat conservation, as well as restoring the fullness in the cheeks that has been lost with aging. In patients with more significant aging, a cheek lift may be performed at the same time as the eye bag surgery without the need for additional incisions.

These procedures done in isolation or together will bring the sparkle back to your eyes!