Lower Blepharoplasty

with Fat Transposition in Raleigh, NC

The delicate under-eye area is often one of the first places to show signs of aging, with bulges, dips, and shadows that develop gradually and subtly alter facial expression. When these changes start to affect confidence or create the look of constant fatigue, lower blepharoplasty with fat transposition may be considered. At JIYA Eyelid and Facial Cosmetic Surgery, Dr. Sumeet Jindal takes an individualized approach to this procedure, repositioning natural fat to help create smoother transitions around the under-eye area.

What is Lower Blepharoplasty with Fat Transposition?

Lower blepharoplasty with fat transposition combines elements of traditional eyelid surgery with volume restoration techniques. Rather than removing fat to address under-eye bulging, the surgeon repositions the fat pads to areas of deficit, such as the tear-trough or orbital rim. This helps soften the lower-lid contour, maintain natural fullness, and support a smoother transition into the cheek. 

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How It Works

Once a patient is determined to be a good candidate, the procedure follows a structured series of steps.

  1. Evaluation Dr. Jindal examines skin quality, fat pad position, tear-trough depth, and overall eyelid–cheek anatomy to determine whether fat transposition is appropriate.
  2. Incision Placement The procedure is performed through either an incision inside the lower eyelid (transconjunctival) or a small incision below the lashes. The internal approach avoids an external scar.
  3. Fat Repositioning The lower-lid fat pads are gently released and moved to areas that need volume, usually the tear trough or orbital rim, to smooth hollows and reduce bulging.
  4. Skin Adjustment If needed, excess skin is removed or redraped, and supporting tissues may be modified to help create a smoother lid-cheek contour.
  5. Closure & Initial Healing Incisions are closed with fine sutures or allowed to heal internally. Patients may be advised to keep their heads elevated and avoid strenuous activity during early recovery.
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Benefits of Lower Blepharoplasty with Fat Transposition

  • Smoother contour: Fat repositioning helps fill hollows rather than simply removing bulges.
  • Less hollowed look: Preserving volume helps maintain a natural under-eye appearance instead of creating a sunken result.
  • Improved tear-trough correction: The technique addresses the lid–cheek junction directly, minimizing visible transitions and shadows.
  • Invisible or minimal scarring (with internal incision): The transconjunctival method avoids external skin incisions in many cases.
  • Longer-term contour stability: Fat transposition techniques may support long-term contour stability, although individual outcomes vary.

Who Is a Good Candidate?

Candidates for lower blepharoplasty with fat transposition typically:

  • Are in good overall health and non-smokers, or are willing to stop around surgery
  • Have visible under-eye bags plus hollows or tear-trough depressions
  • Have moderate skin laxity and lid–cheek junction changes
  • Understand realistic outcomes, and the aging process continues
  • Do not have untreated orbital or eyelid medical conditions (such as severe dry eyes or uncontrolled thyroid eye disease)

A consultation at JIYA Cosmetic includes a full evaluation of eyelid anatomy, facial proportions, and expectations to determine whether this technique is appropriate.

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Why Choose JIYA Cosmetic in Raleigh, NC?

Selecting the right surgeon for under-eye surgery is important, especially for procedures involving the delicate structures of the eyelids and tear-trough area. At JIYA Cosmetic:

  • Dr. Jindal’s background includes dedicated oculoplastic and oculofacial cosmetic surgery training, providing detailed knowledge of eyelid anatomy, fat pads, ligaments, and the lid–cheek junction.
  • His fellowship experience in Orlando, FL, involved extensive hands-on work in eyelid procedures.
  • He has completed hundreds of facial cosmetic and hair transplant surgeries
  • His combined medical and aesthetic training supports precise surgical planning tailored to each patient’s unique eyelid structure and concerns.

This blend of oculoplastic training and focused eyelid experience allows Dr. Jindal to offer a thoughtful, anatomy-driven approach to lower blepharoplasty with fat transposition. Call us at (919) 929-6006 to schedule a consultation. 

Frequently Asked Questions

Patients may apply light makeup around the eyes once most bruising and swelling have reduced after consulting with their surgeon.

Patients with uncontrolled dry-eye disease, active eye infections, or certain thyroid/orbit conditions may not be ideal candidates. A full assessment is required.

Fat transfer is not always necessary; it depends on whether a patient has hollowing or volume loss under the eyes in addition to excess skin or bulging fat. 

The cost varies based on the complexity of the procedure and whether additional treatments are performed at the same time.

The fat that is repositioned or removed during surgery typically does not regenerate, though normal aging and natural changes in facial fat distribution can alter the under-eye appearance over time.

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The Top Lower Blepharoplasty in Raleigh

Dr. Sumeet Jindal is a qualified and experienced oculofacial cosmetic surgeon who has performed both medical and cosmetic eye surgeries. Along with eye cosmetic surgeries, Dr. Jindal specializes in other facial cosmetic surgeries such as facelifts, brow lifts, and liposuction. The Jindal Institute for Youthful Aging offers the best lower blepharoplasty Raleigh provides.

When consulting and treating patients, Dr. Jindal takes a holistic approach. This includes exploring the patient’s lifestyle, all non-surgical options, and valuing the least invasive solution. This helps ensure that you receive the absolute best treatment for you and your concerns.

To learn more and schedule a consultation with Dr. Jindal, call us or reach out online via Price Simulator or contact form.