5 Lower Blepharoplasty Techniques You Should Know

Blepharoplasty can provide incredible benefits for many patients who suffer from puffy eyes. The eyes gain a broader and brighter appearance by reforming and extracting excess skin and fat cells around the eyelids. While blepharoplasty is highly successful, it is also delicate as it is performed on and around the eyelids. Below are five lower blepharoplasty techniques that cosmetic surgeons use to ensure success. 

The Pinch Technique 

The pinch method is a lower blepharoplasty technique that uses small incisions around the outer edges of the eyes and underneath the lash line. The cosmetic surgeon uses the incisions to pull or “pinch” the lower eyelid skin and eliminate unwanted skin around the lower lash line. This technique is often used in patients with minimal amounts of sagging skin around the lower eyelids. The pinch method allows for a fantastic lift and widens the upper and lower lid distance.   

1- The 5-Point Technique 

The 5-point technique is an excellent lower eyelid blepharoplasty technique for patients who struggle with hollow under-eyes. It lifts the upper eye and fills the tear-trough region through fat injections, elevating sutures, and muscle adjustments. This combination allows the eye to receive volume and restores the loss of vibrancy to the under-eye region. It’s considered one of the least invasive blepharoplasty techniques, as it requires no incisions and has a quick recovery period. 

2- The Suture Technique 

The suture technique is one of the oldest lower and upper blepharoplasty methods. While this method has had its faults, it uses advanced techniques and technology to promote beautiful, bright eyes today. It sutures the upper eyelid to lift and tighten the skin and fat around the lower and upper eye areas. However, the suture technique mainly enhances the upper eyelid. The most critical part when considering the suture technique is finding an experienced cosmetic surgeon with extensive training and knowledge of this method. Dr. Jindal at JIYA Cosmetics is one of the most experienced cosmetic facial surgeons to perform lower blepharoplasty.  

3- The Loeb’s Technique 

The Loeb’s method is a lower blepharoplasty surgical technique that also corrects hollow under-eyes, but it is a more comprehensive surgery than the 5-point. The Loeb technique can bring youthful vitality back into concaved tear troughs. It uses an incision created around the upper region on the nose to lift the fat pads higher on the face, directly below the under eye. This allows the undereye to fill out and restores youthful plumpness to the tear trough region. 

4- The Anchor Technique 

The anchor technique is best suited for patients who have already undergone a lower blepharoplasty procedure and are now seeing signs of undereye sagging. The drooping can cause the undereye region to appear unbalanced due to the prior surgery. The anchor method uses an elevated incision as an “anchor” to the lower eye region. Sutures are inserted and connected to the upper eye, lifting the skin that has begun to sink. This method is an excellent corrective procedure and balances the eyes. 

5- Additional Treatment Options 

For patients who want minimally invasive solutions, there are additional treatment options for undereye sagging that can correct cosmetic issues around the lower lids. Fillers, injections, and microneedling can all promote healthy and vibrant undereyes. One technique, known as Morpheus8 Microneedling, can be highly beneficial for promoting collagen and restimulating the skin around the eyes. 


This treatment combines microneedling with radio frequency to promote skin elasticity and stimulate collagen production. It’s excellent for undereye bags and loose skin because of its ability to reach deeper layers of the skin and restructure the cells that promote skin tightness. Additionally, it is minimally invasive and requires very little downtime after the treatment. It’s highly effective and considered to be beneficial when it comes to promoting skin regeneration.   


At the Jindal Institute for Youthful Aging, lower and upper blepharoplasty is a specialized and concise surgery for every patient. Dr. Jindal is a facial cosmetic surgeon who has perfected every facial enhancement procedure. Through dedication, precision, and experience, he provides the best lower blepharoplasty techniques for every patient. He understands the surgery is delicate and knows the exact methods to perform for every case. There is no better place to receive lower eye enhancement surgery than JIYA Cosmetics.  

Dr. Sumeet Jindal
Dr. Sumeet Jindal
Dr. Jindal is a board certified surgeon who offers surgical and non-surgical cosmetic services in Raleigh, North Carolina.