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Lower eyelid correction
Fresh, rested appearance without hollow eyes or a surgically altered look

Bags under the eyes often make someone look tired, older or even unhealthy, even though they don't feel that way at all. Lower eyelid correction is a refined and technically complex procedure, the aim of which is not to “tighten” the skin, but to make the transition from the lower eyelid to the cheek smooth and natural again.

At Gooimeer Clinics, lower eyelid correction is one of our core specialisations. Our plastic surgeons have extensive experience with this procedure and are internationally renowned for their anatomical approach and natural results.

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Why do bags form under the eyes?

Wallen are rarely a purely skin-related problem. In most cases, they are caused by a combination of factors:

  • protruding fat from the eye socket

  • a deepened tear trough beneath the bulge

  • laxity of the muscle and supporting tissue

  • sometimes fluid retention or lower-lying swelling (festoons)


The fat that surrounds the eyeball is normally held in place by a firm membrane. As this weakens over the years, the fat can shift forward, creating a bulge with a shadow or groove underneath. This produces the typical appearance of “under-eye bags with a tired look.”

Our approach: analyse before we correct

A successful lower eyelid correction starts with understanding the anatomy. Not every under-eye bag is the same, and therefore not every solution is the same.

At Gooimeer Clinics, we systematically assess:

  • skin quality

  • the circular muscle around the eye

  • the position and amount of fat

  • the degree and location of swelling

Based on this, we determine which technique is the best fit. Our guiding principle is always: as natural as possible, while preserving volume where it is needed.

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Lower eyelid correction before and after

More information

Click on an subject for more information

01 How is a lower eyelid correction performed?

In most cases, we perform an extensive lower eyelid correction with fat repositioning and muscle support. This technique was sometimes referred to in the past as a “midface lift,” but because that can be confusing, we deliberately no longer use that term.


Step by step:

  • Skin
    Only a small amount of skin is removed. Removing too much skin can pull the lower eyelid downward, and we absolutely want to avoid that.

  • Muscle (orbicularis oculi)
    The circular muscle around the eye is used like an internal hammock. It is reinforced and suspended to the bony rim of the eye socket to support the lower eyelid.

  • Fat repositioning
    The fat that bulges forward from the eye socket is not simply removed, but is often repositioned into the tear trough. This makes the bulge less prominent and the groove less deep—addressing two problems at once.

  • Festoons / lower-lying swelling
    When there is lower-lying swelling around the cheekbone, we adjust the technique accordingly. Improvement is often possible, but this requires extra precision and realistic expectations.

The procedure is usually performed under local anesthesia, optionally combined with sedation.

02 What is the purpose of the treatment?

The goal is not to create a “different face,” but rather:

  • a smoother transition from the lower eyelid to the cheek

  • less shadowing and depth under the eyes

  • a fresh, well-rested appearance

  • preservation of a natural-looking gaze

Afterwards, people often hear: “You look well rested”—without being able to pinpoint exactly why.

03 Recovery and aftercare

  • During the first few days, there will be swelling and bruising.

  • After approximately 2 to 3 weeks, you are usually presentable again.

  • Mild residual swelling may persist for several weeks.

  • We assess the final result after about 3 months.

You will receive clear aftercare instructions, and follow-up appointments will take place with your treating plastic surgeon.

04 Herstel en controle

The displaced fat cannot return to its original position. Although the face continues to age naturally, the deep groove under the eyes usually does not return to the same extent. The effect of a well-performed lower eyelid correction is therefore long-lasting.

go to the FAQ

  • Is lower eyelid surgery painful?

    The procedure itself can be performed under local anaesthetic. Post-operative pain is usually limited and can be easily controlled with painkillers.

  • Will I have a scar from lower eyelid surgery?

    The scar is located just below the lash line and is usually barely visible after healing.

  • Can lower eyelid correction be combined with other procedures?

    Yes, lower eyelid correction can be combined with upper eyelid correction or a facelift, if appropriate.

  • Will my eyes look different after lower eyelid surgery?

    No. The aim is to preserve your natural appearance, without any pulling or tightening effect.

Before and after

What to expect after this treatment

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Are you considering lower eyelid correction?

Your consultation

Would you like to know whether a lower eyelid correction is the right option for you? In a personal consultation, we look beyond “eye bags” alone. We assess the lower eyelid and the transition into the cheek, because under-eye concerns are usually a combination of fat position, support structures, skin quality and sometimes swelling (festoons).

During the consultation, you will receive:

an anatomical assessment of the lower eyelid, tear trough, fat position, muscle/support tissue and any swelling

a clear recommendation on the most suitable technique (e.g., fat repositioning, muscle support, limited skin correction, or a combination)

realistic guidance on what can be improved (shadowing, contour, lid–cheek transition) and what is less predictable (e.g., pigmentation)

a detailed explanation of recovery, aftercare, scarring and potential risks

example results and a personalised treatment plan with transparent pricing


Would you like to know what the best approach is in your case?

Then we warmly invite you for a personal consultation at Gooimeer Clinics.

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Client experiences

At 58, I felt healthy and full of energy, but my reflection no longer matched how I felt inside. After extensive research, I chose Dr. Wouter van der Pot because of his natural-looking results. The deep plane neck and facelift was far easier than expected: I experienced no pain, recovered quickly, and was back at work after just ten days. Three months later, I am 100% happy with the result and ...

Very friendly, skilled plastic surgeon. Gives personal attention, listens to you, and takes time for you. The end result of a face and neck lift is natural and beautiful. If you have any questions after the treatment, you can always contact them and they will help you.

...

Professional, neat, honest! That's how I would describe Dr. Ahmed. I didn't experience any pain, and it already looks beautiful! The wounds are barely visible... and it's only been four weeks. I hesitated for years, but when I walked in here, I knew for sure! I'm going for it. I would advise everyone to go to Dr. Ahmed!

...

I hesitated for so long about this procedure, but I should have done it much earlier. Dr. Ahmed is knowledgeable, clear, and above all very honest about the procedure and the results. The operation is tough, and you really need to take the time to recover. Fortunately, I had little pain and am now very happy with the result. I would recommend Dr. Ahmed!

...

I came in for eyelid surgery and was advised to also have a forehead lift. Dr. Ahmed was right, and I am so happy with the results. Everything was explained clearly. The anesthesia was painful and unpleasant, but I had no pain afterwards. The results are beautiful, and I have received many positive comments from those around me.

I was treated kindly throughout the entire process and felt ...

Friendly and professional approach from all staff members. Comprehensive and careful information before and after the procedure. Dr. Ahmed did a wonderful job. I am very happy with the result.

...
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