This 49-year-old patient came to our practice seeking treatment for puffiness and under-eye bags, which had become more noticeable over time, particularly following significant weight loss after bariatric surgery. While she had always had some degree of under-eye bags, the changes in her appearance led her to explore options for a solution. During her consultation, I recommended a small amount of filler to restore volume to the lower eyelid-cheek junction and address midface volume loss, but she opted to focus solely on the surgical treatment. Although she has environmental allergies, she denied experiencing dry eyes or any recent changes in vision, using reading glasses only. We also discussed addressing the extra skin in her upper eyelids, but her primary focus was on improving her lower eyelids.
The procedure involved transconjunctival fat removal, targeting excess fat in the medial and central compartments of the lower eyelids to reduce puffiness and smooth the area. To support and lift the outer corner of the eyes, a lateral canthopexy was performed, helping to maintain a more youthful and refreshed look. Additionally, a skin pinch technique was used to remove any excess skin, further refining the lower eyelid area. The result is a smoother, more contoured appearance that aligns with the patient’s aesthetic goals.
The before-and-after photos, taken four months post-procedure, reveal the significant transformation in the patient’s under-eye area. The lower blepharoplasty effectively eliminated the puffiness and bags, leaving her with a rejuvenated, well-rested look. The patient was extremely pleased with her results, and her experience highlights the natural-looking outcomes that precise eyelid surgery can achieve.
Named by Newsweek as one of America’s Best Plastic Surgeons for eyelid surgery, I take pride in offering top-tier care and results for patients seeking natural-looking rejuvenation in Houston (or as we like to say, “You, only better”). To make my nationally recognized expertise accessible to all, we offer three flexible financing options—CareCredit, Alphaeon Credit, and PatientFi. If you're interested in achieving customized results tailored to your unique goals, we would love to meet with you. Schedule a consultation at my Houston office by clicking here or calling us at 713-571-0600 to discuss your goals, review your options, and create a personalized treatment plan.
*Keep in mind that each patient is unique and your results may vary.