What are Baggy/Hooded lids?

• When there is extra fold of skin over the crease- dermatochalsis

• Makes the eye look smaller and heavy

• Is usually associated with droopy brows

• Additional loose skin may be present

• Fact: should not be confused with droopy lids (check here)

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Patient with both eyes dermatochalasis and brow ptosis

Patient with pseudo dermatochalasis

 Eyes look normal once simulated brow lift is attempted

Patient complains of heaviness on eyes, headache in an attempt to open eyes and/or limitation or restriction of the visual field

It can be caused by the following reasons:

• hereditary/familial

• skin laxity/looseness - causing extra skin to hang over

• atrophy of fat around the brows - leading to descent of the brows 

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It can be present in all ethnicities but can specifically be seen in north-eastern Indians and Asians (corrected by the famous procedure called Asian blepharoplasty)

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