The lower eyelid presents with progressive bulging of the periorbital fat pads. As these fat pads push forward they cause shadowing and darkening under the eyes. This gives the appearance of tiredness or lack of sleep.
Cosmetic surgery of the eyelids is called Blepharoplasty. There are two basic approaches:
- The external approach, also called a skin muscle approach, which removes skin and fat pads
- The more conservative internal approach called a Transconjunctival Blepharoplasty, removes the fat pads only.
Which technique is used is determined by both Dr. Romo and the patient together.
• Click here to see before & after photos



