The lower eyelids have more going on and a little extra work must be done to improve their appearance. It is not just a matter of extra skin, as with the uppers.
Small natural fat pads located under the eyes may start to bulge with time. We typically refer to these as “bags” under the eyes. In addition, the lower eyelid muscle under the skin gets loose and the skin gets crinkled – both of which result in a loose, crepe-like look. If that were not enough, the tissue under the “bags” thins with time causing a hollowed out appearance.
To address these issues we need to do surgery to remove the fat pads and tighten the loose muscle, a laser treatment for the wrinkles and crinkles in the skin, and filler or fat grafting to fill in the hollow. Future blog posts will discuss fat grafting and laser treatment options.