Volume 11 - Issue 4 - April 2003

M any patients in their fourth, fifth and later decades start to express concerns about lateral canthal rhytides and accentuation of lower eyelid folds and herniation of fat pads in lower eyelids. The aging process is often accentuated in the periorbital region with the appearance of fat that bulges beneath the orbital membrane/septum into the lower eyelids, producing “bags.” These changes are inherent in the skin, muscularis, orbital septum, underlying fat and lid support structures. In the last article of this series (January 2003, Skin & Aging), we presented the typical interven