Lower Eyelid Bags and Blepharoplasty (Lower Eyelid Surgery)

Lower eyelid blepharoplasty is a surgery to reduce the look of under-eye bags and dark circles. The goal is to create a smoother, more rested appearance.

The surgery can be done in two ways:

• Inside the eyelid (transconjunctival approach): No visible scar; fat is removed or repositioned.

• Just under the lashes (external approach): Small incisions allow for skin tightening or laser/chemical resurfacing.

In some cases, fat grafting (fat from another area of the body) is also done to restore lost volume and improve cheek contour.

• Cold compresses help reduce swelling and bruising for the first few days.

• You may be given antibiotic ointment.

• Keep your head elevated, and limit activity for a few days.

• Most discomfort is mild and managed with over-the-counter pain relievers (avoid aspirin or ibuprofen unless advised).

Most people can return to normal activities in 1 to 2 weeks.

As with any surgery, there are some risks:

• Bruising and swelling (common and temporary)

• Bleeding or infection (rare)

• Changes in eyelid shape or position

• Minor lumps or cysts near the incision (usually resolve over time)

• Possible need for touch-up surgery months later

Let your surgeon know if you take blood thinners, as they can increase the risk of bleeding.

Your oculofacial plastic surgeon will do everything possible to create symmetry, but perfect results can’t be guaranteed.  Typically, patients are happy with results and feel they look more rested and refreshed.