As we all know, the eyes are a prominent facial feature and are known as the “windows of the soul”. Along with the eyeballs, the surrounding skin, lashes, eyebrows, and muscle activity convey emotions. All these tissues contribute to the wide array of expressions we make. As we age, along with eye irritation, allergies, sinus disease, exposure to the sun and hereditary factors the tissues around the eyes degenerate, atrophy, and sag. Wrinkles, deep lines, and puffiness in and under the lids develop, often stretching the skin and muscle in the lids, resulting in undesirable changes in appearance. The result is a fatigued, worn-out look which makes us appear older than our true age. Droopy upper eyelids can and do cause a functional problem--visual impairment--but unwanted changes in appearance may cause stress and anxiety as well.