This procedure was extremely populated approximately 10-20 years ago, and although people still perform it and in good hand a can give good results, many people have abandoned it because it tends to have a higher complication rate. It is not that it is a bad procedure, it is just a lot more complex and significantly more detailed and involved than a standard lower blepharoplasty. Of course the results that are expected and the indications for it are very different than a standard blepharoplasty. As the patient, he should never be choosing the operation, but you should be choosing a good plastic surgeon and telling him or her what your problem is so that they can recommend proper operation to you.