For lower eyelid surgery, often an incision is hidden just below the lower eyelashes.
Through this incision, excess skin, muscle and fat are removed, or fat may be redistributed to eliminate puffiness or circles under the eyes. As in upper eyelid surgery, the incision is well camouflaged by natural creases.
In some cases, the best approach for removing excess fat may be through an incision that is placed through the inside of the eyelid. This completely avoids the need for an external incision and patients often return to work in just a few days. If a small to moderate amount of excess skin is present, laser resurfacing may be used in conjunction with this method to tighten lower eyelid skin, without any visible incision.