Lower Blepharoplasties
The fat in the lower eyelid should be preserved. I reinforce the layer that holds the fat back, removing only small amounts of fat and tensioning the orbicularis muscle which I think is responsible as well for some lower eyelid aging.
I believe in the past, that surgeons have removed too much fat when performing upper and lower blepharoplasties. Removing too much fat exacerbates loss of soft tissue resulting in hollowing of the eyes which is a sign of ageing. Natural results should be the aim.
Post-operative care for Blepharoplasty Patients