N. Nick Bhatt, MD
Award-winning, board-certified plastic surgeon
Phone: 706.394.9283
Email: dr.nickbhatt@gmail.com
Lower Eyelid Surgery
When meeting someone new, our focus often centers on their eyes, making it a common area to notice initial signs of aging. Puffiness in the lower eyelids may present at a very young age.
​
Initially, addressing this concern may involve fat removal only, which can be achieved through a lower eyelid surgery without a visible skin incision. The fat is removed from the inner side of the eyelid, a technique known as transconjunctival blepharoplasty. As time passes, excess skin may develop along with the lower eyelid bulge or bag. For individuals with both excess skin and lower eyelid puffiness, a transcutaneous lower eyelid surgery (blepharoplasty) is the most effective approach. This procedure involves a hidden skin incision just below the eyelash line, allowing for the removal of excess skin and bulging fat. Once healed, the skin incision from the transcutaneous blepharoplasty becomes nearly imperceptible.
​
In some cases, the lower eyelid bag and excess skin are accompanied by changes in skin texture, causing a crepe-like appearance. Simple removal of skin and/or fat will not adequately address this texture issue. For such individuals, combining laser skin resurfacing with lower eyelid surgery offers the most optimal treatment, addressing excess skin, puffiness, bags, and the crepe-like texture in a comprehensive manner.