Two techniques, tailored to your skin
Which technique suits you depends on your skin. The eye surgeon assesses this during the consultation. The skin decides, not age.
Via the inside of the eyelid (transconjunctival)
For firm, elastic skin, typically between the ages of 30 and 50. The eye surgeon works through the conjunctiva, the inner side of the lower eyelid. No incisions are made in the skin; therefore, there is no scar. The fat is not removed but repositioned into the hollow underneath. This flattens the bulge and allows the tear trough to fill with your own tissue. This technique targets the fat; it does not treat sagging skin.
Through a small incision under the lash line (transcutaneous)
For sagging skin or excess skin, typically from around age 50. The eye surgeon works through a fine incision just below the eyelashes. Through this incision, the fat is treated, and excess skin can also be removed.
Operating with the CO2 laser
Lower eyelid correction is a more complex procedure than upper eyelid correction. Therefore, for the technique via the inside of the eyelid, we use the surgical CO2 laser as standard, at no extra cost. For this procedure, we use advanced equipment: greater precision, less tissue damage and faster recovery.
The laser cuts very precisely and seals small blood vessels immediately during the cutting process. This gives the eye surgeon a clear view of the surgical area, usually results in less blood loss during the procedure, and often less swelling and bruising during early recovery. Your eyes are protected during the procedure with special titanium eye shields. These shields are placed on the eye after an anaesthetic drop and removed immediately after the procedure; you will hardly notice them during the surgery. You can read more about the laser on the page about the laser-assisted upper eyelid correction.
The benefits at a glance
- Performed by an eye surgeon specialised in eyelid surgery
- Local anaesthesia, not general anaesthesia
- Home the same day
- From the inside: no scar on the skin and your own fat is preserved.
- Bags and tear troughs in one treatment
- CO2 laser included with the technique via the inside of the eyelid
- One fixed price, including check-up and aftercare
This is how the treatment proceeds
- Free introductory meeting. We discuss your wishes and answer your questions.
- Consultation with the eye surgeon. The eye surgeon examines your eyelids and skin and discusses which technique is suitable for you. Sometimes the advice is not to treat; that, too, is part of honest advice. There is always a cooling-off period of at least one week between the consultation and the procedure.
- The treatment. You will receive anaesthetic eye drops, a titanium eye shield placed on the eye for the laser technique, and a local anaesthetic of the lower eyelid. You will feel a few pricks; after that, the area will be numb. The procedure takes approximately 30 to 45 minutes.
- Recovery and aftercare. You go home the same day with a cooling mask and instructions. Three days after the procedure, an assistant will call you to ask how you are doing. Our recovery app guides you day by day.