Lower Blepharoplasty

Lower eyelid bags are not unusual and often occur from advancing age, eyelid swelling, allergies, certain medical conditions, and hereditary influences. In addition, the lower eyelids frequently develop fine wrinkles and crepey skin over time, both of which further contribute to an aged appearance. For individuals bothered by these cosmetic concerns, lower eyelid surgery can often be an effective solution.

What Is a Lower Blepharoplasty?

A lower blepharoplasty, commonly referred to as a lower eyelid surgery, is an aesthetic treatment used to remove excess skin and bags while tightening the lower lids for a rejuvenated, more refreshed appearance. Considered technically demanding from a surgical standpoint, the procedure typically requires the expertise of a highly qualified and experienced surgeon to yield excellent results. Our extensively trained oculoplastic surgeon, Michael Connor, MD is regarded as one of South Florida’s foremost experts in lower blepharoplasty, having helped numerous patients achieve the look and function they desire in the eye region.

Who Is This Procedure for?

There are numerous factors that give you the appearance of your lower eyelids. Genetic factors play a huge role and there is, unfortunately, no way to choose the appearance of your lower eyelid. Additionally, as we age we lose volume in the midface and the surrounding cheek area, causing lower eyelid fat to appear more prominent. This gradual decline can change the shape of your eyelids to a round, sad, tired appearance. There are several anatomical differences between all of us including – the eyelid position, the underlying bony structure around the eyes, the eyebrow position, and the eyeball position in the socket (prominent or deep-set). Examining and understanding those differences is instrumental in creating a personalized lower eyelid blepharoplasty plan. Our personalized surgical services make this procedure adaptable to patient needs and suited for just about everyone.

How Does a Lower Blepharoplasty Work?

There are currently two surgical methods for performing a lower blepharoplasty, transconjunctival and transcutaneous. A transconjunctival lower eyelid blepharoplasty is performed on the back side of the lower eyelid through the conjunctiva. This allows access to the bags of fat without making a skin incision. The fat can be removed or repositioned across the tear trough to create a smooth transition to the cheek. This approach is used for younger patients or patients who want to avoid a scar in the lower lid. It can be combined with a conservative skin pinch or a chemical peel to improve the lower eyelid skin appearance. A transcutaneous (through the skin) lower eyelid blepharoplasty is where an incision is made two millimeters beneath the lash line, typically in a natural crease or fold. This allows direct access to the fat. The fat can be removed or repositioned. Redundant skin in the lower lid can also be removed. The skin incision heals remarkably well.

What Does a Lower Blepharoplasty Treat?

A Lower blepharoplasty procedure is typically performed in order to remove excess skin and improve the contour of the eyelid by adding or removing fat. Sometimes, tightening of the eyelid is needed to correct sagging as well. In addition to surgery, dermal fillers (such as those offered at Oculoplastic & Orbital Consultants) can yield desired results without the need for surgery. In order to determine whether or not you qualify for surgery, we invite you to speak with Dr. Connor at our Palm Beach, Florida center.

What to Expect During Treatment

The operating time for a lower blepharoplasty can range from 1-1.5 hours. The time depends on the extent of the work necessary to achieve a natural look. A skin-only lower eyelid blepharoplasty can be safely performed in the office under straight local anesthesia. This can be combined with an upper eyelid blepharoplasty. Prior to the procedure Numbing medicine is slowly and gently administered to the lower eyelid skin using a very small needle. Medicine is then added to the numb area and slowly spread throughout the eyelid. For more extensive lower eyelid surgery, such as fat excision or reposition and eyelid tightening, Dr. Connor prefers intravenous sedation to ensure the patient is comfortable throughout the procedure. This is done at an outpatient surgery center with an anesthesiologist. Intravenous sedation is safe and does not require a breathing tube. The patient sleeps through the procedure and wakes up in the recovery room once it is done.

What Is Recovery Like After a Lower Blepharoplasty?

Recovery from lower eyelid surgery is variable and depends on the amount of work you have done. Most patients will experience worsening bruising and swelling for the first 2-3 days. There is minimal to no pain, however, a pain pill may be prescribed; in most cases, patients only use it on the day of surgery. Tylenol is usually sufficient to keep you comfortable following your procedure. Cool compresses are recommended for 20-minute intervals for the first two days. You may return to work after 5-7 days but expect to still have some bruising and swelling. Bruising can last up to two weeks and can be covered by makeup after one week. You should not perform anything strenuous for two weeks following your surgery.

How Much Does Lower Eyelid Surgery Cost?

Like most cosmetic procedures, pricing for lower blepharoplasty is unique to each individual. Some of the most common elements that can influence total cost include the quantity of fat and/or skin removal needed, the specific technique utilized, and whether or not the procedure is combined with complementary treatments. When choosing a doctor for lower eyelid surgery, it is imperative to understand that the fee a surgeon charges is often a good indication of their training, skill, and overall experience. As a result, the decision to select a particular eyelid surgeon should not be made based on cost alone – particularly for such a technically challenging procedure.

Does Insurance Cover Lower Blepharoplasty Procedures?

Dr. Connor is an expert in eyelid procedures and will inform you whether your procedure is considered cosmetic or medical during your consultation. Any attempt by the patient or physician to have insurance pay for a cosmetic surgery is considered fraudulent and can result in termination of your policy or loss of the insurance contract for the physician. This can potentially result in civil and criminal penalties. It is important to see a doctor who understands the criteria to avoid any potential problems with your insurance company.

I am so pleased with my eyelid surgery! I look refreshed and years younger! Highly recommended!

– Catherine Z.

Blepharoplasty Results