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Lower blepharoplasty and other procedures are performed on many different eye shapes and ethnicities by Dr. Miller at Refreshed Aesthetic Surgery. The goal is to maintain a person's natural eye shape, while simultaneously smoothing their lower eyelid bags.
Commonly, fat augmentation is performed at the same time, which often substitutes for upper eyelid surgery (removing skin) in some patients. Indeed, removing skin is not the only way to improve the appearance of the upper eyelids (as illustrated here), sometimes volume augmentation is the way to a more natural, refreshed appearance.