become apparent when we reach our 30s or 40s, and usually just around the eyes.
The aging process brings changes in the skin, which loses
its elasticity and consequently begins to stretch and sag (see p. 100). This loss of elasticity allows the fat around the eye to begin protruding, resulting in bulges around the eye that can almost be regarded as small “fat hernias”. The growing excess
of skin on the forehead and the increasing droop of the eyebrows also have an effect on the appearance of the upper eyelid (see p. 111).
As mentioned earlier, cosmetic surgery to make people look younger was performed very early in this century. Various methods were developed for removing the surplus skin from the upper and lower eyelids. Most of them simply removed skin, which all
Deep furrows between the eyebrows become permanent after years of muscular overactivity (left). Removal of these muscles during an endoscopic forehead lift produces a permanent reduction of the creases (right). The effect of the procedure is seen both in relaxed (above) and frowning (below) situations. In males the ideal eyebrow
