When the lower lids droop away from the eye, it is a condition called ectropion. There are many possible causes for ectropion, including Bell’s palsy, a subcutaneous cyst, skin irritation, or simple aging. As we get older, we produce less collagen and elastin. These are the building blocks of healthy skin. When the support structures of the skin begin to falter, it creates saggy pockets and wrinkles. Hence, aging can cause the lower eyelids to droop.
Asian female in her 20s with monolid and epicanthal folds underwent Asian double eyelid (Asian upper blepharoplasty) and epicanthoplasty surgeries. Based on the structure of the patient’s eyelids and the look they are trying to achieve, every double eyelid procedure is customized to the individual. Epicanthoplasty involves opening the inner corner of the eyes. The after photo shows defined double eyelid folds and elongated inner corners resulting in more proportioned eyes relative to her overall face.