Lower Eyelid Lift (Lower Blepharoplasty)

Does puffiness under your eyes bother you? Does the fat under your lower eyelids make you appear aged and weary all day? If so, undergoing a Lower Eyelid Blepharoplasty may help!

Lower Eyelid Blepharoplasty is a surgical treatment that either removes or redistributes the fat under your eyes and gives you a youthful and lively appearance.

If you’re considering Lower Eyelid Blepharoplasty, then you can count on Dr. Mansher Singh, an expert plastic surgeon based out of Manhattan, New York, to give you top-notch results.

Lower Blepharoplasty Table of Content

What is Lower Blepharoplasty?

Lower blepharoplasty, also called a lower eyelid lift, is a surgical procedure that rejuvenates the appearance of the lower eyelids. It addresses issues such as under-eye bags, puffiness, and wrinkles, which contribute to a tired or aged look. By removing or repositioning excess skin and fat, this plastic surgery can achieve a more youthful and rested expression.

A black and white photo of a beautiful woman highlighting her eyelids

Signs of Aging on the Lower Eyelids

Signs of aging can manifest in various ways around the lower eyelids. They can contribute to a look that may seem overly tired or aged.

Here are some of the most common ways they can appear:

  • Puffiness and Under-Eye Bags: Caused by the shifting of fat pads beneath the eye. It can cause a swollen appearance.
  • Fine Lines and Wrinkles: These can result from the loss of skin elasticity and collagen.
  • Dark Circles: Often caused by thinning skin or visible blood vessels under the eyes, creating a tired look.
  • Hollows Under the Eyes: Volume loss in the tear trough area can lead to a sunken, tired appearance. These accentuate shadows and aging in the face.

A lower blepharoplasty can address these concerns by repositioning or removing excess skin and fat in these areas. In some cases, Dr. Singh may need to tighten the skin and muscles to smooth wrinkles and reduce puffiness.

How is Lower Eyelid Lift Performed?

Dr. Singh understands that every patient has a unique facial anatomy and aesthetic goals, so he tailors every surgery. To determine the best approach (transconjunctival or transcutaneous), he assesses each patient in a one-on-one consultation. Here, he evaluates the lower eyelid area, listens to patient concerns, and discusses the desired outcomes.

Transconjunctival Approach

Dr. Singh favors the transconjunctival approach because it avoids any visible scars. He begins by creating a small incision on the inside of the lower eyelid. This allows him easy access to reduce or remove the fat pads causing puffiness and under-eye bags.

This technique enhances the eye’s appearance while maintaining the lower eyelid’s integrity, shape, and functionality. A transconjunctival lower blepharoplasty is ideal for younger patients or those whose main concern is puffiness under the eyes.

Transcutaneous Approach

The transcutaneous approach is another method that Dr. Singh employs. Primarily, it benefits those with noticeable under-eye bags and significant wrinkles. In this procedure, he makes a precise incision, hidden just below the lower lash line. While the scar is slightly more visible, it is extremely difficult to notice.

This approach results in a smoother, more youthful contour of the lower eyelids. It mainly addresses wrinkles and pronounced sagging.

Addressing Functionality Concerns

Many patients undergo lower blepharoplasty for its cosmetic benefits, but it can also address functional concerns. Aging or genetic predisposition can lead to conditions that impair visual function and comfort.

Most commonly, these include:

  • Impaired Vision: Excess skin and fat can lead to bulging or bagging under the eyes, sometimes obstructing the field of vision. By removing or repositioning this excess tissue, lower blepharoplasty can clear the visual field.
  • Irritation and Discomfort: Excessive folds of skin and fat can cause irritation, as the skin may rub against itself. These eyelid creases can also create a shelter for moisture and bacteria, leading to infection.
  • Difficulty with Eyewear: Excessive lower eyelid skin can interfere with the fit of glasses or contact lenses. Post-surgery, many patients find that their eyewear fits more comfortably.

Dr. Singh’s approach improves the aesthetic appearance of the lower eyelids and alleviates many of these issues.

How Long is Lower Eye Lift Recovery?

Patients typically find lower eyelid lift recovery smooth and pain-free. Swelling and bruising is common for the first few days but subsides within the first 2 weeks. Dr. Singh advises his patients to keep their heads elevated and to apply cold compresses to minimize swelling. After about a week, he will remove any sutures during a follow-up appointment.

Following surgery, he provides detailed at-home care instructions, that will help the recovery process. This includes guidance on when patients can resume their daily activities, like work and exercise. Most patients can return to their routines within 10 to 14 days.

Who is a Good Candidate?

Those noticing aging signs like puffiness, under-eye bags, dark circles, or wrinkles may be candidates for lower blepharoplasty. Candidates should be in good health and willing to temporarily quit smoking for 2 weeks before and after surgery. This provides a quicker recovery and minimizes any risks.

To best determine if you are an ideal candidate for this surgery, consider consulting with a trusted surgeon.

Lower Blepharoplasty with Dr. Mansher Singh

Eyelid lift surgery begins with a consultation with Dr. Mansher Singh, a renowned NYC plastic surgeon. Harvard and Johns Hopkins-educated, he is above qualified to address your aesthetic or functional concerns.

During a consultation with Dr. Singh, he discusses your unique goals and concerns, and highlights potential results. To schedule a one-on-one, call his Manhattan office at (212) 470-4020 or visit his website.

Lower Eyelid Lift Surgery FAQ

How long do the results last?

The results of lower blepharoplasty have the potential to last for many years. While the procedure can’t halt the aging process, most patients enjoy permanent rejuvenation. Maintaining a healthy lifestyle and skincare routine can help extend the benefits.

Is scarring easily noticeable?

Scarring from lower blepharoplasty is typically minimal and well-concealed. In the transconjunctival approach, Dr. Singh makes incisions inside the eyelid, leaving no visible scars. For the transcutaneous approach, he makes incisions just below the eyelashes, which can effectively hide scarring. With proper care and time, scars generally fade and become much less noticeable.

How much does it cost?

The cost of lower blepharoplasty varies depending on several factors. These include the complexity of the procedure, the surgeon’s experience, and the geographical location of the practice. Other fees can include anesthesia, facility, and post-operative care. For an accurate estimate, prospective individuals should directly consult with the practice they are interested in.

Dr. Singh suggests contacting a qualified surgeon, who can assess your specific needs and provide a detailed quote.

Are there any risks?

Like all surgical procedures, lower blepharoplasty has its risks. However, serious complications are rare. Potential risks include infection, bleeding, dry eyes, temporarily impaired or blurred vision, and the possibility of needing revision surgery. There can also be risks related to anesthesia.

Specific to this procedure, there is a chance of lower eyelid malposition, such as ectropion. This may require corrective surgery. During a consultation, you should discuss all risks and concerns with your chosen surgeon.

What procedure pairs well with a lower blepharoplasty?

Many patients undergo facial fat transfer with lower blepharoplasty. This combination restores lost facial volume, especially in areas like the cheeks and under-eye hollows. Facial fat transfer involves using your fat — typically from the thighs, abdomen, or buttocks — to add fullness and contour to the face. This pairing complements the tightening and smoothing achieved through lower blepharoplasty with a balanced and youthful facial appearance.

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