The lower eyelid presents with progressive bulging of the periorbital fat pads. As these fat pads push forward they cause shadowing and darkening under the eyes. This gives the appearance of tiredness or lack of sleep.
Cosmetic surgery of the eyelids is called Blepharoplasty. There are two basic approaches - an external approach called a skin muscle approach, which removes skin and fat pads, and a more conservative internal approach called a Transconjunctival Blepharoplasty that only removes fat pads.
Which technique is used is determined by the doctor and the patient together. |