Lower lid blepharoplasty can be performed with two methods. In cases where the skin tissue is not sagged or deformed, the under-eye fat pachi can be taken from the inner conjunctival layer of the eye, which we define as transconjunctival, without any stitches and scars. In addition, in patients who need it, mid-face fat tissue can be lifted upwards and mid-face lift can be added. Consideration should be given to bleeding control and anatomical structures around the eye in lower eyelid aesthetics. The recovery period of the patient after the operation may take a few days longer than the upper eyelid. Applying plenty of ice after the surgery, lying slightly elevated accelerates the recovery. Because each patient will have their own characteristics. Treatments should always be personalized.