{"id":25888,"date":"2025-05-15T12:49:14","date_gmt":"2025-05-15T18:49:14","guid":{"rendered":"https:\/\/www.artefacial.com\/?p=25888"},"modified":"2025-05-15T15:20:50","modified_gmt":"2025-05-15T21:20:50","slug":"three-issues-to-address-with-lower-blepharoplasty","status":"publish","type":"post","link":"https:\/\/www.artefacial.com\/en\/rejuvenation\/three-issues-to-address-with-lower-blepharoplasty\/","title":{"rendered":"Three issues to address with lower blepharoplasty"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"25888\" class=\"elementor elementor-25888 elementor-25856\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a877ee2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a877ee2\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9afb121\" data-id=\"9afb121\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7b9b68c elementor-widget elementor-widget-text-editor\" data-id=\"7b9b68c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The eyes are the focal point of the face, and consequently, can greatly impact a person&#8217;s overall sense of well-being. Although the upper eyelids receive much attention, the first signs of aging are commonly seen in the lower eyelids. Often due to structural and hereditary factors, the lower eyelids can take on a tired or aged appearance, even among younger individuals.<\/p><p>When rejuvenating the eyes<strong>, <\/strong>a deep understanding of the anatomical basis for the specific signs of aging is paramount. In the context of lower <a title=\"\" class=\"aalmanual\" target=\"_self\"   href=\"\/en\/blepharoplasty\/\">blepharoplasty<\/a>, three key issues should be identified and addressed: under-eye bags, wrinkles, and hollows.<\/p><p>Under-eye bags are usually caused by protruding orbital fat that is visible through the eyelid. In a young person, bags may appear due to poor maxillary bone support, while older people notice fat prolapse due to age-related laxity of the eyelid tissues. In most cases, treatment consists of fat repositioning through a transconjunctival approach, although younger patients may benefit from a fat grafting procedure.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-a81e59c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a81e59c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-narrow\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-19a6f07\" data-id=\"19a6f07\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6b17deb elementor-widget elementor-widget-image\" data-id=\"6b17deb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/2025\/05\/bolsas-debajo-los-ojos-682657d6b6e79.webp\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Under-eye bags\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MjU5MDAsInVybCI6Imh0dHBzOlwvXC93d3cuYXJ0ZWZhY2lhbC5jb21cL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA1XC9ib2xzYXMtZGViYWpvLWxvcy1vam9zLTY4MjY1N2Q2YjZlNzkud2VicCJ9\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/elementor\/thumbs\/bolsas-debajo-los-ojos-682657d6b6e79-r5v343h01ghsve3ta02zocjf028zzv8znpb3q4ea1s.webp\" title=\"Under-eye bags\" alt=\"Under-eye bags\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Under-eye bags<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-12ea533\" data-id=\"12ea533\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c8a470d elementor-widget elementor-widget-image\" data-id=\"c8a470d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/2025\/05\/despues-de-la-blefaroplastia-682657dc16bd1.webp\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"After lower blepharoplasty\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MjU5MDIsInVybCI6Imh0dHBzOlwvXC93d3cuYXJ0ZWZhY2lhbC5jb21cL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA1XC9kZXNwdWVzLWRlLWxhLWJsZWZhcm9wbGFzdGlhLTY4MjY1N2RjMTZiZDEud2VicCJ9\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/elementor\/thumbs\/despues-de-la-blefaroplastia-682657dc16bd1-r5v34lbxnb68zzdvdpswhq16adsz247w25pbudnsrk.webp\" title=\"After lower blepharoplasty\" alt=\"After lower blepharoplasty\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">After lower blepharoplasty<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-dbe7d0a elementor-widget elementor-widget-text-editor\" data-id=\"dbe7d0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The second cause of lower eyelid aging is fine lines and wrinkles. Distinguishing between wrinkles and expression lines, which can be treated successfully with botulinum toxin injections, is important. Chemical peels or skin ablation procedures, such as CO2 laser, can improve mild to moderate wrinkles under the eyes; however, individuals with darker skin tones are not good candidates. Surgical excision is a better alternative for a person with advanced wrinkles and severe tissue laxity. On the other hand, festoons \u2013 hammock-like folds of redundant skin and muscle in the cheekbones \u2013 represent a real challenge. Treatment consists of extended <a href=\"\/en\/info\/lower-eyelid-blepharoplasty\/\">lower blepharoplasty<\/a>, <a href=\"\/en\/info\/canthal-procedures\/\">canthoplasty<\/a>, and <a href=\"\/en\/info\/cheek-lift-midface-lift\/\">cheek suspension.