Facial aging is a complex process that is the cumulative effect of simultaneous changes of the many components of the face as well as interaction of these components with each other.
The peri-orbital region is the most expressive part of the human face. The eyes are central, framed above by eye brows and below by cheeks. Alteration in the components of the orbital frame as well as the eye lids themselves will profoundly affect facial appearance. The aesthetic balance created by nature can project human emotions ranging from joy to sadness and from restfullness to fatigue.
In men the eye brows are more horizontal while in women the eye brows arch higher with the highest point lateral to the centre of the eye. Over time with aging the supporting ligaments and tissue becomes atrophied and lax, so the eye brows droop down giving one a flatter appearance in both men and women. This downward drooping also creates hooding over upper eye lids. These changes not only alter the shape and appearance of eyes but also give a tired and sad look to eyes and the face in general.
In younger individuals with premature eye brow ptosis and sagging, BOTOX Injection is helpful, but in more advanced cases and in older individuals the best option to correct this hooding and descent is by Surgery. Eye Brows and also the hooded upper eye lid skin, which actually belongs to the forehead are returned back higher and suspended with sutures or screws for longer lasting results. This returns the more fresh and youthful appearance to the eyes and the face.