Lower Eyelid Lift – Lower Blepharoplasty & Canthopexy
Lower eyelid bags affect younger and older patients alike. Some people develop bulging fat pads at a young age and others notice the fat pads as they age and have relaxation of the connective tissue in the lower eyelid. A lower eyelid blepharoplasty removes the bulging lower lid fat pads to create a smooth contour going from the lower eyelid to the cheek. In this practice, lower eyelid blepharoplasty is almost always combined with fat grafting to smooth the tear trough and any hollowing in the upper cheeks. For most patients, an incision can be made on the inside of the eyelid, meaning that there is no visible incision. When skin removal is also necessary, an incision is made just underneath the lash line so it is well-hidden. Sometimes the lower eyelid also needs to be supported with an internal suture to tighten the lower lid.
Many people hope that filler treatments to the tear troughs will camouflage the appearance of lower eyelid bags. While a non-surgical fix is tempting, it is a temporary solution and often leads to unsatisfactory results. For patients with fullness of the lower eyelids, I always recommend having a surgical consultation so that they can hear about all of the options, have a better idea of realistic expectations, and be able to make the best informed decision.