As the skin loses its elasticity and muscles slacken through age, loose skin can accumulate around the eyes, forming folds in the upper lid and deep creases in the lower lids. Fat, which cushions the eyes in their sockets, can begin to protrude, giving the eyes a baggy appearance. Drooping eyelids are also an effect of ageing. Sometimes so much skin accumulates in the upper lids that it hangs over the eyelashes and obstructs vision.
An eyelid/eyebag reduction, known as a blepharoplasty, removes the surplus skin and protruding fat to give the eyes a more alert and youthful appearance. Patients with thyroid disease can often develop excess fat around the eye so that the eyes protrude. An extended eyelid reduction, known as 0livari’s procedure, treats this satisfactorily.