Lower eyelid blepharoplasty is the most effective way to refresh the lower eyelid area, and is one of the most commonly performed procedures at our office. This procedure can rejuvenate many aging features, including:

  • Sagging lower eyelid skin
  • Lower eyelid puffiness
  • Dark circles
  • Fine skin wrinkles
  • “Tired” appearance

Lower eyelid aging is frequently due to reduced eyelid skin elasticity and increased protrusion of orbital fat around the eye. To restore a youthful, refreshed appearance, our main objectives are to remove the redundant eyelid skin and excess orbital fat.

Two main approaches are used for this surgery. If extra skin needs to be removed or the eyelid needs to be repositioned, a small incision just below the eyelashes is made. If puffiness, or extra eyelid fat, is the only problem, the procedure can be performed by making an incision on the inside of the eyelid (transconjunctival approach).

There can be a wide difference in surgeons’ techniques and results. Positive word-of-mouth about our technique has made this one of our practice’s most popular procedures. Lower eyelid blepharoplasty is frequently combined with other procedures, especially upper eyelid blepharoplasty, laser resurfacing and chemical peel resurfacing. The results are long lasting and this is usually a one-time procedure.

How Is It Done?

  • You will be administered “twilight anesthesia,” meaning that you are asleep during the procedure, but you will continue to breathe on your own without the need for a breathing tube.
  • A single incision is made in the skin just below the eyelashes or on the inside of the lower eyelid.
  • The excess fat is identified and removed—this fat is frequently re-injected toward the end of the procedure to correct any hollow areas under the eye.
  • A small strip of skin is removed to tighten the lower eyelid skin.
  • The incision is closed with dissolvable stitches.


  • You will feel mild discomfort and may use pain medication for 2-3 days.
  • Within a week, bruising and swelling will begin to subside and can be covered with make-up.
  • Many people wear sunglasses during the initial healing time to resume normal activities.
  • You can begin light exercise within a week and resume full activities in 2-3 weeks.
  • Final results will be visible within a few weeks to a few months depending on individual healing.

Lower eyelids and laser,Before/after 3 months

Lower eyelids and laser-before

Lower eyelids and laser-after


Lower eyelids, before/after 6 weeks

Lower eyelids-before

Lower eyelids-after


Lower eyelids, Right before/after 6 weeks

Lower eyelids before

Lower eyelids after


Frontal before/after 2 months



Upper/lower eyelids and laser, before/after

Upper lower eyelids and laser before
Upper lower eyelids and laser after