While there are several different techniques that a physician can use to alter the appearance of the eyes, the standard surgical technique usually involves removing or redistributing fat deposits, as well as removing excess skin and muscle.
Bags and puffiness in the lower eyelid most often result from protruding orbital fat deposits. Normally, the orbital septum holds the fat deposits in place. However, over time the orbital septum loses some of its structural integrity and weakens, which allows the fat deposits to slide forward, creating bags and puffiness. The transcutaneous approach works by removing and sculpting excess orbital fat through an incision on the outside of the lower eyelid. Unlike the transconjunctival approach, excess skin is also typically removed to correct laxity in the lower eyelid. more »