Lower eyelid bags

What you should know about Lower Blepharoplasty or Lower Eyelid Lift

Lower eyelid bags are most effectively treated with a Lower blepharoplasty also known as a Lower Eyelid Lift, performed through an incision on the inside of the lower eyelid.

The goal of lower blepharoplasty is to restore the lost volume at the eyelid-cheek junction also known as the tear-trough or the dark hollow circle under the eye. This is best achieved by transposing (moving) the fat from the “bags” down into the dark hollow circle via a small incision on the inside of the eyelid, a procedure called Fat Transposition. This is however possible only when there is enough fat in the lower eyelid bags to be moved down into the dark hollow circles. The fat is temporarily anchored with 2 sutures that are removed at 5 days. The advantages of fat transposition are multiple: it corrects the lower eyelid bags, it fills in the hollowness at the eyelid-cheek junction and provides a long lasting result with minimal downtime.

Sometimes, there is not enough herniated fat in the lower eyelids to fill in the tear trough completely and autologous fat injections are necessary to fully correct the volume loss. This type of lower blepharoplasty called “Augmentation blepharoplasty” is becoming the most commonly performed cosmetic procedure in my practice.

The procedure is usually combined with a lower eyelid skin and muscle tightening and a Midface (SOOF) lift which results in the simultaneous correction of the lower eyelid and cheek laxity and descent.