Lower Eyelid

Lower Eyelid Surgery & Lower Eyelid Tightening in Dallas / Plano, TX

Lower eyelid aging often manifests as puffiness, “bags” under the eyes, loose or sagging skin, and even malposition (where the eyelid turns outward or inward). At our Dallas / Plano practice, Dr. Khan applies advanced oculoplastic techniques to restore youthful, smooth, and supportive lower lids—without visible scars.

The Anatomy Behind Lower Lid Aging

Beneath the lower eyelid skin lie three fat pads, normally held in check by supportive connective tissues. Over time, that connective tissue weakens and the fat pads can protrude or “prolapse,” creating the typical puffiness or under-eye bags. At the same time, skin loosens, elasticity fades, and the lid may sag, contributing to a tired appearance. Our approach addresses both fat repositioning and skin support to rejuvenate your lower eyelids.

What Is Trans-Conjunctival Blepharoplasty?

To eliminate under-eye bags without external scars, we often use a trans-conjunctival lower lid blepharoplasty technique. Through the inner lining (conjunctiva) of the lower lid, Dr. Khan removes or repositions excess fat and may pair this with laser resurfacing of the lower lid skin to smooth texture, reduce fine lines, and harmonize the lid contour. Because the incision is inside the eye, there is no visible skin scar.

Lower Eyelid Tightening / Repositioning

Loose eyelid skin or laxity can cause entropion (lid turning inward) or ectropion (lid turning outward). These conditions not only detract aesthetically, but may irritate the eye, cause tearing, or allow lashes to rub the eyeball. To correct this, Dr. Khan removes excess eyelid tissue, re-anchors the lower lid to the lateral orbital rim via a lateral tarsal strip, and tightens the lid. This restores both shape and function, improving comfort while enhancing appearance.

Who Is a Good Candidate?

You may be a good candidate for lower eyelid surgery or tightening if you:

• Notice under-eye puffiness or protruding fat
• See sagging or creasing in the lower eyelid skin
• Experience eyelid malposition (lid that turns in or out)
• Feel eye irritation, excess tearing, or lashes rubbing
• Want to rejuvenate the lower eyelid area while maintaining a natural look

During consultation, Dr. Khan evaluates fat volume, skin quality, eyelid support, lower lid position, and ocular health. A customized plan is then crafted to meet your aesthetic and functional needs.

The Procedure: What to Expect

• Anesthesia
  Lower eyelid surgeries are typically done under sedation with local anesthesia, sometimes generalized if combined with other facial procedures.

• Incision & Access
  For fat correction, Dr. Khan uses a trans-conjunctival (inside-lid) incision, avoiding external cuts. For skin tightening or malposition correction, external incisions in the natural lash line or just beneath it may be used.

• Fat Management & Skin Work
  Prolapsed fat is removed or repositioned conservatively to avoid hollowness. If skin texture needs refinement, laser resurfacing or superficial skin excision may be performed. In cases of laxity, the lid is tightened and reanchored to restore lid stability.

• Closure
  Sutures are placed with fine precision. In trans-conjunctival cases, no external sutures are needed; for external incisions, fine lid-line sutures are used and typically well hidden.

Recovery & Aftercare

Expect swelling, bruising, and mild discomfort in the early days, peaking at 2–3 days and gradually diminishing over 1–2 weeks. Cold compresses, head elevation, and gentle care support healing. You’ll be asked to avoid strenuous activity, rubbing or pulling at the eyelids, and applying makeup for 1–2 weeks. Follow-up visits allow Dr. Khan to monitor healing, remove any necessary sutures, and adjust care as needed. Final results become more evident as swelling resolves and tissues settle over the following weeks.

Benefits & Long-Term Results

Lower eyelid surgery can:

• Eliminate under-eye bags and reduce puffiness
• Smooth lower lid skin and reduce fine lines
• Correct eyelid malposition (entropion or ectropion)
• Restore eyelid support and comfort
• Achieve natural, long-lasting rejuvenation

While aging continues, the core improvements generally endure, though skin laxity may eventually develop elsewhere.

Why Choose Our Practice & Dr. Khan?

Our practice specializes in eyelid and orbital surgery, blending aesthetic artistry with functional precision. Dr. Khan’s approach ensures:

• Deep anatomical expertise in eyelid structures
• Personalized planning for your unique needs
• Balanced, natural results that respect facial harmony
• Comprehensive care through every stage—from consultation to recovery

Patients from Dallas, Plano, and greater North Texas trust our practice for reliable, refined eyelid rejuvenation.

Ready to Book Your Consultation?

If you’re bothered by under-eye bags, sagging lids, or eyelid malposition—and want a rejuvenated, natural appearance—we invite you to schedule a consultation. Dr. Khan will assess your anatomy, explain your options, and help you make an informed, confident decision toward smoother, healthier lower eyelids.