Lower blepharoplasty is a highly customized procedure that can incorporate different surgical techniques depending on your specific condition, concerns and goals. Lower eyelid surgery is very complex, as muscle, tendon, fat, and skin must all be addressed and treated separately. Attention to and treatment of all factors that contribute to aging in the eyelid area give the most dramatic improvement in appearance. An incision is made just below the lash line and will heal with only slight detection as the scar matures.