Abstract
Aging changes in the periorbital and orbital soft tissues manifest clinically as thinning, wrinkling, and dyspigmentation of the skin, loss of tissue volume and elasticity, and descent of soft-tissue structures 16,22,24 in attempting to reverse these changes, the surgeon must understand that the eyelids cannot be viewed in isolation. Rather, they must be seen in relationship to the eyebrow above and the midface below. Hence, periorbital rejuvenation involves surgery on the eyelids, eyebrow, forehead, check, and midface. The goal of these procedures is to restore the youthful anatomic and topographic relations of the eyelid and periorbital structures and to rejuvenate the periorbital skin.
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