Nose Job Surgery at The Seattle Rhinoplasty Center The Seattle Rhinoplasty Center, board-certified,plastic surgeon

What Is Lower Eyelid Surgery ?

What Is Lower Eyelid Surgery ?

Lower eyelid surgery, also known as blepharoplasty, is an oculoplastic procedure used to improve the appearance of the skin around the eyes. It can reduce puffiness and wrinkles in this area, making you look more youthful and alert. As an oculoplastic surgeon, I understand how important it is to ensure your safety and satisfaction with any procedure that you choose. In this article, I’ll explain what lower eyelid surgery is, its benefits, and what you should expect during the procedure.

Lower eyelid surgery is a cosmetic procedure that can be used to treat loose or sagging skin around the eyes and remove fat deposits from underneath the eye. It’s often done in combination with other procedures such as brow lifts or face lifts for a complete facial rejuvenation. Lower eyelid surgery can be used to treat a variety of conditions including dark circles under the eyes, bags under the eyes, and sagging of the lower lid.

The benefits of lower eyelid surgery are numerous: it can reduce signs of aging around the eyes by making them appear brighter and smoother; it can correct drooping lids; it can create a more symmetrical appearance; and it can help reduce puffiness around the eyes. Lower eyelid surgery can be performed on both men and women who want to enhance their overall appearance or address specific issues related to aging or genetics.


Lower eyelid surgery is an oculoplastic procedure intended to improve the appearance of the lower eyelids. It can involve removing excess skin, fat, and muscle to create a smoother, more youthful look. It may also be performed in combination with other facial plastic surgery procedures for improved results.

This procedure is typically performed under local or general anesthesia. During the procedure, incisions are made along the lash line or inside the lower eyelid. The surgeon then removes excess skin, fat, and muscle as needed for optimal results. In some cases, additional sutures may be placed to enhance the contours of the lower eyelid.

The recovery period from lower eyelid surgery varies from person to person but typically lasts 1-2 weeks. Swelling and bruising are common after this procedure and should subside within a few days or weeks following surgery. Patients should follow their surgeon’s instructions closely during recovery in order to achieve optimal results.

Reasons For Lower Eyelid Surgery

Lower eyelid surgery, also known as blepharoplasty, is a very common procedure used to improve the appearance of the lower eyelids. In some cases, it can also be used to treat medical conditions affecting the area. The most common reasons why people opt for lower eyelid surgery are to reduce puffiness or bags under the eyes, remove excess skin and fat from around the eyes, or correct drooping eyelids.

When considering lower eyelid surgery, it’s important to understand what you’re looking for in terms of results. For instance, if you have bags under your eyes that make you look tired or older than your actual age, this procedure may be able to help reduce their appearance. Additionally, if you have droopy eyelids that interfere with your vision or make you appear more aged than your true age, blepharoplasty can help lift them and give you a more youthful-looking appearance. Finally, if excess skin and fat around the lower lid cause sagging or wrinkles, this procedure can help create smoother results by removing them and restoring a smoother contour.

In short, there are many reasons why someone might pursue lower eyelid surgery. It can help improve both aesthetic concerns and medical issues related to the eye area. A consultation with an oculoplastic surgeon is necessary to determine whether this procedure is right for you and what kind of results you can expect from it.

Procedure Overview

Lower eyelid surgery is a procedure to correct defects, deformities, and disfigurements of the lower eyelid. This type of surgery is performed for both functional and cosmetic reasons. As an oculoplastic surgeon, I specialize in correcting various conditions that affect the eyelids, such as ectropion (sagging of the lower lid) and entropion (inward turning of the lid).

This procedure is usually done under local anesthesia with sedation. After administering anesthetic, I make small incisions in the lash line or below the lower lid to access the underlying structures. Depending on the condition being addressed, I may reposition muscles or fat pads and remove excess skin. If there is additional need for support, I can place a permanent suture to help provide long-term stability.

