How it works
It all begins with a consultation. Your surgeon will listen to what concerns you, examine the lower lid, assess your skin elasticity, the amount of fat, and how firm the lid is, then review your eye health and medical history. This is also when you say clearly what you are hoping for, and your surgeon tells you honestly what this surgery can and cannot do.
The surgery is usually done under local anesthesia with sedation, or under general anesthesia depending on the case. Your anesthesia options will be explained before the day of surgery so you can decide together on the plan that fits you.
Depending on your situation, your surgeon may make an incision just below the lash line to remove excess skin and reshape the fat, or an incision on the inner surface of the lid (behind the lid, leaving no visible scar) when the main issue is fat bags. Your surgeon will remove or reposition the bulging fat, and when needed, trim loose skin sparingly.
Your surgeon works carefully to keep the lower lid from being pulled downward and to keep both eyes balanced with each other. The stitches are usually small and placed thoughtfully so they fade over time. The whole procedure usually takes about one to two hours.