Eye Reconstruction Aging Changes

There are a number of changes that occur to the eyelid and surrounding structures as a result of normal aging. Overall, there is descent and deflation of the tissues. There is loss of volume and downward movement of the soft tissues and bone, sun damage to the skin resulting in hyperpigmentation and uneven skin tone, and wrinkles.

Often the brow descends over time, particularly along the outer corners. This can cause not only a “tired” or “angry” appearance, but can also cause the eyelid skin to droop over the eyelids (ptosis) and block one’s sight. This can be reversed by injecting Botox directly underneath the brow. The Botox weakens the muscle that naturally lowers the brow, thus creating a Botox brow-lift. For more severe cases, surgery may be necessary to suspend the brow back to its original location.

The skin and soft tissue of the lower eyelids are also subject to aging changes. In some people there is a hollowing of the area, called the tear trough. This volume can be restored by dermal filler (i.e. Restylane) or by fat grafting, where a patient’s own fat is taken from another part of the body and injected under the skin of the lower lids. In other people the normal fat around the eye descends and creates “bags.” This is best treated by surgery.

The skin and supportive structures of the eyelid may also weaken with time. The eyelid may even become completely detached from its normal attachments and fall into an abnormal position. The eyelid may turn inwards toward the eye (entropion) or away from the eye (ectropion). This can disrupt the normal functioning of the eyelids, which is to protect the eye and help tears flow naturally. These conditions are treated by various surgical procedures. Your physician will discuss which surgery is best suited for you individually.

Aging can also cause Cosmetic Artistry, the two most common being wrinkles and sun spots. Wrinkles are the results of a combination of factors including sun exposure, genetics, smoking and the constant act of making facial expressions. Depending on their location, these are treating with Botox and/or dermal fillers. As discussed in other sections, these treatments are temporary. However, if you like the results, there is a new dermal filler, called Artefill, which is permanent. Sun spots and uneven skin tone are treated with a combination of laser treatments and facial skin products. The goal of effective skin care treatments involves exfoliation, resurfacing and regeneration, and sun protection.


If you would like to learn more about Eye Reconstruction Aging Changes call 1-800-244-9907 to make an appointment at Central Valley Eye Medical Group.


  • This field is for validation purposes and should be left unchanged.

Dear Friends,

We at Central Valley Eye hope that you and your families are well. To continue to protect the health of our patients and staff during the coronavirus pandemic, we are taking all reasonable precautions as we provide the eye care that our community needs:

  • All patients and staff must now wear masks within the clinic building. Please bring one from home.
  • Whenever appropriate, we are rescheduling patients with fever, cough, or cold symptoms
  • We have adjusted our schedule to decrease the number of patients in our waiting rooms
  • We have increased our already strict sanitizing practices
  • Whenever appropriate, we are diverting visits to telemedicine (by cell phone, tablet, laptop, or desktop). Please contact us for further details at 209-952-3700.

If you are unsure whether to come in for your visit, please call us.

Following state guidelines, the doctors at Central Valley Eye have recently resumed performing elective surgeries. Our surgery coordinators will be contacting patients to reschedule the surgeries that needed to be postponed. We appreciate your patience during this time.

If you have any questions, please do not hesitate to contact us at 209-952-3700.

Warmest regards,

Brandy Simpson
Practice Manager
Central Valley Eye Medical Group, Inc.