Lower Eyelid Surgery

“I hate my baggy eyelids”, “I look tired all the time”.  These are the common complaints I hear my patients tell me about their eyelids.  As we age, laxity of the tissues supporting the eyelid allow the fat to bulge through causing puffiness.  Dark circle are the result of thinning skin overlying rhe darker orbicularis muscle underneath.  Excess skin, protrusion of fat and dark circles are the tell tale signs of aging. As we age the differentiation between the eyelid and the cheek becomes way more obvious and a tear trough may develop. 

Lower eyelid rejuvenation involved a mutli-faceted approach.  Sagging skin and bulging fat is removed through well-hidden incisions, the muscle underneath is resuspended to lift the eyelid, fat may be injected to the interface between the cheek and the lid. 

Lower lid blepharoplasty is often combined with upper lid blepharoplasty, so called 4-lid surgery, to allow for comprehensive periorbital rejuvenation.  This surgery is often performed in the operating room under sedation or general anesthesia.  Recovery time is approximately 7-10 days with expected swelling and bruising.