Abstract
Downward drooping of the upper eyelids (ptosis) is a common sign of advanced aging of the eye area. Three main components contribute to this effect including dermal matrix degradation, weakening of the levator palpebrae superioris muscle, and shifting of upper eyelid fat pads. Over time, upper eyelid fat pads lose density and become more noticeable as separate ‘pockets’ of fat above the eye instead of a smooth surface. Eventually, the dermal matrix and musculature supporting the fat pads loses integrity and the skin appears to sag over the eye lid forming the “hooded eye”.
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