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Lower eyelid and eye bags

Lower eyelid surgery removes or moves the fat that makes bags under the eyes and tightens loose lower lid skin, through an incision inside the lid or below the lashes.

6
Procedure pages
2,509
PubMed papers
732
Since 2021
26
Reviews and meta-analyses

Lower eyelid and eye bags procedures

Each page covers what the operation treats, how it is done, the evidence, the risks and the recovery, with a PubMed link on every claim.

Lower blepharoplasty

Lower blepharoplasty treats bags under the eyes by removing or repositioning the orbital fat that bulges below the eye, and by removing excess skin when present. It is done mainly for appearance, for adults who see bags…

39 papers cited
Surgeons operating under theatre lights

Transconjunctival blepharoplasty

Transconjunctival blepharoplasty removes or repositions lower eyelid fat through an incision on the inside of the lid, leaving no visible skin scar. It suits patients whose main problem is bulging fat rather than excess…

25 papers cited

Fat repositioning in lower blepharoplasty

Fat repositioning moves lower eyelid fat over the orbital rim instead of removing it, to fill the tear trough and blend the lid-cheek junction. Loeb first described sliding the fat pad over the rim and grafting fat to…

29 papers cited
Operating theatre lights over a surgical team

Tear trough and lid-cheek junction surgery

Tear trough surgery smooths the groove between the lower eyelid and the cheek by releasing the ligament that tethers it and filling it with the patient's own fat, either moved on its blood supply from the eye bag or…

37 papers cited
A blonde woman reading her phone in a cafe

Festoons and malar bags

A festoon is a redundant fold of skin, orbicularis oculi muscle and trapped fluid that hangs from the lower eyelid onto the cheek; malar mounds and malar edema are related, less mobile swelling over the cheekbone, and…

38 papers cited
A blonde woman reading her phone in a cafe

Under-eye filler versus lower blepharoplasty

Tear trough filler injects hyaluronic acid (HA) gel to fill the groove between the lower lid and cheek; it is a same-day, non-surgical option for volume loss without significant skin excess. Lower blepharoplasty with…

35 papers cited

Newest lower eyelid and eye bags papers

2026
Combined Orbital Decompression and Rectus Muscle Myectomy for Large-Angle Strabismus in Thyroid-Associated Orbitopathy
Hsieh MW, Lee LC, Hsu CC, Chang HC, Chen YH, Chien KH · Ophthalmol Ther · PMID 42663941
2026
Periocular Rejuvenation with PRF Gel
Rahbari S, Ohandjanians L, Cong A, Oca M, Kochhar A, Nassimizadeh AK, et al. · Facial Plast Surg · PMID 41991137
2026
A Novel Synergistic Multilayer Nanofat Technique for Facial Rejuvenation
Dragieva G, Archimandritis T · Aesthetic Plast Surg · PMID 42754699
2026
2026
Sclerotherapy in Orbital and Peri-Orbital Pathology: A Systematic Review of Current Applications and Emerging Frontiers
Agarwal A, Sinha P, Khan AA, Tong JY, Selva D · Semin Ophthalmol · PMID 42701885