Lower Eyelid Surgery (Lower Blepharoplasty)

Overview
Lower eyelid surgery rejuvenates the under-eye area by removing or repositioning excess fat, tightening loose skin, and smoothing the transition between the eyelid and cheek. It restores a rested and youthful appearance without altering natural eye shape.

Who It’s For

  • Puffy lower eyelids (“eye bags”) due to fat herniation

  • Loose, wrinkled, or sagging lower eyelid skin

  • Hollow or tired appearance beneath the eyes

  • Patients seeking subtle rejuvenation without major facial change

Procedure

  • Performed under general anaesthesia or sedation with local anaesthetic

  • Two main approaches:

    • Transconjunctival: incision placed inside the eyelid; removes or repositions fat without external scar (suitable for younger patients with good skin tone)

    • Subciliary (external): incision just below the lash line; allows skin tightening and fat removal or repositioning

  • Fine sutures are used to close external incisions; internal incisions heal naturally

Recovery

  • Outpatient procedure; mild bruising and swelling for 1–2 weeks

  • Cold compresses and head elevation help reduce swelling

  • Stitches removed after 5–7 days if external incision used

  • Return to light activity within several days; avoid heavy exertion for 2–3 weeks

Results and Scarring

  • Smoother, firmer under-eye contour

  • Reduction of puffiness and fine wrinkles

  • Scars (if present) are minimal and concealed beneath eyelashes

  • Results are long-lasting and appear natural as swelling resolves over several weeks

Risks

  • Bruising, infection, or temporary dryness of eyes

  • Mild asymmetry or contour irregularity

  • Ectropion (rare outward pulling of eyelid)

  • Temporary numbness or tightness

  • Persistent swelling or residual hollowness (occasionally requires touch-up)

Long-Term Considerations
Results typically last 8–10 years. Good skin care, sun protection, and maintenance of stable weight preserve the outcome. Some patients combine lower blepharoplasty with upper eyelid surgery or non-surgical treatments (laser resurfacing, fat grafting) for comprehensive rejuvenation.