THE OPERATION                                                                                            
Removal of the redundant and tensioning of the remaining skin to smoothen the wrinkles. Redistribution and leveling of the fat deposits. Fill tear troughs.

INDICATIONS
Eye bags.
Tear troughs.

COUNTER INDICATION
Weak lid tone.

SURGERY (usually as out-patient)
Incision just below the ciliary line or directly on the bag in a skin fold.
Also possible in the conjunctiva, if no skin removal is planned. Any of these approaches will allow the manipulations mentioned above.
  Operation time   1 hour.
  Anesthesia          usually local anesthesia.
  Scars                   see above, very inconspicuous.

POSSIBLE COMPLICATIONS, UNDESIRABLE RESULTS
Hemorrhage.
Deformed lid aperture.
Ectropion.

POSTOPERATIVE CARE
Paper tapes until stitch removal after 3–5 days.
Resume work after 3 days or 2 weeks (bruises).