Lower Eyelid Bags: Fat Removal vs Fat Repositioning

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.