Lower blepharoplasty with fat transposition

Lower Blepharoplasty – Female in Her 30s

Goals
This patient was bothered by lower-eyelid bags, excess skin, and prominent tear troughs that made her look tired even when she felt well rested. The combination of puffiness and hollowing was also difficult to camouflage with makeup. She wanted a smoother, more rested appearance while still looking completely natural.

Procedure
I performed a lower blepharoplasty through a subciliary approach, with conservative skin excision and fat transposition into the tear troughs to smooth the transition between the lower eyelid and cheek. A canthopexy was added to support and maintain the position of the lower eyelid.

Outcome
Her lower-eyelid bags and excess skin are significantly improved, and repositioning her own fat into the tear troughs created a smoother, more continuous transition from the lower eyelid into the cheek. The tired appearance has been replaced by a naturally rested look, and the area is now much easier to manage with makeup.

Key Principle
An important feature of lower-eyelid rejuvenation is the apparent vertical height of the lower eyelid. In her before photographs, the combination of lower-eyelid bags and a deep tear trough makes the lower eyelid appear vertically longer or “taller.” After surgery, smoothing the bags and filling the tear trough allows the lid-cheek junction to appear higher, making the lower eyelid look vertically shorter. This shorter, smoother lower-eyelid appearance is an important part of creating a younger, more rested look without looking operated on.

Why I Believe Eyelid Surgery Should Preserve Rather Than Remove.

Preservation Approach to Lower Eyelid Surgery. Look rested …Look like yourself