RefinedMD
800 Pollard Road, Building A
Los Gatos, CA 95032
Phone: (408) 688-2082
Office Hours:
Monday–Friday: 9 a.m.–6 p.m.
Saturday: Please call for availability
Closed Sundays & Holidays
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—during a procedure that takes less than 90 minutes.
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
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 RoyAging around the eyes occurs in three dimensions, and each layer contributes to an aged or tired look.
Dr. Roy’s Lower Blepharoplasty Trifecta addresses all 3 in one procedure to restore smoothness, balance, and vitality.
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. He is a pioneer of fat grafting in the periocular region, having refined microfat processing and injection techniques that overcome the lumpiness concerns that have historically made surgeons reluctant to transfer fat to the lower eyelid. He uses the Dermapose™ autologous fat processing system to maximize fat quality and graft survival in one of the most delicate anatomical areas of the face. Injecting microfat 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.
“I started evolving my lower blepharoplasty technique to address multiple factors relevant to achieving a great outcome, reducing eyelid bags, restoring volume, and improving skin, all without introducing a visible scar. That is how the Lower Blepharoplasty Trifecta was born. It combines a transconjunctival incision, fat transfer, and CO2 laser, addressing fat pads, volume loss, and skin all in one fell swoop in less than 90 minutes.”
—Dr. Sudeep Roy
Dr. Roy’s 3-step approach delivers comprehensive correction through natural, minimally invasive means.
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. Even though many patients have concerns caused by aging, approximately 60 to 70% of trifecta patients are between 25 and 35, and have hereditary rather than age-related under eye concerns. This reflects a patient demographic that is unusual for a facial plastic surgery practice and one that the trifecta procedure is uniquely positioned to serve.
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 has refined the lower blepharoplasty trifecta through years of specialized surgical experience and ongoing innovation. The Trifecta has generated a self-sustaining national and international patient pipeline driven entirely by organic peer recommendation, with demand continuing to grow since a patient’s experience went viral on TikTok. 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.
At RefinedMD, every treatment plan combines precision surgery with regenerative science. Patients appreciate the practice’s warm, attentive environment and Dr. Roy’s dedication to subtle and harmonious enhancements.
Upper and lower blepharoplasty continue to evolve and Dr. Sudeep Roy at RefinedMD is helping patients discover how much these procedures can refresh the entire face. The eyes age earlier than most other features and …
The eyes often tell the first story of aging, and at RefinedMD we have many patients asking about options for turning back the clock (and erasing crow’s feet). Whether it is hooded lids, bulging under-eye …
Blepharoplasty, or eyelid surgery, remains one of the most powerful yet subtle ways to refresh the upper face and help you look more alert, rested, and youthful. In modern practice, eyelid work is about balance …
Few features are as expressive as the eyes, which is why the earliest signs of aging so often appear there. From crow’s feet to under-eye bags, subtle changes can make you look more tired, stressed, …
Curious about peptides and how they may fit into your wellness plan? Join us virtually on September 22nd at 6:00pm for an educational event on medically supervised peptide therapy. Learn what peptides are, how they are administered, and how our providers determine which options may be appropriate based on your individual goals and health history.
Refresh, replenish, and give your wellness routine a boost with RefinedMD’s physician-developed IV Therapy. Designed to deliver hydration, vitamins, minerals, amino acids, and antioxidants directly into the bloodstream for rapid and efficient absorption, our IV treatments make it easy to choose support aligned with how you want to feel. Whether your goals include hydration and recovery, immune support, antioxidant support, or energy and metabolism, there’s an IV designed with your needs in mind. And now is the perfect time to experience IV Therapy at RefinedMD: choose from five of our most popular IVs and receive 20% off when you book your treatment on a Thursday or Friday with Nurse Denise. Want to personalize your drip even further? Ask about available add-ons, including glutathione, NAD+, and vitamin D3, for an additional wellness boost.
Reviewed for clinical accuracy by a RefinedMD Medical Editor on September 7th, 2026.
