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Skin laxity or drooping is caused by several factors:

  • A reduction of the fat cells under the skin (subcutaneous tissue)
  • Loss of collagen and elastin fibres in the dermis reducing cutaneous strength and elasticity
  • Gravity, which allows the lax tissue to sag

The result is:

  • Brow ptosis (the forehead sags so the eyebrows drop over the eyelids, which then feel heavy)
  • Eyelid ptosis (the upper eyelid drops, sometimes obscuring the pupil)
  • Baggy upper and lower eyelids
  • Sagging lower eyelids, revealing the reddened mucosal surface (ectopion)
  • Hollow look to the eyes
  • Tired-looking eyes with a prominent groove beside the nose (tear-trough deformity)
  • Jowls (loss of jaw line)
  • Loss of neckline
  • Dropping of the tip of the nose
  • Thinning of the upper lip