Your eyelids are essential to protecting and maintaining the health of your eye. Choosing a specialist to address any malposition is vital. There are a vast variety of problems that can involve and adversely affect the eyelids. As we age, we loose elasticity of the skin, which causes the skin to stretch and thin. We also lose volume, which causes sagging. This sagging can be apparent in the brow or the eyelids. Identifying the underlying cause is a critical component to addressing the malposition. The brow drooping, excess skin or a tendon that has stretched too much can cause heavy upper eyelids. This may interfere with vision, and if they do, insurance companies will often pay for surgery to address the "heaviness". Lower eyelid surgery is a common cosmetic surgery to rejuvenate your appearance.


In addition to drooping and sagging problems we notice as we age, the eyelids can often turn in towards the eye (entropion) or turn away from the eye (ectropion). Skin cancer is also common on the eyelid and should be removed by a specialist to prevent any of the aforementioned malpositions. If done correctly, this will prevent the need for further surgery. A range of lesions from benign lesions to styes can also be present on the eyelid. Sometimes, only a biopsy can be done to make the correct diagnosis.



Upper Eyelids: The skin on the upper eyelids is thin and loses elasticity as we age. This leads to excess skin and a tired appearance.


Lower Eyelids: The skin on the lower eyelids also stretches with time. The tensile strength of the eyelid decreases which results in a mild to moderate eyelid droop. Orbital fat protrudes which leads to a “puffy bag” on the lower eyelids. The volume around the eye also decreases leading to “hollowness” around the lower eyelids.


Eyebrows: With time, the soft fatty tissue beneath the eyebrows lessens. The fat in the temples also dissipates leading to a mild brow droop.


Midface: Loses volume and descends. Making the face look aged and tired. This creates lines around the mouth. A full midface creates a more youthful appearance.


Lips: Get thinner and lose volume as we age.


Nasolabial: The nasolabial lines is the line from the corner of your nose to the outer corner of the mouth. As we age, it becomes prominent because the midface droops and we lose volume.


Jawline: The jawline becomes less defined as we age.



We are available Monday - Friday

9:00 am - 4:30 pm.

Hunt Valley Location

Severna Park Location



Dr. MacQuaid is a Board Certified Ophthalmologist and Oculoplastic Surgeon.  An Oculoplastic Surgeon is someone who specializes exclusively in reconstructive, revision and cosmetic surgery of the eyes and surrounding tissue. She completed her fellowship at the prestigious Wilmer Eye Institute at Johns Hopkins Hospital.


Dr. MacQuaid's services range from cosmetic surgery of the eyelids and eyebrows to the midface. Dr. MacQuaid is a renowned expert in reconstructive surgery of the eyelids, eyebrows, tear duct surgery, thyroid eye disease, and tumors. She has advanced training in non-surgical facial rejuvenation such as Botox®, Restylane®, Juvéderm®, Radiesse® and Laser Resurfacing. She offers the latest technology available to patients.


Dr. MacQuaid is currently a member of the American Academy of Ophthalmology and is a Fellow of the American College of Surgeons. Aside from Ophthalmology, Dr. MacQuaid is a former Division One college athlete. In her free time, she enjoys playing tennis and spending time with her husband Jerry and their two children.


Board Certified Ophthalmologist

and Oculoplastic Surgeon


9 Schilling Road Suite LL8

Hunt Valley, Maryland 21031


479 Jumpers Hole Road Suite 106

Severna Park, MD 21146







© 2023 MacQuaid Eye Institute

The material contained on this site is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Always seek the advice of your physician or other qualified health care provider.