In some cases, I may also need to reconstruct any defects that exist due to trauma or prior surgical intervention. During this process, I may use tissue from another part of your body or a synthetic material to restore shape and volume to your lower lids. Once reconstruction has been completed, I will close the incisions with sutures that dissolve over time. The entire procedure typically takes two hours or less. Recovery can be expected within two weeks.

Pre-Operative Preparation

Prior to lower eyelid surgery, patients will need to undergo an in-depth physical evaluation with their oculoplastic surgeon. This is to rule out any medical conditions that may interfere with the patient’s recovery and safety. During this visit, the patient’s expectations and goals should be discussed as well. All medications should be reviewed and discontinued if necessary. Patients should also stop smoking for at least two weeks pre-operatively as well as avoid taking certain supplements or herbal products that can increase bleeding risks.

On the day before the procedure, patients should not eat or drink anything after midnight, including water. They should also make arrangements for a ride home from the surgery center since general anesthesia is usually used for this type of procedure. After arriving at the surgery center, patients will likely be given a mild sedative prior to being taken into the operating room.

Once in the operating room, an intravenous line will be placed and a local or general anesthetic will be administered depending on what was discussed prior to surgery. The surgical team will ensure all safety protocols are up to date prior to beginning the procedure and standard monitoring devices will be applied during it. Post-operative instructions will also be provided before discharge to ensure proper healing and recovery takes place.

Post-Operative Care Instructions

After successful lower eyelid surgery, proper post-operative care is essential. There are several steps to follow in order to ensure a safe and speedy recovery. In this section, I will provide comprehensive instructions on how to properly care for yourself after having lower eyelid surgery.

It is important that you maintain a clean and healthy environment around the eye area in order to reduce any risk of infection. For the first week after surgery, you should keep your head elevated while sleeping with two or more pillows. You should also perform warm compresses four times a day for 15 minutes at a time for the first week following surgery. This will help reduce swelling and promote healing.

Avoid activities that increase eye pressure such as rubbing or pushing on your eyes, wearing makeup, swimming, and contact sports for at least two weeks following the procedure. You may experience some redness around the eyes or slight swelling which can be alleviated with cold compresses or over-the-counter pain relievers if needed. If any signs of infection occur such as redness, discharge, or fever then call your doctor immediately.

It is important to follow all post-operative instructions carefully in order to ensure proper healing and avoid complications from occurring due to improper care of the area. Adhering to these guidelines will help you achieve optimal results from your lower eyelid surgery and resume normal activities quickly and safely.

Potential Complications & Risks

Lower eyelid surgery is a procedure that carries certain risks and potential complications. It’s important to understand these risks before committing to the surgery. Common complications include infection, dry eyes, and asymmetry of the eyelids. Infection is rare but possible and can be avoided with proper post-operative care. Dry eyes can occur which may require eye drops or ointment for relief. Asymmetry of the eyelids is also possible, although it can usually be corrected with additional surgeries if needed.

Another potential complication is ectropion, which is a condition where the lower eyelid turns outward away from the eye causing redness and irritation. This issue can usually be corrected through surgical repair and prevention measures including avoiding strenuous activity in the first few weeks after surgery. Finally, there are potential scarring issues that may require additional treatments such as steroid injections or laser resurfacing.

Overall, lower eyelid surgery has many benefits but it’s important to be aware of its associated risks and potential complications as well. Patients should discuss any concerns they have with their oculoplastic surgeon prior to committing to this type of procedure so they are fully informed of all aspects involved in the process.

Recovery Timeline

Lower eyelid surgery recovery is typically straightforward and relatively quick. Immediately following the procedure, patients should expect some swelling and bruising around the eyes. This will diminish over the next few days and weeks. To reduce discomfort, it is advised that patients use cold compresses on their eyes and take pain medications if necessary. Generally, patients are able to return to work within one week of the procedure.

For more strenuous activities such as heavy lifting or contact sports, it is recommended to wait two weeks before resuming them. It is also important for patients to avoid direct sunlight for at least one month after surgery due to the risk of hyperpigmentation or scarring.

