What a SOOF lift treats

Hollowing that occurs at the upper cheek – lower eyelid junction.

How a SOOF lift is performed

A SOOF lift can be done at the same time as lower blepharoplasty. After the lower eyelid and surrounding area is numbed with an injection of local anesthetic, the surgeon approaches the SOOF (sub-orbicularis oculus fat) through the eyelid incision which may be on the front or back of the eyelid. The SOOF is located at the upper cheek, beneath the orbicularis oculus muscle.

This collection of fat is mobilized and elevated to a higher position with anchoring sutures, either absorbable or permanent, fixated to the bone lining or periosteum at the orbital rim.

Follow-up care

Significant swelling and/or bruising may occur for 1-2 weeks after the procedure. The final result may not be reached for several months, taking normal healing into account.


These include the same risks of traditional blepharoplasty, including bleeding, infection, ectropion (pulling down of the lower eyelid), dry eye, contour irregularities, asymmetry, and recurrence of hollowing.