What is the Difference Between Lower Blepharoplasty and Fat Removal (Lower Eyelid)

what is the difference between lower blepharoplasty and fat removal in the lower eyelid? any extra procedure? thanks in advance.

Doctor Answers (13)

Lower blepharoplasty and fat removal

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A lower blepharoplasty encompasses fat removal of the lower lids to reduce the fatty deposits also known as bags.  When excess skin is present in the lower lid, a small incision is made at the eyelid lash line on the outside and a small amount of skin is pinched, excised, removed, and glued together with tissue glue.  The fat is removed from a transconjunctival approach on the inside of the eyelid.  Most patients that have very bad bags and are less than 50 years old can get by with only a transconjunctival approach to the lower lids without skin removal.  


Seattle Facial Plastic Surgeon
5.0 out of 5 stars 55 reviews

Lower lid blepharoplasty vs. fat removal

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Hi Medea. Lower blepharoplasty is the name for cosmetic lower eyelid surgery which may involve the skin, muscle, fat, or any combination of those. Depending on your findings and concerns, removal of lower eyelid fat may be incorporated as part of a lower blepharoplasty. Good luck.

James M. Pearson, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 29 reviews

Blepharoplasty or Fat Removal???

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A transjunctional blepharoplasty usually removes fat. A transcutaneous blepharoplasty usually removes skin and muscle, as well as fat. The amount of fat removed usually depends on the amount of fat excess. Great question.

Mark Codner, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 11 reviews

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Lower eyelid surgery can smooth skin and remove bags

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Lower eyelid surgery of any type is called a "blepharoplasty" ("blepharo" meaning eyelid, and "plasty" meaning to shape and mold). Depending on the problem, a blepharoplasty can take many forms. The 2 most common issues addressed are excess wrinkled skin, and eyelid bags. These are different things, but there may be a combination of both present in each of us. Excess wrinkly skin is smoothed by making an incision right under the eyelashes. Then the excess skin is elevated (with or without the squinting "orbicularis" muscle), pulled out like a sheet, and then the excess is removed. The scar, if done well, is virtually invisible. Eyelid bags are caused by the little fat pockets bulging forward. To correct, a hidden incision can be made on the inside shiny surface (called the "conjunctiva") of the lower eyelids and the fat is plucked out. If there is a combination of both problems, excess skin and bags, the fat can be removed through the under-lash (called "subciliary") incision. Blepharoplasty is an effective procedure in the right hands. Seek a board certified plastic surgeon!

Ariel N. Rad, MD, PhD
Baltimore Plastic Surgeon
5.0 out of 5 stars 26 reviews

Blepharoplasty vs Liposuction of the Lower Eyelid

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Fat removal of the eyelid, which is usually done with very small liposuction cannulas, simply removes the fat but does not correct any loose or sagging skin. There are very few indications for this, as we usually like to leave the fat in place to disguise the bony orbit that becomes more prominent as we age. Blepharoplasty redistributes the fat, tightens the skin and support structures and rejuvenates the cheek area also.

Robert T. Buchanan, MD
Highlands Plastic Surgeon
5.0 out of 5 stars 4 reviews

What is a lower blepharoplasty?

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A lower blepharoplasty can also be term a lower eyelid lift. There are many components to the procedure which are customized for each patient. During a lower blepharoplasty, we often remove excess skin, suspend the muscles and eyelid, and reposition the fat to correct the tear trough deformity. It is rare to have to remove fat, but at times it may be necessary. We often perform fat injections or a midface lift to improve the final outcome. Hope this helps, Frank Agullo, El Paso, Texas.

Frank Agullo, MD
El Paso Plastic Surgeon
5.0 out of 5 stars 28 reviews

Blepharoplasty = Cosmetic Eyelid surgery

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Blepharoplasty is any surgery designed to improve the cosmetic appearance of the eyelids. Sometimes excess or wrinkled skin is removed from the lower eyelid and sometimes just fat is removed if there is a noticeable bulge below the eye. The fat can be removed through an incision on the outside (usually just under the eyelashes) or through an incision on the inside of the eyelid where it isn't visible.

Benjamin Dunkley, DO
Salt Lake City Facial Plastic Surgeon
4.0 out of 5 stars 10 reviews

Lower blepharoplasty definition

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Lower blepharoplasty means lower eyelid surgery to improve the appearance of the lower eyelid, which may include fat removal (or repositioning) and/or skin tightening via various techniques.  Lower eyelid fat removal, if necessary, is part of lower blepharoplasty.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
5.0 out of 5 stars 7 reviews

Lower eyelid surgery

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Oftern if you just have prominent lower eyelid fat, a transconjuctival (inside the lashes) incision can be made to go down and either resect or reposition/redrape the fat pads without any skin excision or lower lid tightening. Typically, these patients would be young with good lower lid skin tone. For those patients with sagging lower lid skin and prominent fat herniation, both skin and fat are targetted with an incision on the face 2-3 mm below the lashes. This approach also allows not just lower lid skin tightening but also tightening of the lid itself if needed. Both procedures are known as Blepharoplasty. It is very important that when you are discussing the procedure with your surgeon, you ask specifically where the incision will be and what the procedure will entail as well as what to expect with the recovery and cosmetic outcome as these approached differ with respect to these issues.

Edwin Ishoo, MD
Brookline Facial Plastic Surgeon
5.0 out of 5 stars 16 reviews

Blepharoplasty means eyelid surgery.

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Lower blepharoplasty means eyelid surgery on the lower eyelids.  What is in that surgery will vary.  It might be done behind the eyelid through the conjunctiva, also known as a transconjunctival blepharoplasty.  If might be done through a skin incisions also know as a transcutaneous lower blepharoplasty.  Still these surgeries are further broken down depending on what precisely is done as part of these surgeries.  In a transconjunctival blepharoplasty, fat may be removed or transfered (arcus marginalis release), or a pinch of skin may also be removed when necessary as part of the procedure.  Transcutaneous lower blepharoplasty typical cuts through skin and lower eyelid muscle to gain assess to lower eyelid fat.  When complete skin and muscle are often trimmed.  This transcutaneous lower blepharoplasty is commonly associated with a number of complications.  This includes rounding of the lower eyelid, vertical inadequacy of the lower eyelid, inferior scleral show and dry eye.  These complications are inherent to the design of the surgery and do not reflect poor surgical technique.  For this reason, sophisticated lower eyelid surgeons avoid this approach to the lower eyelid.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 14 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.