Eye For God
Bert Bowden, MD

Cosmetic and Reconstructive Eye Surgery

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Surgery For Lower Eyelid Bags

The bags beneath the lower eyelids that occur in both younger and older people are a frequent sign of the effects of gravity on the eye and orbit. As the eyebrows, eyelid, and lower lids become drooping so does the septum that holds the fat back within the orbit. As the septum becomes thinner, the bags of fat may come out from underneath the eye. Some people think this is simply a swelling of fluid, but it actually represents the fat that is within the orbit. It becomes particularly more prevalent as the cheek skin also is affected by gravity and falls.

In the past, many people simply removed the bags of fat (and this may still be done). Of course, Dr. Bowden recognizes that lower eyelid surgery or a lower eyelid blepharoplasty is primarily designed to reshape the lower face. It is not a surgery just for removing skin. Many surgeons make an incision through the skin -- this guarantees a result of retraction of the lower eyelid. When this is particularly bad, one can get rounding of outside lower eyelid with showing of the white of the eye.

The lower eyelid fat may be easily removed by making an incision on the inside of the eyelid via the transconjunctival approach. In this case, the incision is made through the conjunctival lining of the eye and the excess fat is identified and removed. However, it does eliminate the bags of fat and it does not necessarily completely reconstruct the eyelids. In a situation of a young person with a large amount of fat, this may be an adequate procedure. However, it may be better to actually reconstruct the entire midface and maintain the fat within the orbit. Take a look at the information on midface lift to understand more about this.








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