Lower eyelid bags are a common concern that can make the face appear tired or aged. While many people assume these bags are caused by skin laxity alone, they are often related to changes in orbital fat. Surgical treatment depends on whether fat removal or fat repositioning is the most appropriate solution. Khan Eyelid and Facial Aesthetics, led by oculoplastic and reconstructive surgeon Dr. Tanya Khan, provides lower eyelid surgery to patients in Plano, Dallas, Austin, Texas, and surrounding locations.

What Causes Lower Eyelid Bags

With aging, the supportive tissues around the eye weaken. Fat that normally cushions the eye can shift forward, creating bulges under the eyes.

Skin thinning and loss of elasticity can further accentuate this appearance.

When Fat Removal Is Appropriate

Fat removal involves excising excess protruding fat to smooth the under-eye contour. This approach may be appropriate for patients with significant fat herniation and good skin tone.

However, overly aggressive fat removal can create a hollow or sunken appearance if not carefully performed.

What Fat Repositioning Involves

Fat repositioning preserves the patient’s own fat while redistributing it into areas of volume loss, such as the tear trough. This technique smooths the transition between the lower eyelid and cheek.

Fat repositioning often creates a more youthful and natural result, especially in patients with under-eye hollowness.

Choosing the Right Technique

The decision between fat removal and fat repositioning depends on anatomy, skin quality, and aging pattern. Many patients benefit from a conservative combination of both techniques.

An experienced eyelid surgeon evaluates these factors carefully to avoid overcorrection.

Long-Term Results and Natural Appearance

Fat repositioning tends to provide longer-lasting, natural-looking results because it restores volume rather than removing it entirely. Proper technique is essential to maintaining eyelid support and avoiding complications.

For more information about procedures and treatments at Khan Eyelid and Facial Aesthetics by Ophthalmic surgeon Dr. Tanya Khan. Click here to contact us.

Taking patients from in and around Dallas, Plano, Fort Worth, Grapevine, Garland, Mesquite, Carrollton, Irving, Frisco, Texas and more.

Droopy eyelids are often associated with aging or appearance concerns, but in many cases, they create real functional problems. When excess upper eyelid skin interferes with vision, eyelid surgery may be considered medically necessary rather than cosmetic. Khan Eyelid and Facial Aesthetics, led by oculoplastic and reconstructive surgeon Dr. Tanya Khan, provides eyelid surgery to patients in Plano, Dallas, Austin, Texas, and surrounding locations.

How Droopy Eyelids Affect Vision

As the upper eyelid skin loses elasticity, it can descend into the visual field. This condition, known as dermatochalasis, may block peripheral or upper vision and force patients to raise their eyebrows constantly to see clearly.

Over time, this compensation can cause eye strain, headaches, and fatigue.

Signs Vision Is Being Obstructed

Droopy eyelids may be considered medically significant if you experience:

• Difficulty seeing objects above eye level
  • Needing to tilt your head back to see clearly
  • Frequent brow lifting to improve vision
  • Eye fatigue or headaches by the end of the day
  • Trouble driving or reading due to limited vision

These symptoms often worsen as the day progresses.

When Eyelid Surgery Is Medically Necessary

Upper eyelid surgery becomes medically necessary when documented vision obstruction is present. Visual field testing is typically used to measure how much of the visual field is blocked by excess eyelid skin.

Photographic documentation and clinical examination also support the diagnosis.

Insurance Coverage Considerations

When surgery is deemed medically necessary, insurance may cover part or all of the procedure. Coverage typically requires formal testing, documentation, and preauthorization.

A consultation helps determine whether functional criteria are met.

How Surgery Improves Vision and Comfort

Upper eyelid surgery removes excess skin and restores a clearer visual field. Patients often report immediate improvement in vision, reduced eye strain, and improved comfort during daily activities.

For more information about procedures and treatments at Khan Eyelid and Facial Aesthetics by Ophthalmic surgeon Dr. Tanya Khan. Click here to contact us.

Taking patients from in and around Dallas, Plano, Fort Worth, Grapevine, Garland, Mesquite, Carrollton, Irving, Frisco, Texas and more.