Type
Eyelid Surgery
Duration
1 hour
What's included
5 deliverables in this treatment
- Pre-operative assessment of lower lid fat distribution and skin laxity
- Lower lid canthal snap-back test to assess lid tone and canthoplasty need
- Local anaesthesia and transconjunctival or subciliary fat correction
- Canthopexy or canthoplasty if lower lid laxity is identified
- Suture removal appointment at day 7–9 and post-op guidance
Lower eyelid surgery at MUDr. Kloud's Hradec Králové clinic removes or repositions the herniated fat pads that create persistent under-eye bags, and can address lower lid skin laxity, through either a transconjunctival incision (inside the lower lid, leaving no visible external scar) or a subciliary incision just below the lower lashes. Performed under local anaesthesia as an ambulatory procedure, lower blepharoplasty is often combined with upper eyelid surgery in the same session for a comprehensive lid correction. When lower lid laxity is present — a factor assessed at pre-operative consultation — canthopexy or canthoplasty may be added to support the lower lid margin.
About this treatment
Lower blepharoplasty targets the structural changes that produce under-eye bags: the herniation of orbital fat through a weakened orbital septum, which creates the characteristic persistent puffiness below the eye that is unrelated to sleep quality or fluid retention. Unlike temporary swelling, under-eye bags caused by fat herniation cannot be resolved through skincare or lifestyle measures — they require surgical repositioning or removal of the fat…
MUDr. Kloud selects the surgical approach based on the anatomy present at consultation. The transconjunctival approach (incision on the inner surface of the lower lid) is used when the primary concern is fat repositioning or removal without significant lower lid skin excess — the technique leaves no visible external scar and has a lower risk of lower lid distortion in patients with good skin tone. The subciliary approach (incision just below the lower…
For patients with pre-existing lower lid laxity — assessed by the snap-back and pinch tests at consultation — canthopexy (tightening the lateral canthal tendon through an internal stitch) or canthoplasty (reconstruction of the lateral canthal angle) is added to prevent the ectropion (outward turning of the lower lid) that can complicate lower blepharoplasty in susceptible patients. This assessment and any planned lateral canthal support are discussed…
Good to know
- Anaesthesia
- Local (ambulatory)
- Price
- CZK 18,000 (lower lids)
- Approaches
- Transconjunctival or subciliary
- Lid laxity support
- Canthopexy/canthoplasty if needed
- Combinable with
- Upper blepharoplasty in same session
Who is this for?
Adults with persistent under-eye bags from fat herniation, lower lid skin laxity, or those seeking combined upper-and-lower lid correction in one session
Preparation required
No GP pre-op examination required for local anaesthesia. Disclose dry eye, thyroid conditions, or history of lower lid surgery. Stop blood-thinning medications before procedure.
About the clinic
Reviews, team and credentials
Independent review links and clinic-reported team information.
3 clinic reviews
From independent platforms
Clinical team
MUDr. Martin Kloud is the sole surgeon at this private practice. Born in Prague in 1971, he graduated from the 1st Medical Faculty of Charles University Prague in 1995, obtained board certification in General Surgery in 1998, and in Plastic Surgery in 2005. He holds a Czech Medical Chamber licence for private practice and as department head in plastic surgery. His surgical training spans multiple Czech university…
Languages: Czech
What clients say
"{"author":"Patient (firmy.cz, Hradec Králové)","text":"Top rating — 100/100 on firmy.cz from a verified patient review of the Hradec Králové practice.","source":"Firmy.cz"}"
Treatment highlights
- Pre-operative assessment of lower lid fat distribution and skin laxity
- Lower lid canthal snap-back test to assess lid tone and canthoplasty need
+3 more items in What's included
Lower eyelids only: CZK 18,000. Can be combined with upper eyelid surgery (CZK 12,000) in the same local anaesthesia session. Consult for combined pricing. Ambulatory outpatient procedure — no hospital stay required.