Patients should be aware that the final result of their lower eyelid surgery may not be seen for several months as residual swelling can persist for up to six months post-procedure. Nevertheless, with proper care and patience, they can look forward to a successful outcome from this cosmetic procedure.

Types Of Incisions Used

Now that you understand the recovery timeline for lower eyelid surgery, let’s discuss types of incisions used. Oculoplastic surgeons use three main incisions to perform lower eyelid surgery: transconjunctival, subciliary and skin excision.

The transconjunctival approach involves making an incision on the inner surface of the lower eyelid. This approach is beneficial because it does not create any visible scarring and can be used to treat a variety of conditions such as tear trough deformities and bags under the eyes.

The subciliary incision is made just beneath the lash line and extends into the crow’s feet area at the outer corner of each eye. It can be used to remove excess skin or fat pads in order to achieve a smoother, more youthful appearance. The length of this incision can vary depending on how much tissue needs to be removed.

Finally, a skin excision may be necessary if excess skin needs to be removed. In this type of procedure, an incision is made along the lash line and extended outward toward the crow’s feet area in order to remove loose skin from the lower lids. This technique is often combined with other procedures such as laser resurfacing or dermal fillers for optimal results.

Lower eyelid surgery requires great skill and attention to detail in order for patients to achieve optimal results with minimal downtime and scarring. An experienced oculoplastic surgeon will carefully evaluate each patient’s individual needs before recommending an appropriate treatment plan tailored specifically for them.

Long-Term Effects

Long-term effects of lower eyelid surgery vary from patient to patient. Generally, patients can expect a more youthful appearance with improved contour and a smoother transition from the cheek to the eyelid. The results are often permanent and long-lasting.

It’s important to note that there may be some side effects associated with this procedure, such as bruising and swelling that may last for several weeks after surgery. Additionally, vision could be temporarily impaired due to swelling or bruising near the eye. It is important to follow post-operative instructions carefully in order to minimize these risks and ensure optimal healing and results.

In terms of maintenance, it is recommended that patients avoid direct exposure to sun or wind for at least three months following surgery in order to protect the eyes. Additionally, patients should use sunscreen on their eyelids when outdoors, even after the healing process has completed. Following these recommendations helps ensure the delicate skin around the eyes remains healthy and protected from further damage.

Cost & Insurance Coverage

Lower eyelid surgery, also known as blepharoplasty, is an effective way to improve the appearance of wrinkles and sagging skin around the eyes. The cost and insurance coverage of this procedure will vary depending on the individual’s circumstances.

Generally speaking, lower eyelid surgery can be expensive as it requires experienced medical professionals for optimal results. For those who wish to pursue cosmetic eyelid surgery but are concerned about the cost, there are financing options available from some clinics and providers. Additionally, some insurance plans may cover part or all of the cost if the procedure is medically necessary. It is important to check with your insurer before proceeding with any procedure.

In terms of recovery costs, patients should expect to pay for post-operative medications and follow up visits. Your doctor should provide a detailed estimate of what these additional fees will be when discussing pricing prior to having lower eyelid surgery. In addition, it is always wise to research state regulations regarding cosmetic procedures in order to ensure that you receive quality care at an affordable price.


Lower eyelid surgery is a safe and effective procedure that can help improve the appearance of the lower eyelids. When performed by an experienced oculoplastic surgeon, it can produce natural-looking results that last for many years. It’s important to discuss any concerns you may have with your doctor before undergoing this type of surgery, and to make sure you understand the procedure, recovery timeline, and long-term effects.

I recommend taking the time to research your options and find an experienced oculoplastic surgeon who can provide the best care for your needs. I’m confident that with proper preparation and post-operative care instructions, you’ll be able to enjoy beautiful results from your lower eyelid surgery for many years to come.

If you’re considering lower eyelid surgery, please don’t hesitate to contact my office so we can discuss all of your questions. I’m here to ensure that you receive quality care and a safe surgical experience in order to achieve the desired outcome.

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