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Lower Eyelid BlepharoplastyUnder-eye bags are a common complaint voiced by both male and female patients. A lower eyelid blepharoplasty can “unpack” those bags and restore a more youthful look to the eyes and face.

Typical Timing/Age

Patients are usually over 50 years of age.


$2,750 if done in the office. $3,400 if done in OR. *This is an estimation & prices may vary.


The primary deformity in most patients seeking lower eyelid blepharoplasty is the presence of a “tear trough” or “orbital-malar sulcus” which creates the appearance of lower eyelid bags and a tired appearance. This is usually caused by a ligament that tethers the skin to the bone of the inferior orbital rim (see image below). Skin laxity, wrinkles, and pigment changes are other reasons patients seek lower eyelid rejuvenation.


The “tear trough” or “orbital-malar sulcus” is usually treated by disrupting the orbital-malar (tear-trough) ligament and draping the orbital fat down into that area to smooth out the sulcus. This technique “takes” from the fullness above and “gives” to the emptiness below. This may be done through an incision inside your lower eyelid or through an incision on your lower eyelid millimeters below your eyelashes. Lower eyelid blepharoplasty takes approximately 2 hours. Some less severe “tear trough” or “orbital-malar” creases can be temporarily masked with dermal fillers.


To improve the appearance of the eyes by effacing the orbital-malar sulcus and smoothing out the lower eyelid skin.


Office, Surgery Center or Hospital


Patients should wait at least 6 months after LASIK vision surgery. Patients should also have any dry eye symptoms treated prior to undergoing elective cosmetic eyelid surgery.


Local anesthesia if done in the office or general anesthesia in a surgery center or hospital.

Hospital stay

This procedure does not require a hospital stay.


After blepharoplasty, you should sleep with your head elevated above your heart for a few days to help reduce the swelling.


You will be able to walk around, feed and bathe yourself. Depending on your pain medication requirements, you may not be able to drive or care for others.

Walking After Surgery

You are encouraged to walk around as much as possible to help reduce the risk of DVT and thromboembolism.


You may shower immediately following surgery.


1 week for light exercise. 2 weeks for regular exercise.


Wait 1 week because you don’t want to increase your blood pressure during the early healing period.


You may be bruised for 1-2 weeks. If you have a desk job you can return to work as soon as you are comfortable doing so. Most people take 1-2 weeks off work.


Usually greatest around 3 days after surgery from which time it starts to subside. Some patients remain a little swollen for 2 months.


Usually subsides by 1 week.

Risks & Complications

Lower eyelid malposition, dry eyes, chemosis, asymmetry, bleeding, infection, prolonged swelling, need for revision, complications related to anesthesia.

Performed by: Dr. Butler, Dr. Leveque, Dr. Patterson


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