


Type
Eyelid Surgery
Duration
40 min
What's included
5 deliverables in this treatment
- Lower blepharoplasty under local anaesthesia
- Fat pocket removal or fat transposition for hollow eyes
- Canthopexy (lower eyelid repositioning) where indicated
- Fine suture closure and post-op care kit
- Suture removal at day 7
Lower eyelid blepharoplasty at V CLINIC Brno removes or redistributes fat pads beneath the eyes and — where required — repositions the lower eyelid margin via canthopexy to eliminate puffiness, hollowing, and a tired appearance. The incision is placed just below the lower lash line; for hollow areas, fat is transposed rather than removed to restore volume. The 30–45 minute procedure uses local anaesthesia, with suture removal at day 7 and full results visible at approximately two months. It is frequently combined with upper eyelid surgery or mid facelift for comprehensive periorbital rejuvenation.
About this treatment
Lower eyelid ageing manifests differently from upper eyelid ageing, which is why the surgical approaches differ substantially. At V CLINIC Brno, lower blepharoplasty addresses two distinct presentations: the patient with excess herniated fat creating visible bags under the eyes, and the patient with under-eye hollowing and a tear trough deformity where the problem is volume loss rather than excess.
For patients with fat-bag puffiness, the procedure uses an incision just below the lower lash line to access and remove the herniated fat compartments. For patients with hollowing — or a combination of both — fat transposition is performed, repositioning the fat inferiorly into the tear trough to restore volume without requiring external filler. Canthopexy (repositioning of the outer corner of the lower eyelid) is incorporated whenever the lower lid…
Surgery takes 30–45 minutes under local anaesthesia; patients are discharged the same day. Internal absorbable sutures and fine external sutures are used, with external suture removal at day 7. Bruising and mild swelling are typical for one to two weeks, with the final result visible at approximately two months. Lower blepharoplasty is frequently performed in combination with upper eyelid surgery (four-lid blepharoplasty), mid facelift, or deep plane…
Good to know
- Incision
- Just below lower lash line
- Technique options
- Fat removal or fat transposition for hollow areas
- Anaesthesia
- Local only
- Operative time
- 30–45 minutes
- Final results
- Approx. 2 months
Who is this for?
Fat bags under eyes; under-eye hollowing; tear trough deformity; puffy appearance; patients wanting a fresher, less tired look without looking dramatically changed
Preparation required
Stop blood-thinning medications 3 weeks before. Blood tests on the day of surgery. Arrange transport home after the procedure.
About the clinic
Reviews, team and credentials
Independent review links and clinic-reported team information.
47 clinic reviews
From independent platforms
Clinical team
V CLINIC Brno is led by Prim. MUDr. Tomáš Ventruba, Ph.D., MPH, LL.M., MBA, a Masaryk University Medical Faculty graduate (2007) and the clinic's founder, who performs over 1,000 facial operations per year and created the patented V Lift technique. Aesthetic gynaecology is headed by Prof. MUDr. Pavel Ventruba, DrSc., MBA — former Head of Gynaecology-Obstetrics at Brno University Hospital, pioneer of IVF in former…
Languages: Czech, English
Treatment highlights
- Lower blepharoplasty under local anaesthesia
- Fat pocket removal or fat transposition for hollow eyes
+3 more items in What's included
From 28,000 Kč per procedure. Includes local anaesthesia, fat pocket removal or transposition, canthopexy where indicated, and post-op care kit.

