Skin laxity and “bags” (festoons, malar bags) under the eyes are common signs of aging and primary reasons for seeking lower blepharoplasty. These changes contribute to a tired and often sad appearance. The procedure aims to improve the area by removing or repositioning fat and reducing excess skin, offering a more refreshed and naturally rejuvenated look.
Consultation Session
During your initial consultation visit, the primary goal is to clearly define your personal desires and expectations from the procedure. The surgeon will evaluate whether you are a suitable candidate for the surgery through a detailed medical history and a comprehensive clinical examination. During the discussion, all available options will be presented, along with the most appropriate recommendation, as well as full disclosure regarding potential risks and complications that may arise.
Anesthesia & Length of Stay
The procedure is performed under local anesthesia (with or without sedation), and the patient typically returns home on the same day (outpatient procedure).
Associated Risks in Lower Blepharoplasty
Lower blepharoplasty is a safe procedure with limited risks. The most common complication is the onset of dry eyes. This usually occurs in patients with long-term contact lens use. Postoperative bleeding or infection occur very rarely.
Frequently Asked Questions (FAQs)
Bruising and swelling are common immediately after the procedure and are completely normal. You will receive instructions for the regular application of cold compresses to the eyelids during the first 24 hours to keep swelling to a minimum. Avoiding bending over or lifting heavy objects during the first few days also helps. Returning to work depends on the nature of your job and typically occurs two weeks after the surgery. Sutures are removed 1 week post-surgery, after which makeup can be applied. Exercise can be resumed after one month. Avoid using contact lenses for 2 weeks.
The incision is located either transconjunctivally (inside the conjunctiva) or follows the natural contour of the eye, placed just below the eyelashes. Over time, it becomes virtually invisible. At the outer corner of the eye (lateral orbital rim), the scar will be visible for a few millimeters and may appear slightly red during the first few months until the color fades and blends in. The final appearance of the scars is typically achieved about one year after the procedure.
Most patients return to light daily activities within the first few days after the surgery, while some can return to work after about two weeks, depending on the demands of their job. Physical/sports activities can be resumed, on average, after 4 to 6 weeks.
It is important to listen to your body: pain serves as a protective signal, so if certain movements cause discomfort, it is best to avoid them. Over the following weeks, swelling will gradually subside, but it may still persist for some time; therefore, we advise postponing any major social events for at least two months post-surgery. Complete recovery is typically achieved within about one year.
Occasionally after surgery, a weakening of the lower eyelid support mechanism may occur, where a tight scar could cause a mild drooping of the eyelid. In most cases, this condition resolves on its own. However, in some instances, a minor corrective procedure may be required.