When opting for an incision through the inside of the eyelid, the advantage lies in minimizing disruptions to the eyelid’s function. However, this technique may not provide significant correction for skin-related issues. To address this concern, it is often combined with a chemical peel to enhance the overall results.

On the other hand, an incision through the skin offers the advantage of correcting both excess skin and fat. Nonetheless, there is a potential for adverse outcomes. One concern is the rounding of the corner of the eye due to scar pull, while another is the pulling of the eyelid’s edge either downward or away from the eye. To mitigate these risks, a lower eyelid blepharoplasty is frequently combined with canthopexy—a procedure performed inside the eyelid to provide support during the healing process.

In summary, lower eyelid blepharoplasty is a versatile procedure that can effectively address fat bulges and skin problems. The choice of technique, whether through a skin incision or an incision within the eyelid, depends on the specific goals and considerations of the patient. Combining the procedure with canthopexy can help optimize results and prevent potential complications.

Consult with a qualified professional to determine the most suitable approach for your unique needs. Remember, lower eyelid blepharoplasty is a specialized procedure that should only be performed by experienced surgeons. If you are considering this cosmetic treatment, seek a consultation with a board-certified plastic surgeon to discuss your options and ensure the best possible outcome.