Lower eyelid surgery, or lower blepharoplasty, is a highly effective cosmetic procedure designed to address under-eye puffiness and skin laxity. It’s one of the most requested procedures for those seeking a more youthful, rested appearance—especially after weight loss, aging, or chronic fatigue leads to visible under-eye bags.
What Does Lower Eyelid Surgery Treat?
The procedure is ideal for treating:
- Under-eye bags or bulging fat pads
- Loose or sagging skin beneath the eyes
- Shadowing or hollowness around the tear trough
However, it’s important to note that while lower blepharoplasty tightens skin and removes excess fat, it does not eliminate fine lines or wrinkles. That’s where combination treatments come in.
Incision Options: Inside vs. Outside
Lower eyelid surgery can be performed in two ways:
- Transconjunctival (Inside/Scarless Approach): This technique involves making the incision inside the eyelid. It is ideal for patients with puffiness but good skin tone, as it removes or repositions fat without any visible scar.
- Subciliary (Outside Approach): This method places the incision just below the lash line, allowing access to both fat and skin. It’s best for patients who need both fat removal and skin tightening.
During your consultation at SARA Surgery, we’ll evaluate your skin tone, fat volume, and goals to recommend the best approach.
What About Wrinkles?
While lower eyelid surgery improves contour and tightness, it won’t erase all wrinkles or fine lines. That’s why many patients at SARA opt for combination treatments, including:
- Laser resurfacing to improve skin texture
- Dermal fillers or fat grafting to soften hollowing or shadows
- Medical-grade eye creams for hydration and skin repair
These adjuncts can help optimize your results and maintain a more youthful appearance long-term.
Trust Your Eyes to SARA Surgery
Your eyes are one of your most defining features—so choosing a qualified, board-certified plastic surgeon is essential. At SARA Surgery, we specialize in personalized lower eyelid rejuvenation plans, whether you’re concerned with fat pads, skin laxity, or fine lines. We offer the latest techniques and technologies to help you look refreshed without changing who you are.
Schedule your consultation today and let us help you reveal a brighter, more rested look.