Lower Eyelid Lift – Lower Blepharoplasty in Raleigh NC

Lower eyelid bags affect younger and older patients alike. Some people develop bulging fat pads at a young age, while others notice them as they age due to relaxation of the connective tissue in the lower eyelid. A Lower Eyelid Lift (lower blepharoplasty) removes the bulging lower lid fat pads to create a smooth contour from the lower eyelid to the cheek.

At Blue Water Plastic Surgery Partners, lower eyelid blepharoplasty is almost always combined with fat grafting to smooth the tear trough and any hollowing in the upper cheeks. This comprehensive approach ensures natural, harmonious results that rejuvenate the entire eye area. For most patients, an incision can be made on the inside of the eyelid, meaning there is no visible incision. When skin removal is also necessary, an incision is made just underneath the lash line so it is well-hidden.

Sometimes the lower eyelid also needs to be supported with an internal suture to tighten the lower lid, a procedure called canthopexy. This additional support ensures long-lasting results and prevents future drooping. Our board-certified plastic surgeon evaluates each patient individually to determine the best surgical approach for their unique anatomy and aesthetic goals.

Many people hope that filler treatments to the tear troughs will camouflage the appearance of lower eyelid bags. While a non-surgical fix is tempting, it is a temporary solution and often leads to unsatisfactory results. For patients with fullness of the lower eyelids, we recommend having a surgical consultation so that you can hear about all of the options, have a better idea of realistic expectations, and be able to make the best informed decision.