THE AESTHETIC eyelid correction in senility is nothing more than a surgical resection of the excess skin of both the upper and the lower eyelids, with simultaneous excision of the redundant adipose tissue and the reinforcement of the orbital septum.
Our technique in blepharoplasty for senility differs from others in that we join the upper and lower lines of resection outside the comissure, so as to excise the wrinkes at the angle of the eye, and create sufficient space to shift the commissure outwards and upwards, thus trying to restore the appearance of the normal young eye.
The etiology of palpebral bags is uncertain. In a high percentage of cases no certain etiology can be assigned. It is said that dissipation and disorderly living are important casual factors, and actually this origin can be assumed from the clinical histories of many patients. Those afflicted suffer psychological alterations that sometimes present
González-Ulloa M, Stevens E. The Senile EyelidAesthetic Correction. Arch Ophthalmol. 1967;78(3):365-368. doi:10.1001/archopht.1967.00980030367020