How Can I Fix My Baggy Lower Eyelids?
Puffiness beneath the eyes is a common concern for many individuals, often contributing to a perpetually fatigued or aged appearance. These “bags” typically form as fat accumulates or shifts in the lower eyelids over time, leading to a bulging effect that can be resistant to topical creams, makeup, or lifestyle changes.
For those seeking a long-lasting solution, lower eyelid surgery – sometimes performed in combination with other facial procedures – can restore a smoother, more vibrant look. In this post, our Philadelphia plastic surgeon provides further detail.
Why Do Lower Eyelid Bags Form?
As we age, the delicate tissues surrounding the eyes can undergo several changes. For instance, the skin can lose elasticity, muscle tone can weaken, and fat deposits may shift forward or downward. These factors can result in under-eye puffiness that casts shadows and distorts the contours of the lower lids.
Genetics, sun damage, smoking, fluid retention, allergies, and even sleep habits can accelerate or exaggerate these changes.* While many people try to mask the appearance of lower eyelid bags with concealer or eye creams, they find that these options do not address the structural causes of the issue.
Lower vs. Upper Eyelid Surgery
It is important for patients interested in eyelid surgery (also called “blepharoplasty”) to distinguish between the upper and lower eyelids. Each area presents unique aesthetic and anatomical concerns, and the course of the procedure will depend on the patient’s unique cosmetic goals.
Specifically, upper blepharoplasty focuses on removing excess skin from the upper eyelids that may cause heaviness, drooping, or a hooded appearance. In some cases, this sagging skin can even interfere with vision. By lifting and smoothing the upper lids, patients can appear more refreshed, revitalized, and alert. Dr. DiBello is often able to perform upper eyelid surgery in-office using local rather than general anesthesia.
Lower blepharoplasty, on the other hand, is designed to target puffiness, wrinkling, and volume irregularities beneath the eyes. The main objective is to reduce or reposition protruding fat pads, tighten loose skin and muscle, and improve the transition between the lower eyelid and the upper cheek.
Although upper and lower blepharoplasty can be performed as standalone procedures, they can also be combined to achieve comprehensive rejuvenation of the eye area. Dr. DiBello customizes each treatment plan to match the patient’s facial anatomy, aesthetic preferences, and lifestyle considerations.
Addressing Fat Pads and Hollowing
Fat pads under the eyes are not inherently problematic and do not present an urgent medical concern. With that being said, patients may wish to correct this issue if the fat pads contribute to a puffy or tired appearance.
During lower blepharoplasty, Dr. DiBello carefully evaluates the fat pads to determine the best course of action. In some cases, rather than simply removing the fat, he will redistribute or sculpt it to achieve a smoother contour between the lower eyelid and cheek.
Many patients find that volume loss in the midface or under-eye region also contributes to a sunken or shadowed appearance. In these cases, facial fat transfer – which uses purified fat from another area of the patient’s body – may be recommended to restore fullness and further refine the blepharoplasty results. By blending these techniques, Dr. DiBello can create a more balanced facial aesthetic.
Can a Brow Lift Improve the Eye Area?
While the lower eyelids are typically the focus of concern when addressing under-eye bags, the upper third of the face should not be overlooked. A lateral brow lift can enhance the position and contour of the outer brow, which may begin to droop with age. This subtle elevation can open up the upper eye area and improve overall facial harmony.
When performed in conjunction with upper blepharoplasty, a lateral brow lift can also reduce the heaviness in the upper eyelids and smooth lateral hooding, enhancing the results of eyelid surgery. Dr. DiBello often considers this combination for patients seeking a more youthful and rested look in the upper face.
Natural-Looking Results From a Fellowship-Trained Plastic Surgeon
Dr. Joseph DiBello’s approach to eyelid surgery emphasizes precision, subtlety, and symmetry. His goal is never to alter your unique appearance; rather, he strives to help you look like a more rested, revitalized version of yourself. By customizing each blepharoplasty to the needs of the patient, our plastic surgeon regularly delivers refined, natural-looking outcomes that last.
To learn more about upper and lower blepharoplasty, or to explore related facial enhancement options (such as brow lift surgery or fat transfer), schedule your consultation with Dr. DiBello today.