Middle Eastern patients seeking eyelid rejuvenation may have a myriad of goals. Many patients of Middle Eastern descent complain of darkness underneath the eye area. This can be a result of hollowing of the eye, due to either a flatter cheekbone or loss of volume with age. In some cases, this can be a results of darker pigmentation to the area. Solutions to this problem can involve the use of filler, fat for volume loss to a stepwise approach to skin lightners to the area.
Crepiness, or fine wrinkles around the eye can also be seen with facial aging. The eyelid skin is thin, in all ethnicities, and therefore most susceptible to wrinkles on Indian skin. Light peels and an upper lid blepharoplasty can be options to improve this area.