When she looks up, it's a little easier to see the bulge of fat in her lower eyelid.  The incision in her skin is difficult to find.  Nowadays, I make the incision behind the lower eyelid lashes, "inside" the eye, so there is no skin incision to find at all.

If you think you can stomach photos that were taken during surgery, the "Surgery tutorials" section of this site contains a chapter that walks you through the lower eyelid surgery with the hidden incision.