Lower Blepharoplasty

Lower blepharoplasty is a common procedure used for treating bags and dark circles. It is usually performed using local anesthesia and sedation. To improve the lower eyelid bags, incisions are placed inside the eyelids (transconjunctival approach). This is necessary to minimize the risk of eyelid sagging or retraction. Not all plastic surgeons use this approach and that is why it is so important to find a surgeon specializing in eyelid surgery.   When excess skin is present the incision is placed just below the lashes. Dr. Levin in Westport, Connecticut combines trimming and/or repositioning of the lower eyelid fat to reduce the prominence of eyelid bags, while simultaneously filling depressions around the eyes (dark circles). In patients with pre-existing eyelid laxity, a canthal suspension procedure is performed to address this and decrease the risk of post-operative complications.

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What is the lower Blepharoplasty Procedure?

The lower eyelids are one of the first areas on the face to show the signs of aging. Undereye bags and dark circles can make someone look drawn and tired even when they feel energized and rested. Lower blepharoplasty with Dr. Levin involves surgical sculpting and contouring of the lower eyelids. This is a delicate procedure that significantly improves under eye bags, dark circles and loose eyelid skin. Incisions are usually inside the eyelid with no visible scars. When skin tightening is necessary, the incision is placed just under the eyelashes where they are virtually imperceptible.

Can A lower Blepharoplasty Treat My Dark Circles & Bags?

Eyelid Surgery ConnecticutLower blepharoplasty addresses the presence of dark circles, lower eyelid bags, sagging eyelid skin and the overall tired appearance. A youthful lower eyelid is vertically short with a smooth transition between the eyelid and the cheek. With age, tethering of facial ligaments, volume loss in the cheek area and protrusion of eyelid fat (bags) create an elongated lower eyelid appearance, with visible lines separating the eyelid and the cheek. Bulging and hollowing create shadows that appear as dark circles. Thin eyelid skin does little to camouflage prominent blood vessels or the underlying muscle. While upper blepharoplasty primarily addresses the excess skin, lower eyelid surgery is more multifaceted. Depending on the patient’s individual needs, it may involve removal and/or repositioning of the lower eyelid fat (the bags) through eyelid surgery, removal of the excess eyelid skin, eyelid tightening, or a combination of these.

The Lower Blepharoplasty procedure

The surgery can be performed either in the office or at the surgery center with deeper anesthesia.

  • During an evaluation, the eyelid fat compartments, eyelid skin tone and texture, overall eyelid position and laxity, and the appearance of the mid-face and cheeks are assessed.
  • A transconjunctival lower blepharoplasty would be best suited for a patient with lower eyelid bags (bulging eyelid fat) and good skin tone.
  • During this operation, incisions are placed inside the eyelids (in the conjunctiva) and the fat pockets are trimmed and repositioned to create a smoother contour.
  • When sagging eyelid skin is also present, transconjunctival blepharoplasty is combined with an external approach where an incision is made just under the eyelashes and excess skin is removed.
  • In most patients, this is often combined with a canthopexy, which tightens the eyelid to protect it against gravitational and aging forces.

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How long does the procedure last?

Due to the multifaceted nature of the lower blepharoplasty eyelid surgery, the procedure may take anywhere from 45 minutes to 1.5 hours and the recovery time from 1-3 weeks. As with upper blepharoplasty, selecting a surgeon with an intricate understanding of the eyelid and facial aging process, knowledge of the anatomy and experience, guiding the selection of the best procedure for each individual patient, will result in the best possible outcome.

Recovery from a Lower Blepharoplasty Procedure

After the procedure patients are instructed to apply ice, rest and avoid strenuous activity. Swelling, bruising and irritation are expected in the early post-operative period. Healing time varies between patients, with age, general health and medications affecting the individual healing time. Dr. Flora Levin proudly provides Westport, Norwalk, Fairfield, Connecticut and surrounding areas with advanced eyelid surgery procedures fixing bags & dark circles under the eyes. Call today for your consultation at 203-557-6464 or complete a Contact Form here!

Lower Blepharoplasty Fat Transposition

Successful cosmetic surgery is more about what is kept than what is taken away. In patients with lower eyelid bags, aggressive removal of lower eyelid fat can result in hollowness and appear “done.” In lower blepharoplasty with fat transposition, the fat is moved to fill in the hollow areas to create a smooth transition between the lower eyelid and the cheek. This creates a natural and youthful appearance.

Watch A Video Of The Procedure Here. 

See our Lower Blepharoplasty Before and After Gallery Here!

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Who is an ideal candidate for lower blepharoplasty?

Men and women with lower eyelid bags, dark circles and/or crepey eyelid skin are potential candidates for lower blepharoplasty. Dr. Levin treats patients of all ages who are bothered by their lower eyelid appearance. As with any cosmetic procedure, good candidates are healthy people with good lifestyles and realistic expectations.

How soon after eyelid surgery will I see my results?

Your results are immediate but are initially masked by swelling. Since healing time varies, the final results may not be seen right away. Younger patients tend to heal more quickly, with swelling resolving after just a couple of weeks. Older patients, who may need skin tightening as part of their surgery, may take up to 3 months to see the final results.

How long will my results from lower eyelid surgery last?

The changes made by Dr. Levin — removing excess skin and fat and tightening the muscles, addressing the fat pads beneath the eyes — mean that your eyes will always look younger. Yes, the aging process will continue but will re-start from a younger point after this surgery. You will enjoy the changes in your eyes for many years.

Can I get cosmetic eyelid surgery if I have had PRK or LASIK surgery?

LASIK and PRK surgeries address the shape of the cornea and in no way affect the eyelids. Patients who have had either of these vision correction procedures can have blepharoplasty. Dr. Levin wants her patients to wait at least six months after having LASIK/PRK before having this procedure, to be sure the cornea has fully healed.

Can I combine lower eyelid surgery with other procedures?

Of course, many of Dr. Levin’s patients have both lower and upper eyelid surgery performed during a single session. Other patients seek to combine blepharoplasty with a brow lift to rejuvenate the entire upper third of the face. Laser resurfacing procedures are also often combined with surgery for the best results. It is best to wait with non-surgical treatments such as BOTOX and dermal fillers until a few weeks after the surgery after the swelling resolves. This will ensure the most predictable and long-lasting results.


Please call us today at (203) 557-6464 or request a consultation.