Cosmetic / Reconstructive Surgery for Your Eyes and Face
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Removal of Excessive Skin and Fat from the Lower Eyelids

Baggy lower eyelids are generally due to the protrusion of fat normally contained behind the eyelids, into the lower lid areas. Removal of this fat empties the “bags” and removal of excess skin tightens the surface of the lower lids to achieve a smoother, more youthful appearance under the eyes.

Usually, this procedure is performed by an incision on the inner side of the eyelids to remove the fat and a small incision in the outer corner of the eyelid to tighten the skin. Occasionally, an incision is needed under the lower lid lashes.

Procedure Video

Before and After Photos

Fat Repositioning

At times protrusion of lower eyelid fat is associated with a depression or hollowing over the cheekbone, producing a circle effect.  In such cases, repositioning the fat into these areas reduces the bags and fills in the depressions.

Details of Surgical Technique

Illustrations are from Dr. Putterman's textbook "Cosmetic Oculoplastic Surgery".