In youth, the lower eyelids are wrinkle-free and blend seamlessly with the mid-face and cheeks. With the passing of time, or on a hereditary basis, the lower eyelids become baggy and the skin wrinkles. Baggy, wrinkled lower eyelids make the eyes look tired and old. Even young and healthy men and women can look worn and aged when their lower eyelids are baggy and wrinkled.
The goal of lower eyelid surgery (lower blepharoplasty) is to restore a refreshed, rested and natural appearance.
Lower eyelid surgery to remove the bags is most often done from the inside of the lower eyelid, the transconjunctival approach. Transconjunctival blepharoplasty allows Dr. Palu to remove or preserve fat as needed. During transconjunctival blepharoplasty, Dr. Palu often performs arcus marginalis release and fat transpositioning toward the goal of blending the lower eyelid and mid-face contour, softening tear trough deformities, and treating eyelid hollows.
For those with lower eyelid bags and wrinkled eyelid skin, Dr. Palu has developed the septo-orbicularis fixation technique, or SOFT Blepharoplasty. This operation treats both wrinkles and bags in the lower eyelids.