Comprehensive Lower Blepharoplasty, Midface Lift & Tear Trough Correction

At Dr. Gorn Aesthetique, we treat the eyelid, tear trough, and midface as one connected unit. In a single, carefully planned surgery, we combine:

• Transconjunctival fat repositioning — releasing and transposing the under-eye fat through the inner eyelid to soften the bags and fill the tear trough with your own tissue, rather than removing it

• Tear trough ligament (arcus marginalis) release — freeing the tethered ligament so the hollow can be fully smoothed and the lid–cheek junction restored

• Midface lift — elevating the descended cheek to rebuild harmony between the eyelid and midface and to soften deep nasolabial folds

• Lateral canthopexy / canthoplasty — tightening and supporting the outer corner of the eye to correct lower-lid laxity, restore a firm eyelid position, and prevent ectropion (outward-turning lid)

• Double-layer orbicularis folding — folding and tightening the lax periorbital (orbicularis) muscle in two layers to firm the lower eyelid, reinforce lid support, and refine the under-eye contour

• Conservative skin excision — removing only the true excess of loose lower-eyelid skin, without over-tightening

By addressing every layer that contributes to the aging under-eye — fat, ligament, midface, lid support, and skin — we create a smooth, refreshed, and naturally rejuvenated result that a single-step procedure simply cannot deliver in these more advanced cases.

Why a Comprehensive Approach

• Eye bags return or hollows persist if fat is only removed without repositioning and without releasing the tear trough ligament

• Skin laxity remains if excess skin is not conservatively excised

• The lid–cheek imbalance stays visible unless the descended midface is lifted back into position

• The lower lid can droop or turn outward (ectropion) if pre-existing laxity is not supported with canthopexy — which is why lid tightening is essential, not optional, in these cases

• Doing everything in one surgery means one recovery, one anesthesia, and a balanced result where every layer is corrected in proportion to the others

Key Benefits

• Corrects prominent eye bags and deep tear troughs using your own repositioned fat — no synthetic filler

• Lifts the descended midface to restore harmony between the cheek and lower eyelid

• Tightens the outer corner of the eye to correct lower-lid laxity and prevent ectropion

• Firms lax periorbital muscle with double-layer folding for added lid support and a refined contour

• Removes excess loose skin for a smoother, firmer lower eyelid

• Softens deep nasolabial folds through midface elevation

• A single, comprehensive surgery instead of piecemeal treatments

• Natural, long-lasting rejuvenation that preserves your facial identity

Suitable For

• Middle-aged and older women with prominent eye bags and deep tear trough hollows

• Those with loose, sagging lower-eyelid skin

• Faces with midface descent and a visible imbalance between the cheek and eyelid

• Lower-eyelid laxity, drooping, or risk of ectropion

• Patients who need more than a simple fat-repositioning procedure to achieve a balanced result

• Anyone seeking a comprehensive, natural rejuvenation of the entire under-eye and midface region