What is Lower Eyelid Surgery (Lower Blepharoplasty)?

Lower blepharoplasty is a surgical procedure to remove or reposition excess fat beneath the eyes that causes puffiness and under-eye bags. The process may also involve redistributing fat to create a balanced appearance and reduce dark circles. This procedure restores a refreshed and youthful look to the face, making the eyes appear brighter and rejuvenated.

Causes of Under-Eye Bags: Why Do They Occur?

Under-eye bags are a common issue faced by people of all ages, from teenagers to older adults. They result from the accumulation of fat beneath the eyes, often due to skin laxity or other factors such as:

  • Genetics: A hereditary predisposition to fat deposits or weak skin structure.
  • Lifestyle: Lack of sleep, stress, or a high-sodium diet leading to fluid retention.
  • Aging: Loss of skin elasticity and muscle weakening, causing fat to protrude.

Under-eye bags may appear as puffiness, dark circles, or hollowing, affecting the overall youthful and vibrant appearance of the face.

Differences Between True and False Under-Eye Bags

Under-eye bags that make the face appear tired and dull can be categorized into two main types: true under-eye bags and false under-eye bags. Each type has distinct characteristics and causes.

Characteristics of True Under-Eye Bags:

  • Permanent puffiness, even with adequate rest.
  • Caused by the accumulation of fat under the eyes and skin laxity.
  • Becomes more noticeable with age.

Characteristics of False Under-Eye Bags:

  • Often caused by lifestyle factors or environmental conditions, such as lack of sleep or allergies.
  • Puffiness fluctuates based on rest and health conditions.
  • May be accompanied by dark circles under the eyes.

Understanding the difference helps in choosing the right treatment approach for each type of under-eye concern.

 

Surgical Technique

External Incision: External Incision Technique for Under-Eye Bags

The External Incision technique for under-eye bag surgery is ideal for individuals with significant under-eye puffiness or severe skin laxity. This method involves making an incision on the outside of the lower eyelid to remove excess fat and tighten the skin. It effectively restores a youthful and refreshed appearance, helping to reduce sagging and puffiness beneath the eyes.

Internal Incision: Internal Incision Technique

For individuals with under-eye bags caused by the accumulation of fat beneath the skin but without significant skin laxity, the Internal Incision technique is a suitable and popular option. This method involves making an incision inside the lower eyelid, which conceals the incision and prevents any visible scarring on the outside. The incision heals without leaving any noticeable marks, effectively reducing puffiness and signs of fatigue around the eyes.

What Can Under-Eye Bag Surgery Fix?

✅ Puffy under-eye bags caused by excess fat accumulation
✅ Dark circles under the eyes due to fat accumulation or skin structure issues
✅ Deep hollows under the eyes that make the face appear tired
✅ Loose skin under the eyes due to aging

Highlights of Under-Eye Bag Surgery

  • Instantly brightens the eyes
  • Long-lasting results by addressing the structural issues directly
  • Reduces wrinkles and dark circles under the eyes
  • Small incisions and quick recovery with modern techniques

Pre- and Post-Surgery Care
Before Surgery:

  • Avoid medications or supplements that may increase bleeding, such as aspirin or vitamin E
  • Refrain from smoking and alcohol consumption for about two weeks before the surgery
  • Inform the doctor of any medical history or pre-existing conditions

After Surgery:

  • Apply cold compresses for the first 24-48 hours to reduce swelling
  • Avoid touching the wound and refrain from makeup in the initial days
  • Sleep with your head elevated to reduce swelling
  • Follow up with the doctor and strictly follow their aftercare instructions

Who Is Suitable for This Procedure?

  • Individuals with noticeable puffy under-eye bags
  • People with dark circles under the eyes due to fat buildup
  • Those who want a fresher, more youthful appearance
  • Healthy individuals without any underlying medical conditions that may interfere with the surgery