Lower Eyelid Surgery (Blepharoplasty)

Lower blepharoplasty corrects under-eye bags, puffiness, and loose lower-lid skin that make the face look permanently tired. PRIMED Clinic's eyelid specialists remove or reposition the herniated fat pads and tighten excess skin through an incision hidden just under the lash line, or through the inner lid surface when no skin removal is needed.

Under-eye bags form when the fat that cushions the eyeball pushes forward against a weakened lower-lid septum, often combined with skin laxity and a hollow tear-trough groove beneath. Creams and injectables can only camouflage this anatomy; lower blepharoplasty corrects it. Depending on findings, the surgeon removes or — increasingly — repositions the protruding fat pads to fill the tear trough, and excises a conservative strip of excess skin through an incision placed millimetres below the lash line, where it heals to near-invisibility. In younger patients with bags but no loose skin, the fat can be addressed from inside the eyelid (transconjunctival approach), leaving no external scar at all. At PRIMED Clinic lower-lid surgery is performed by dedicated eyelid surgeons, under local anaesthesia (with sedation if preferred), taking roughly 60–90 minutes for both eyes as a day procedure. Conservative tissue handling protects lid position and function. Swelling and bruising are more noticeable than after upper-lid surgery and settle over one to two weeks; sutures are removed within a week. The result — a smooth, rested lower-lid contour — typically lasts a decade or more. Lower blepharoplasty is commonly combined with upper-lid correction in one session.