First the diagnosis has to be made correctly. If the issue is fat in the lower lids with good skin, this may be addressed by removing the fat from inside the lids termed a trans conjuctival blepharoplasty. If there appears to be excess skin as well then, the best approach would be a tradtional open blepharoplasty with an incision under the lashes and removal of a small amount of skin as well. If the issue is a valley beneath your eye lid, typically seen along the bony rim, then the approach may be just using a filler to fill the valley, a non surgical alternative or possibly moving some fat from the lower lid to fill the valley, performed at the time of surgery.
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