The region around the eye attracts so much attention on the part of the observer that anything we do to improve its appearance can make a disproportionately significant overall improvement in the way we look and how old we look.
Happily, these days we can do a lot to improve the eye unit without having to resort to surgery or have to deal with the downtime and expense of surgery. For example, tear troughs, dark circles and hollow areas can be treated with fillers, my favorite for this delicate area is Belotero Balance, since it has little or no tendency to reflect a bluish discoloration (Tyndall Effect) after injection into the thin region under the eyes.
If necessary to provide further support and buttressing to the undereye area in the mid-facial fat pocket area, a small amount of Juvederm UltraPlus XC can be injected to enhance contouring and ensure that there is a smooth grade from the cheek to the lower lid.
To improve sagging of the upper brow, a tiny amount of Botox, Dysport or Xeomin may be injected into the tail of the eyebrow to restore the upward, outward flare of the youthful brow. In addition, a volumizing filler, such as Perlane L can be instilled directly under the outer third of the eyebrow to achieve the outward projection that characterizes youth and to provide additional support for the outer brow. If necessary a 3D vectoring pull upward from the direction of the upper lateral forehead and outward can be achieved with the combination of Radiesse and Restylane to "fix" the lateral brow upward. All of these maneuvers help somewhat to raise the brow off the upper lid to expose it and diminish brow sagging.
Combining all these approaches into one treatment session (they can each be done separately) should take no more than twenty to thirty minutes to perform, is essentially painless when performed properly with the appropriate use of local anesthetic, and entails little or no downtime.