A Modern, Multi-Layered Approach to the Eyes

Traditional lower eyelid surgery typically targets only one aspect, such as removing excess fat or tightening skin, which can lead to hollowing or altered eyelid shape. Dr. Roy takes a different approach to lower blepharoplasty at our Los Gatos, CA, practice. The lower blepharoplasty trifecta rejuvenates the eyes at every level—structure, volume, and surface.

I chose Dr Roy at RefineMD to do my lower bleph because of how nice and welcoming he was during my consultation. He answered all my questions and I immediately felt assured that everything would go well. I had my surgery on 1/20, I’m 3 months post op now and I love my results.

Megan P. 5-Star Yelp review

View Before & After Photos

Dr. Sudeep Roy
Dr. Sudeep Roy
Double Board-Certified Facial Plastic Surgeon

Dr. Roy’s personable bedside manner inspires the confidence and trust of our facial plastic surgery patients. A graduate of Stanford University, Dr. Roy completed a rigorous 5-year residency focused exclusively on facial plastic surgery and fellowship training with the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS).

Meet Dr. Sudeep Roy
Facial Plastic Surgeon
Double Board-Certified Facial Plastic Surgeon

Understanding the Aging Lower Eyelid

Aging around the eyes occurs in three dimensions, and each layer contributes to an aged or tired look.

  • Structural: Fat pads that once supported the lower eyelid begin to protrude, forming puffy under-eye bags.
  • Volume: Soft tissue and fat loss in the tear troughs and midface deepen shadows, creating the look of dark circles.
  • Surface: Skin laxity and fine wrinkles dull the texture and reduce the light-reflective quality of youthful skin.

Dr. Roy’s Lower Blepharoplasty Trifecta addresses all 3 in one procedure to restore smoothness, balance, and vitality.

The Lower Blepharoplasty Trifecta

Each step of Dr. Roy’s approach targets a different aspect of lower eyelid aging, and together they restore smooth, youthful contours without changing your natural expression.

1. Transconjunctival Lower Blepharoplasty

Dr. Roy makes incisions inside the eyelid (transconjunctival), preserving external skin and muscle without a visible scar. He repositions or conservatively removes fat to smooth contours while maintaining natural support. The goal is to restore continuity between the lower eyelid and cheek without creating under-eye hollows.

2. Microfat Injections

Using a patient’s own purified microfat, Dr. Roy restores youthful volume to the tear troughs, cheeks, and temples. This creates gentle transitions between the eyelid and midface, and introduces regenerative stem-cell effects that enhance tone and elasticity over time.

3. Laser Resurfacing

Fractional laser skin resurfacing refines the skin’s surface by softening wrinkles and tightening laxity. The result is smoother texture, more even tone, and the subtle glow associated with healthy, youthful skin.

Dr. Roy examines woman's jawline while she holds a mirror

Benefits of Lower Blepharoplasty Trifecta

Dr. Roy’s 3-step approach delivers comprehensive correction through natural, minimally invasive means.

  • Efficient recovery: Coordinated healing leads to less bruising, swelling, and downtime.
  • Comprehensive correction: Structural, volumetric, and surface aging are all addressed in one procedure.
  • No visible scars: Internal incisions and gentle laser resurfacing avoid external stitches.
  • Natural results: Preserves eyelid shape and character for an authentic look.
  • Longevity: Regenerative fat grafting and collagen remodeling extend the lifespan of results.

A Reputation Built on Results

Refined is the only place in town I trust for my skincare needs. Not only are they current with all...
Dania was an absolute pleasure to work with and is a star Clinical Body Treatment Expert. Great experience...
I would love to share my experience with RefinedMD clinic and, in particular, Dr. Roy, who performed...
Staff is very friendly.

Ideal Candidates

The lower blepharoplasty trifecta is ideal for patients who notice under-eye bags, hollows, or fine wrinkling and want subtle, natural rejuvenation without external incisions. The lower blepharoplasty trifecta is a modern, comprehensive solution suitable for adult patients of all ages and nearly all skin types. 

Results and Longevity

Patients see changes within 1 to 2 weeks as swelling subsides and the eyes appear smoother and brighter. Over the following months, the transferred microfat integrates naturally, and the skin texture continues to improve. Results are durable so you’ll age gracefully, supported by the regenerative effects of the treatment.

Dr. Roy’s Expertise and Recognition

Dr. Roy has refined the lower blepharoplasty trifecta through years of specialized surgical experience and ongoing innovation. Featured across his educational and social platforms, his approach attracts eyelid surgery patients from Saratoga, Campbell, San Jose, and nationwide, seeking advanced, scarless eyelid rejuvenation. His artistry, meticulous technique, and commitment to natural-looking outcomes have made him one of the region’s most sought-after facial plastic surgeons

Dr. Roy in a suit, smiling, while seated in office lounge

Why Patients Choose RefinedMD

At RefinedMD, every treatment plan combines precision surgery with regenerative science. Patients appreciate the practice’s warm and attentive environment, as well as Dr. Roy’s dedication to subtle and harmonious enhancements.

Refresh your eyes. Restore your confidence.

Request a consultation using the online form to meet personally with Dr. Roy to discuss your concerns and goals.

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