Lower Blepharoplasty

Lower blepharoplasty, also known as lower eyelid surgery, is a cosmetic procedure that aims to improve the appearance of the lower eyelids. It involves the removal of excess skin, fat, and muscles from the lower eyelids to address concerns such as under-eye bags, puffiness, and wrinkles. Lower blepharoplasty can result in a more youthful and rejuvenated appearance, enhancing the overall aesthetics of the face. 

Reasons for Lower Blepharoplasty:

  • Have under-eye bags: Aging, genetics, and lifestyle factors can contribute to the development of under-eye bags. Lower blepharoplasty can remove or reposition the excess fat deposits that cause the bags, resulting in a smoother and more youthful lower eyelid contour.
  • Experience puffiness or swelling: The lower eyelids can become puffy or swollen due to fluid retention or excess fat. Lower blepharoplasty can address these concerns by removing or redistributing the fat and tightening the lower eyelid skin, creating a more refreshed appearance.
  • Have wrinkles or fine lines: Over time, the skin around the lower eyelids may develop wrinkles or fine lines, commonly known as crow’s feet. Lower blepharoplasty can help smooth out these wrinkles and tighten the skin, reducing the signs of aging.


Lower blepharoplasty is performed under general anesthesia. This ensures the patient is asleep and comfortable during the procedure. Dr. Landis will make incisions just below the lower lash line (subciliary approach). These incisions are strategically placed to minimize scarring and ensure optimal results. Excess fat deposits are carefully removed or repositioned to eliminate under-eye bags and puffiness. Dr. Landis may also redistribute the fat to create a more natural and youthful lower eyelid contour. This step eliminates the “tear trough deformity” or crease below the lower eyelid. If necessary, Dr. Landis will tighten the lower eyelid skin to reduce wrinkles and achieve a smoother appearance. The incisions are closed with sutures, and antibiotic ointment is applied to protect the incision sites.

Recovery and Aftercare:

The recovery period for a lower blepharoplasty will vary from patient to patient. You will be given specific instructions on how to care for your incisions, including keeping them clean and applying prescribed ointments and eye drops as directed. Patients can expect some discomfort, swelling, and bruising after surgery. Swelling and bruising around the eyes are common after lower blepharoplasty- the eyelids have an abundant blood supply! Applying cold compresses (bags of frozen peas) and keeping your head elevated will help reduce swelling and promote healing. A low dose pain medication will be prescribed to manage any post-operative pain.

It is important to follow Dr. Landis’s post-operative instructions regarding incision care, medication, and activity restrictions. A few non-dissolvable sutures are used, and they will be removed within a week after surgery during a follow-up appointment with Dr. Landis. Most patients can resume normal activities, including work and light exercise, within a week after surgery. Strenuous activities and heavy lifting should be avoided for 3 weeks. It is important to follow Dr. Landis’ post-operative instructions regarding incision care, medication, and activity restrictions. It is crucial to attend follow-up appointments with Dr. Landis to monitor the healing process and address any concerns.

Potential Risks and Complications:

Like any surgical procedure, lower blepharoplasty carries potential risks and complications. These may include:

  • Infection
  • Bleeding
  • Dry eyes
  • Tearing
  • Temporary or permanent changes in eyelid position
  • Scarring
  • Asymmetry
  • Difficulty closing the eyes completely

Dr. Landis will discuss these risks with you and address any concerns or questions you may have before deciding to undergo lower blepharoplasty.


Lower blepharoplasty cost includes the surgeon fee, facility fee, anesthesia fee, and any labs or imaging that may be required before or after surgery. The total cost for a lower blepharoplasty ranges from $4,300 -$5,500 and varies if any additional surgery is required. Dr. Landis will formulate a plan specific for each patient and a detailed estimate will be provided. CareCredit is available to our patients, and we’d be happy to discuss this option with you!


Lower blepharoplasty is a cosmetic procedure that can improve the appearance of the lower eyelids, addressing concerns such as under-eye bags, puffiness, and wrinkles. It is essential to consult with a qualified, board-certified plastic surgeon like Dr. Landis to determine if lower blepharoplasty is suitable for you and to discuss your goals, expectations, and potential risks. A personalized treatment plan will be created to achieve the desired results while ensuring the best possible outcome!