As we age, the muscles and other structures surrounding the eye loosen and become lax. The eyelid skin stretches, wrinkles and becomes redundant. In addition, the various deposits of normal fat actually shrink and deflate. This can lead to a hollowed out look of the upper eyelid and loss of the normal smooth junction between the lower eyelid and the cheek. These changes have a profound effect on how old we appear. Learn more about eyelid surgery.