What is fat-repositioning lower eyelid blepharoplasty?

Lower lid blepharoplasty reduces under-eye bags caused by orbital fat herniation. Often a ring-like depression occurs at the bony orbital rim, accentuated by the bulging orbital fat above and the dropped cheek mound below. Traditional techniques achieve this goal by excision of fat, which can make the eye appear to gaunt, skeletal, and hollow.

I prefer lower lid fat-repositioning blepharoplasty, which is designed to address under-eye bags and hollows while preserving natural volume. Instead of removing fat, the I release the orbital septum that holds back the orbital fat, allowing it to spill down to fill the ring-like depression at the orbital rim. This approach smooths the lid–cheek junction and eliminates the abrupt transition that commonly makes patients look tired or aged, maintaining a more youthful contour without creating a hollowed or overly operated appearance.

Candidates for fat repositioning blepharoplasty typically include individuals with prominent lower lid fat pads and concomitant midface volume loss or skin laxity. The surgery can be performed through a transconjunctival approach (inside the eyelid) when no skin excision is required, minimizing visible scarring and recovery time, or combined with skin tightening when necessary. In the before and after views in this patient, notice how the junction between eyelid and cheek has a smoother contour and maintains youthful cheek volume.