Minimally Invasive Cosmetic Interventions for Periorbital Rejuvenation

Aging is a natural process and an individual cannot remain young forever, but a youthful appearance and good health has been sought after since ages. The face is the portion of the body in which indications of aging are first noticed by both patients and those around them. The periorbital and midface region are a critical cosmetic unit and early indications of aging of the face are predominantly reflected in this area (figure1) [1]. Aging becomes more prominently noticeable through the evolution of facial features. Some of the bodily changes corresponding to aging include xerosis, reduced protective function, reduced flexibility, altered rhytides, gradual production of epidermal cells, and atrophy [2]. It is often said metaphorically that the eyes are the windows to the soul. And undoubtedly, eyes and the surrounding areas are used as an immediate gauge of the chronologic age. The periorbital area comprising the eyebrows, upper and lower eyelids, glabella, and pericanthal region, is particularly sensitive to early indications of aging [3]. Volume reduction as well as animation lines along the glabella and lateral canthi further exacerbate the aging look. Factors that further accentuate this process include UV radiation exposure, repetitive facial expressions, and tobacco use; all of which additively lead to reduced skin elasticity with consequent tissue descent and volume loss [4]. The area around the eyes is one of the most sensitive and thinnest areas. This area has low density of sebaceous glands and collagen. It is also one of the most challenging regions to treat cosmetically.