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Lower eyelid correction

Bags under the eyes and a sunken tear trough, treated by the eye surgeon. Under local anaesthesia; you go home the same day.

Looks Clinics Lower Eyelid Correction

Bags under the eyes and a sunken tear trough, treated by an eyelid specialist

Bags under the eyes give a tired impression, even when you are well rested. They are often hereditary and develop early in life. At Looks Clinics, we treat bags under the eyes and the hollow beneath them, the tear trough, with a lower eyelid correction. The procedure is performed under local anaesthesia, and you go home the same day.

Schedule your free and no-obligation introductory consultation

What is a bag under the eye, and what is the tear trough?

Behind the lower eyelid lies fat that protects the eye like a cushion. A thin membrane holds that fat in place. If that membrane becomes looser, the fat bulges forward: that is the bag. Just below that, the skin is attached to the edge of the eye socket by a band. A hollow with a shadow forms there: the tear trough. The bulge and the hollow reinforce each other.

At a glance

  • Treatment: lower eyelid correction, both eyes; through the inside of the eyelid (transconjunctival, no visible scar) or with a small incision below the lash line (transcutaneous), depending on your situation
  • Price: € 1,750 for either technique, including the introductory consultation, aftercare and check-ups; combined with an upper eyelid correction € 3,500
  • Performed by: the eye surgeon
  • Where: Zwolle or Amsterdam; introduction and aftercare also in Rotterdam
  • Anaesthesia: local; you go home the same day
  • Duration: 45 to 60 minutes
  • Recovery: call on day 3, check-up at the clinic after about a week
  • Insurance: generally not reimbursed

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

  1. Free introductory meeting. We discuss your wishes and answer your questions.
  2. 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.
  3. 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.
  4. 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.
Lower eyelid correction Zwolle

The recovery

Initially, there is swelling and often bruising under the eye; this gradually subsides. The conjunctiva may be temporarily swollen or red. Cooling and rest help during the first three days.

  • Work: you can generally resume administrative work after three days; physical work, care work and hospitality work not during the first week.
  • Exercise: build up gradually after about a week.
  • Contact lenses and make-up: after about a week; with the technique involving the incision under the lash line, make-up only after the stitches have been removed.
  • Sutures: with the internal technique, sutures are usually not necessary. With the technique involving the incision under the lash line, we remove the sutures six days after the procedure.
  • Check-up: after six days, at the clinic or, if you prefer, via video.
  • Result: you often see a difference after just a few weeks; the final result is visible after approximately six months.

Risks

Every operation carries risks. During the consultation, the eye surgeon will discuss these with you in detail. The most important ones are:

  • swelling and bruising, which may persist longer than expected;
  • temporary swelling or irritation of the conjunctiva;
  • a slight difference between left and right, or an unevenness;
  • with the technique involving the incision under the lash line: a scar just below the eyelashes, and rarely a lower eyelid that sits slightly lower;
  • Rarely: post-operative bleeding. Contact us immediately if pain increases, you experience a feeling of pressure behind the eye, or your vision deteriorates.

During the consultation, we discuss all risks with you.

OG Image Lower Eyelid Correction

Price

  • Lower eyelid correction, via the inside of the eyelid or via a small incision under the lash line: € 1,750
  • Upper and lower eyelid correction together: € 3,500
  • CO2 laser for the internal technique: included
  • Introductory consultation: free and without obligation

The price includes check-ups and aftercare. Lower eyelid correction is a cosmetic procedure and is generally not reimbursed; Looks Clinics is a non-contracted healthcare provider, and you pay for the treatment directly. View all rates.

Is this treatment right for you?

Not everyone is eligible. During the consultation, the eye surgeon assesses whether a lower eyelid correction is suitable for you, and which technique.

Schedule your free and no-obligation introductory consultation

Frequently Asked Questions

The most frequently asked questions about lower eyelid correction. If your question is not listed, we would be happy to answer it during the consultation.

With the technique from the inside, the skin is not cut; therefore, there is no scar. With the technique using the incision under the lash line, the cut is located just below the eyelashes, so that the scar is usually as inconspicuous as possible.

With the internal technique, the fat is moved to the cavity underneath. With the technique involving the incision under the lash line, the eye surgeon assesses what is best for each individual.

Lower eyelid correction is a more complex procedure than upper eyelid correction. Therefore, for the internal technique, we use the CO2 laser as standard, at no extra cost: greater precision, less tissue damage, and faster recovery.

Yes. We work under local anaesthesia, just like for the upper eyelid correction.

Bags under the eyes are often hereditary and sometimes develop early. Age is no barrier; the skin determines which technique is suitable.

Yes, that is possible. The eye surgeon will discuss with you whether that is advisable in your situation. The combination costs € 3,500.

Lower eyelid correction is a cosmetic procedure and is generally not reimbursed by health insurers.

The procedure takes place at our clinic in Zwolle or Amsterdam. You can also visit us in Rotterdam for the consultation and aftercare.

Lower eyelid correction is a surgical procedure in which fat under the eye is repositioned or treated and any excess skin is removed; the CO2 laser is the instrument used for this. CO2 laser skin tightening of the lower eyelids This is not surgery: the laser treats only the skin, for skin tightening and fine lines (€ 450). If you have bags under your eyes or a sunken tear trough, lower eyelid correction is the treatment; if it concerns the skin itself, then laser skin tightening is the choice. The eye surgeon will advise you on this during the consultation.

Also at Looks Clinics

Our eye surgeons also perform these treatments. During the introductory consultation, we will discuss which one suits you best.

Upper eyelid correction

The classic upper eyelid correction: the excess skin and fat from the upper eyelids are removed.

Read more

Laser-assisted upper eyelid correction

The same procedure as the upper eyelid correction, with the CO2 laser: faster recovery, less tissue damage, and greater precision.

Read more

Direct brow lift

For a drooping eyebrow: the incision runs along the upper edge of the eyebrow, hidden in thick eyebrows.

Read more

CO2 laser skin tightening

Non-surgical skin treatment of the lower eyelids for fine lines and sagging.

Read more

Ptosis correction

For a slightly drooping eyelid caused by a weakened eyelid muscle: via the inside of the eyelid, without a scar on the skin.

Read more