A common concern among patients is the appearance of bags under the eyes that make them appear tired, drawn and older than they wish. Lower eyelid bags occur in different people for different reasons; genetics, bone structure, loss of facial volume with aging, gravity, allergies and protrusion of the fat within the eye socket are just a few of the causes. Depending upon the severity of the bags, there are many non-surgical options that may help reduce the appearance of the excess tissue. Skin treatments such as chemical peels, skin resurfacing treatments such as Fraxel® or skin tightening treatments such as Thermage® may be all that is needed to correct the bags. In some cases the bags may often be masked by hyaluronic acid (HA) fillers such as Restylane® or Juvéderm® where a small amount of the material is gently injected into the area around the bag to mask the puffy area created by the excess tissue. In severe cases the bags can only be completely corrected via a lower eyelid blepharoplasty (also known as lower eyelid surgery).

Depending on the patient different techniques are used to achieve the desired surgical result like in younger patients with minimal excess skin present, a transconjunctival lower lid blepharoplasty may be performed. This procedure involves making an incision inside the eyelid to minimize any appearance of a scar. In older patients or those with more excess skin, a transcutaneous lower lid blepharoplasty may be performed. This procedure involves making a small incision 1 to 2mm below the eyelash line on the lower eyelid, removing the excess skin and repositioning the lower lid fat or removing it completely.