Hanging eyelids, called also droopy eyelids, are a typical sign of aging. Eyelids lose elasticity, gaining an excess of skin. The skin rests on the upper eyelid, and results in a tired and drowsy appearence. Sometimes, patients describe their appearance as “looking sad”. Another consequence of aging are hanging lower eyelids, also known as “tear troughs”. Frequently this excess of skin is due to genetic causes and, for this reason, can also be found in young people. Tear trough deformities are not due to deposits of water but can be due to hernias of fatty tissue from the socket of the eye. As tear troughs give the impression of a bloated face and an unhealthy way of life, they are esthetically not very pleasing.