Skip to main navigation

Lower Blepharoplasty – Introduction

With age, fat begins to protrude and skin and muscle start to sag at the lower eyelid region. This can spontaneously occur with age when the soft tissue structure called septum of the eyelid begins to weaken and atrophy. The septum functions as a thin wall that confines fat tissue, and as the septum begins to loosen, the fat around the eye starts to move below the eye giving the look of puffiness or eye bags. Also, the lower eyelid skin is stretched and weakened that it accumulates lines. Additionally, for Asians, the orbicularis oculi muscle under the lower lash line descends, deflating the youthful lower eyelid fullness.

Lower eyelid surgery, when performed properly, can improve the appearance of these conditions: eye bags, loose skin, and dark circles (depending on the cause).

Though the lower eyelid sagging may appear to be caused by fat deposition, merely removing fat often does not solve the problem. Surgeons will have to examine whether the facial bone structures underneath the lower eyelid is normal, and determine if a patient requires fat removal, fat repositioning, or fat grafting. The correct method depends on the condition of each patient.