Lower Eyelid Surgery

While creams and serums with peptides, vitamins and fluid-eliminating ingredients may help alleviate the appearance of puffy under-eye area, the best surgical solution for persistent under-eye bags is lower blepharoplasty.

Traditionally, a small amount of fat and muscle is removed and the slack skin is tightened up. In the past, muscle was removed, making the eyes look pulled. Today, lower eyelid surgery is not about removing the muscle, but rather using it as a bulking agent, like filler, to add fullness to the area, allowing your eyes to look more natural.

Although it’s not necessary to always perform both upper and lower eyelid surgery, some doctors do advise it so that the eyes take on an overall refreshed and renewed appearance.

Lower blepharoplasty can help negate its effects on the under-eye area by reducing puffiness and bulging. The procedure involves removing or redistributing excess fat and skin through a small incision below the lower lashes or inside the lower eyelid.

Lower eyelid surgery can incorporate several different surgical techniques depending on your needs and desired outcomes. When it comes to eyelid surgery, surgeons generally try to be conservative. If a patient has good skin tone, typically just the fat can be removed. But, for more complex issues, blepharoplasty can involve reshaping the anatomy by addressing muscles, tendons and skin.

The goal of lower eyelid surgery is to produce a smooth contour from the lower lash line down to the midface. Laser resurfacing at the time of eyelid surgery can improve some tone and tautness. 

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