Lower Eyelid Blepharoplasty

Part of our complete guide to Blepharoplasty (Eyelid Surgery) — this page covers lower eyelid blepharoplasty in depth.

Lower Eyelid Blepharoplasty

Lower eyelid blepharoplasty (lower eyelid surgery, often called “eye-bag” surgery) reduces the puffy bags and crepey skin of the lower lid that result from orbital fat pushing forward as the supporting tissues and skin lose their elasticity. It is most often performed for cosmetic rejuvenation, though it also has functional and reconstructive applications, restoring a smoother, less tired lower-lid contour.

Surgical Approaches

Two routes are used, chosen according to how much skin excess is present:

• Transconjunctival (internal): The incision is made on the inner conjunctival surface, avoiding an external skin incision and therefore no visible cutaneous scar. It is preferred when fat removal or repositioning is the main goal and skin excess is minimal.
• Transcutaneous (external): The incision is placed just beneath the lash line, allowing simultaneous removal of excess skin. It demands precise, tension-free closure to avoid pulling the lid down or outward (ectropion).