Does lower bleph always cause hollow eyes?

Fat removal has to be done conservatively during lower eyelid blepharoplasty.  As long as it is done in a conservative fashion it is very safe and in the long run will not lead to any hollowness of the lower eyes.  The key is to remove just the right amount of fat so this is not excess fat left behind and not too much is removed either.RegardsDr. Janjua

There are always exceptions to the rule but usually lower blepharoplasty fat removal will cause hollow under eyes, either early on or it manifests as someone gets older.  That is why when I perform lower blepharoplasty, I preserve the fat and reposition it.  The exact technique is transconjunctival lower blepharoplasty with fat transposition. That is different from fat injection. See link below.

Dear Patient from New York,Lower eyelid surgery to remove or reposition fat under the eyes if done with finesse can give natural rejuvenation without issues of hollowing. Its best to seek out surgeons with great experience in lower eyelid surgery such as an Oculoplastic Surgeon in your area.I hope this was helpful.