How it works
Everything starts with an examination and consultation. Your doctor will look at your skin, the amount of fat, how far the cheek has descended, and how firm the lower lid is, and will ask about your eye history and your health. This is when you say clearly what you want to change, and together you agree on a plan that fits your face.
The procedure is usually done under local anesthesia with sedation, or under general anesthesia — the choice depends on how much is being done and on your health. Your doctor will talk through the anesthesia plan with you before the day of surgery.
The incision usually sits right beneath the lash line so the scar stays fine and hard to see. Through it, your doctor removes or repositions the puffy fat in the lower lid, trims excess skin conservatively, then lifts and secures the soft tissue of the cheek to a higher position to support the under-eye area. When needed, your doctor adds a stitch to keep the lower lid margin gently snug, which helps lower the chance of the lid being pulled downward after surgery.
After the incision is closed with fine sutures, you are watched for a short while and, in most cases, can go home the same day. Your doctor and nurse will show you how to care for the incision, how to use cold compresses, and how to take your medication at home.