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​The eyelids are frequently the first to show the signs of aging - resulting in a tired, sad appearance. This is very apparent because the eyes are the first structure that we notice on a person's face. The problems we confront with the eyes are really two-fold. First, there may be excess skin in both the upper and lower eyelids. The excess skin of the upper eyelids may also be caused by sagging of the forehead and eyebrows (a Browlift should always be considered when evaluating the upper eyelids).

The second problem is the accumulation of fat which causes "baggy" eyelids. This is frequently present in both the upper and lower eyelids. Initially, the bags are noticeable only on awakening in the morning. As the problem becomes more severe, this puffy look persists throughout the day. This tendency is inherited and may appear very early in life, even in the teens and twenties before the aging process becomes obvious.