This procedure is aimed at resolving the puffiness caused by excess protruding fat and the wrinkling caused by gathering skin in the lower eyelid.

Two approaches exist for lower lid blepharoplasty. In the traditional approach, an incision on the outer surface of the lid (just below the eye) provides access for removal of the fat. While effective, this technique can scar the inside surface of the lid, thus increasing the risk of eye irritation and dry eye syndrome.

Newer approaches, however, eliminate the need for external incisions and significantly reduce the risk of scarring. This is accomplished by making an incision, interestingly, on the inside of the eyelid, which produces minimal or no scarring. Many Cleveland Clinic physicians use this approach, also known as “scarless” lower lid blepharoplasty, for patients who undergo lower eyelid surgery.

Lower-lid blepharoplastic requires sedation with intravenous medications. Patients diagnosed with dry eye syndrome may not be candidates for lower-lid blepharoplastic.