The delicate skin around the eyes is among the first areas to show signs of ageing. Over time, collagen and elastin diminish, skin becomes thinner, and fat pads beneath the eyes may shift or protrude, creating puffiness or bags.
For some, this fullness is genetic; for others, it develops gradually with age or lifestyle factors such as lack of sleep, fluid retention, or sun exposure. These changes can make the eyes look tired even when one feels well-rested, often contributing to a loss of facial vitality and balance.

What Patients Typically Notice

Patients often describe that they “look tired all the time,” even after adequate rest. They may notice puffiness in the lower eyelids, sagging skin, or dark circles that makeup no longer conceals effectively. Others express frustration that their eyes appear smaller or heavier, or that their expression seems less alert than it once was. These subtle shifts can affect both appearance and confidence.

The AvenueMD Approach

Every AvenueMD journey begins with a careful consultation to assess the anatomy of the eyelids and surrounding areas. Our multidisciplinary team considers whether puffiness, volume loss, or skin laxity or pigmentation is the primary factor, then designs a plan tailored to your goals.
By combining surgical precision, dermatologic insight, and advanced skin optimization, AvenueMD restores brightness and balance to the eyes — helping you look refreshed while maintaining your natural expression.