Cause: Loss of elasticity in the delicate skin of upper lid causes it to stretch and sag. Loss of fat in the upper lid and brow leads to deflation. Aging of the brow causes the brow to drop, which in turn, causes hooding of the upper lid skin. Eventually, the eyes start to slant downward at the outer corners, leading to a sad look. Injectable Solution: If skin excess is minimal, a combination of Botox and Fillers such as Belotero and Restylane can be used to plump the upper lid and brow. Laser Solution: Fractional or Ablative Laser Resurfacing will stimulate collagen production can help tighten the excess skin if it is minimal. Surgical Solution: If skin excess is significant, an upper eyelid lift, also known as an upper blepharoplasty, is recommended. Excess skin is removed and a crisp upper lid crease is re-created giving a bright, open-looking eye. Product Solution: Eye cream to restore elasticity to the skin. Prevention:

• Sunscreen
• Topical skin care products with a retinoid and Vitamin C to build collagen and an eye cream to restore elasticity to the skin.