<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-0b0795f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0b0795f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-narrow\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-30d6331\" data-id=\"30d6331\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7a9ac08 elementor-widget elementor-widget-image\" data-id=\"7a9ac08\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/2025\/05\/arrugas-debajo-los-ojos-682657d6c1eb3.webp\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Wrinkles under the eyes\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MjU5MDUsInVybCI6Imh0dHBzOlwvXC93d3cuYXJ0ZWZhY2lhbC5jb21cL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA1XC9hcnJ1Z2FzLWRlYmFqby1sb3Mtb2pvcy02ODI2NTdkNmMxZWIzLndlYnAifQ%3D%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/elementor\/thumbs\/arrugas-debajo-los-ojos-682657d6c1eb3-r5v36t87s87meu5tf6c6vnvcs4v68e12p55lmwdc2o.webp\" title=\"Wrinkles under the eyes\" alt=\"Wrinkles under the eyes\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Wrinkles under the eyes<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-b8e1fde\" data-id=\"b8e1fde\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ca03ee1 elementor-widget elementor-widget-image\" data-id=\"ca03ee1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/2025\/05\/despues-de-la-blefaroplastia-inferior-682657dc5e092.webp\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"After lower blepharoplasty\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MjU5MDcsInVybCI6Imh0dHBzOlwvXC93d3cuYXJ0ZWZhY2lhbC5jb21cL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA1XC9kZXNwdWVzLWRlLWxhLWJsZWZhcm9wbGFzdGlhLWluZmVyaW9yLTY4MjY1N2RjNWUwOTIud2VicCJ9\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/elementor\/thumbs\/despues-de-la-blefaroplastia-inferior-682657dc5e092-r5v3797h0ethw7iltv8uk1u6vooev8sifc8uslpn4w.webp\" title=\"After lower blepharoplasty\" alt=\"After lower blepharoplasty\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">After lower blepharoplasty<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-2838bbd elementor-widget elementor-widget-text-editor\" data-id=\"2838bbd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A third issue that may need to be addressed in <a title=\"\" class=\"aalmanual\" target=\"_self\"   href=\"\/en\/info\/lower-eyelid-blepharoplasty\/\">lower blepharoplasty<\/a> is hollows, the most common of which is the tear trough deformity. This term refers to a depression or groove between the eyelid and the cheek, creating shadows and dark circles under the eyes. Fat grafting, which blends the eyelid-cheek junction and improves cheek volume, is a great option for correction of the tear trough. Occasionally, fat from the orbit is transposed onto the cheekbone to supply volume to the crease.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-428785e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"428785e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-narrow\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0e8ece2\" data-id=\"0e8ece2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ba5347e elementor-widget elementor-widget-image\" data-id=\"ba5347e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/2025\/05\/concavidad-en-el-parpado-surco-lagrimal-682657d8d6e0c.webp\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Tear trough\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MjU5MDksInVybCI6Imh0dHBzOlwvXC93d3cuYXJ0ZWZhY2lhbC5jb21cL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA1XC9jb25jYXZpZGFkLWVuLWVsLXBhcnBhZG8tc3VyY28tbGFncmltYWwtNjgyNjU3ZDhkNmUwYy53ZWJwIn0%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/elementor\/thumbs\/concavidad-en-el-parpado-surco-lagrimal-682657d8d6e0c-r5v384859xzyjc9jsqnjcc0ehefix97njlrvmqfnfk.webp\" title=\"Tear trough\" alt=\"Tear trough\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Tear trough<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a509502\" data-id=\"a509502\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9124891 elementor-widget elementor-widget-image\" data-id=\"9124891\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/2025\/05\/correccion-mediante-transposicion-de-grasa-682657d90cfe1.webp\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Correction with fat transposition\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MjU5MTEsInVybCI6Imh0dHBzOlwvXC93d3cuYXJ0ZWZhY2lhbC5jb21cL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA1XC9jb3JyZWNjaW9uLW1lZGlhbnRlLXRyYW5zcG9zaWNpb24tZGUtZ3Jhc2EtNjgyNjU3ZDkwY2ZlMS53ZWJwIn0%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/elementor\/thumbs\/correccion-mediante-transposicion-de-grasa-682657d90cfe1-r5v38k7ei4lu0pmc7fk70pz8ky8rk3z39sv4sfryhs.webp\" title=\"Correction with fat transposition\" alt=\"Correction with fat transposition\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Correction with fat transposition<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-0b9ed65 elementor-widget elementor-widget-text-editor\" data-id=\"0b9ed65\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>These three factors (bags, wrinkles, and dark circles) must be addressed holistically to achieve natural and lasting results. At <a href=\"\/en\/\">Arte Facial<\/a>, we perform a detailed assessment of each case to recommend the most appropriate treatment based on the patient&#8217;s anatomy and goals. Feel free to <a href=\"\/en\/contact\/\">schedule a consultation<\/a> with our <a title=\"\" class=\"aalmanual\" target=\"_self\"   href=\"\/en\/doctor-gomez\/\">oculoplastic surgeon<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>The eyes are the focal point of the face, and consequently, can greatly impact a person&#8217;s overall sense of well-being. Although the upper eyelids receive much attention, the first signs of aging are commonly seen in the lower eyelids<\/p>\n","protected":false},"author":1,"featured_media":25858,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[996,897,994,997,78,1035,79,949,985],"class_list":["post-25888","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rejuvenation","tag-bags-under-the-eyes-en","tag-bags-under-the-eyes","tag-bolsas-debajo-de-los-ojos","tag-eyelid-rejuvenation","tag-lower-blepharoplasty","tag-lower-blepharoplasty-in-florida","tag-lower-eyelid-bags","tag-tratamiento-de-las-ojeras-en","tag-wrinkles-of-the-eyelids"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Lower blepharoplasty for bags, wrinkles, and dark circles<\/title>\n<meta name=\"description\" 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