Under-eye puffiness and sagging can make you appear tired, aged, or unwell, even when you’re not. Lower eyelid surgery smooths and reshapes this delicate area for a naturally refreshed look.
Lower eyelid surgery addresses common concerns like under-eye bags, loose skin, and volume loss that develop with age or genetics. Dr. Nina Boal, a board-certified oculofacial plastic surgeon and ophthalmologist, approaches every case with precision, care, and a deep understanding of the anatomy.
ABOUT COSMETIC LOWER EYELID SURGERY
Lower eyelid surgery, also known as lower eyelid blepharoplasty, is designed to remove or reposition fat and tighten skin beneath the eyes. This procedure targets puffiness, crepey texture, and shadows that can’t be corrected with creams or fillers. Dr. Boal uses advanced techniques—including transconjunctival approaches and laser resurfacing— to reduce visible signs of aging while preserving the natural shape of the eyes.
THE BENEFITS OF LOWER EYELID SURGERY
The following are some of the benefits of under-eye bag treatment that patients typically experience:
- Reduction of under-eye bags and puffiness
- Smoother, firmer skin texture beneath the eyes
- Improved tear trough contour and light reflection
- A more youthful, refreshed appearance
- Enhanced facial symmetry and definition
OVERVIEW OF THE LOWER EYELID SURGERY PROCEDURE (BLEPHAROPLASTY)
Lower eyelid surgery is typically performed under local anesthesia with sedation or general anesthesia, depending on your needs. Dr. Boal selects the approach, transconjunctival or external, based on your anatomy and goals. The under-eye bag treatment is performed either in our Lansdale Montgomery Surgery Center or at Wills Eye Hospital.
The procedure steps include the following:
- Incisions are made either inside the lower eyelid or just below the lash line.
- Fat is removed, repositioned, or sculpted to smooth contours.
- Excess skin, if present, is gently trimmed.
- Sutures are placed for optimal healing, and laser resurfacing may be added to improve skin texture.
RECOVERY AND RESULTS
Expect mild swelling, bruising, and tightness for five to ten days. Most patients resume social activities within 10–14 days, although subtle refinements continue for several weeks. Results are long-lasting, especially when combined with good skin care and sun protection.
FAQ
Is lower eyelid surgery painful?
Most patients experience minimal discomfort that typically resolves within a few days. Over-the-counter or prescription pain relievers are usually sufficient to manage any discomfort.
Will I have visible scars?
If the internal (transconjunctival) technique is used, there are no visible scars. For external incisions, they are carefully placed under the lash line and generally fade well over time.
What are the risks?
Potential risks include swelling, bruising, asymmetry, dry eye, and in rare cases, complications such as ectropion (outward turning of the lower eyelid). Choosing an experienced eyelid surgery specialist, such as Dr. Boal, helps minimize these risks.
How long do the results last?
The results typically last 10 years or longer. While the natural aging process continues, most patients enjoy long-lasting improvements in under-eye contour and overall appearance.
When can I return to work or social events?
Most patients resume light activities within a few days and feel comfortable attending social events within 10 to 14 days, depending on individual healing.
Can this help with dark circles?
Yes—if dark circles are caused by under-eye bags or volume loss that creates shadowing, surgery can be effective. However, if pigmentation is the root cause, other treatments may be more appropriate.
