Lower eyelid blepharoplasty is a procedure in which the excess skin and wrinkles of the lower eyelids are corrected. During the operation, herniated adipose tissue that has moved from the inside of the eye orbit towards the outside can be removed or repositioned. Under local anaesthetic (and often with medical sedation), an incision is made either in the conjunctiva a few millimetres inside the eyelash line, or in the skin immediately under the eyelash line. In the first case, the herniated orbital fat is manipulated while in the second case a flap of muscle and skin is loosened. The adipose tissue is either removed or repositioned above the lower edge of the orbit in order to hide lines that run from the inner eye towards the cheekbone. Excess skin and muscle can then be removed and the whole eyelid can be firmly anchored higher up on the orbital bone. The skin incision is sutured, while the conjunctival incision is left to heal alone. This procedure cannot correct periorbital wrinkles (crows’ feet) nor any dark circles under the eyes.