Lower Eyelid

Eyelid surgery (or blepharoplasty) allows Dr. Daniel Lensink to revitalize the appearance of the eyelids. Lower eyelid blepharoplasty can help reduce the amount of sagging, the protrusion of fat pads causing the appearance of bags under the eyes, and distinct wrinkles or crow’s feet. Skin laxity in the lower eyelids is fairly common with our patients, and Dr. Lensink creates a dedicated surgical plan to improve your vision, appearance, and any physical discomfort associated with lower eyelid aging.

What Causes the Appearance of Tired Eyes and Bags?

When you’re young, your skin is tight, elastic, and continually regenerates healthy cells each day. Strong bone structure and supportive muscle layers are separated from your skin by a generous, youthful layer of volume-boosting adipose (fatty) tissue. As you age, your face loses volume, causing daily muscle movements to have more of an effect on thinning skin. As a result, your cheeks may fall due to gravity, and any adipose tissues left behind will shift, further enhancing sunken lower lids and protruding fat from behind the eyes.

We refer to this protrusion of fat into the lower eyelid as a herniation of adipose tissue from the back of the eye socket. The reason behind this herniation of fat is attributed to a multitude of things, including a genetic predisposition for deeper set eyes or bags under the eyes at a young age, and weakened muscle within the eye socket. Aside from inheriting this appearance, you may have neglected to wear sunscreen, rubbed your eyes too much, or had allergies that caused irritation to your eyes.

Methods of Blepharoplasty to Reduce Puffy Eyes and Loose Skin

Bags under the eyes or lower eyelid sagging are common problems that Dr. Lensink can solve with both surgical and nonsurgical solutions. Patients that come in to see Dr. Lensink range from young adults to men and women in their sixties and above, each hoping to attain a naturally rejuvenated appearance in the eyes and face. Lower lid blepharoplasty is one way to achieve this refreshed look. Dr. Lensink will utilize one of two possible approaches to blepharoplasty, depending on the severity of lower eyelid sagging and the amount of loose skin around the eye.

  • The transconjunctival technique to blepharoplasty of the lower lid involves making an incision through the conjunctiva – the skin behind the lower eyelid. Because of the incision placement, this technique is best used on younger patients with reduced skin laxity. Any excess fat that causes protruding bags under the eyes can be extracted or positioned favorably to enhance any volume loss at the cheek bone. Using this approach to extract excess tissues from the lower eyelid removes any appearance of scarring.
  • The transcutaneous approach to blepharoplasty of the lower eyelid starts with an incision below the lower lash line, at about two millimeters. Dr. Lensink will extract excessive sagging skin that causes severe wrinkles, adipose and redundant muscle tissues. By restructuring the supportive muscle layer and removing loose skin, wrinkles disappear, and the lower eyelids are restored. Using the transcutaneous approach to lower eyelid blepharoplasty, there will be a slight hairline scar.

Nonsurgical Enhancements and Solutions

Surgery isn’t the only option to help you reduce puffy eyes and sagging skin in the lower eyelid. When you come in for a consultation with Dr. Lensink, he will measure the depth of loose skin, natural shape of the eyes, wrinkles, and adipose tissue within the lower eyelid to assess whether or not a minimally invasive procedure is ideal for you. While surgery will help to dramatically reduce this problem for many patients, dermal fillers and laser skin resurfacing may be your best option.

ALMI for Tear Trough Depression

While you may not require excess fat and skin removal at this time, you may need some added volume to refresh the look of depressions or what we call a pronounced tear trough under the eye. Tear trough depression is often confused with the need for blepharoplasty and fat removal. Introducing injections using your own fat with ALMI, Dr. Lensink can reshape and lift tear trough depression as well as improve collagen growth within the lower eyelid.

The ALMI technique requires liposuction from areas in your body such as the abdomen and under the chin. We then micronize that fat and inject it into the tear trough. There may be some slight swelling or bruising associated with this tear trough injection, so you may need a couple of days to allow this to recede. Patients will notice a marked improvement in these hollow areas almost immediately, with results typically lasting up to one year.

Laser Skin Rejuvenation for Lower Eyelids

To address mild wrinkles, skin tone and texture under the eyes, laser skin rejuvenation is something Dr. Lensink recommends. While blepharoplasty will reduce excess skin and fat, laser skin rejuvenation treatments can tighten and improve the quality of your skin to smooth out imperfections that remain or to enhance the results of your procedure. Non-ablative lasers will target these surface issues in the outer eye or temple while addressing damaged proteins – strands of collagen and elastin – that cause skin weakness.

CALL 530-229-7700

Schedule your consultation for blepharoplasty today at 530-229-7700 and let Dr. Lensink recommend the best procedure to rejuvenate youthful lower eyelids.