Facelift surgery can be particlarly rewarding for both the patient and physician. Frequently, I notice a youthful change in the appearance of the eyes without a single procedure being done to either the upper or lower eyelid.
I attribute this change to the repositioning of the cheek fat pad or malar fat pad back to the normal anatomical or pre-aged position. This restoration of volume not only recreates harmony to the lower eyelid and tear trough, but also improves the position and contour of the upper eyelid and seems to affect the overall aperture.