Rejuvenation of the lower eyelids involves an incision along the eyelashes which quickly becomes invisible. The pockets of fat are removed, and any excess skin is elininated by redraping. The skin is not pulled tight : it is redistributed so that it falls more advantageously.
For simple bags, it is nearly always possible to remove the pockets of fat from inside the eyelid, through the conjunctiva, which leaves no scarring.
Fat grafting may be carried out at the same time to re-establish the curves under the eye and restore their continuity with the cheek-bones, thus eliminating rings.