Thank you for your photo. I'm sorry to hear about the result your aunt had with eyelid surgery. Too often, surgeons remove too much skin and fat from the eyelid. Yes, it can be repaired. A very common aging change in the lower eyelids is the development of 'bags', which are in most cases due to an outward bulging of the fat pads behind the lower lids. These 'bags' of fat can be improved by conservative removal through an invisible incision on the inside of the lower lid (trans-conjunctival approach) in patients that do not require skin excision, or through the under-eyelash (sub-ciliary approach) in patients that are having some excess lower lid skin removed.
