Before and After Gallery
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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
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.