Many Houston patients complain of under eye bags, dark circles, or a tired appearance to their eyes in my office. Under eye bags are due to protruding fat that surrounds our eyeball normally to protect it from trauma and grease the muscles around our eyes. Sometimes, we simply need to remove this fat during blepharoplasty and some excess skin. Other times, we may need to remove some fat and mobilize some other fat in order avoid a sunken in appearance or hollowed appearance. Under eye bag surgery or lower blepharoplasty is an intricate operation.
In most cases, eyelid surgery or blepharoplasty can be approached through the inside of the eye or a transconjunctival approach. This is safer with a smaller risk to the lower eyelid drooping afterwards. An external approach to the fat is sometimes necessary if there are malar bags or malar edema. Then an extended blepharoplasty may be necessary.
Dr. Funk is a a top plastic surgeon in Houston for eyes.