The lateral brow descends, causing the upper eyelid skin to slide downward towards the eyelid margin.

Overlapping skin folds create a significant defect in the field of vision.

As skin loses elasticity, it stretches and overlaps with the eyelid margin and eyelashes, further obstructing the field of vision.

The entire upper eyelid hangs over the eye due to dysfunction in the muscles and tendons of the eyelid elevator within the deep layers, which cannot be corrected by surface surgery.

Fat pads typically located between the orbital cavity walls can protrude noticeably if the elastic membranes weaken or the volume of fat increases.

Weakened connective tissue in the lower eyelid allows the orbicularis oculi muscle to slide upward over the eyelid margin, potentially leading to inward eyelash rotation.

Decreased tension in the ligaments and membranes causes the upper eyelid margin to tilt downward, lowering the lash line and causing lashes to rub against the eye surface.

Reduced tension in ligaments and membranes causes the eyelid margin to tilt outward, exposing the inner eyelid and the red conjunctiva.