Lower Eyelid Blepharoplasty

What is Lower Eyelid Blepharoplasty?

Lower eyelid bags and dark circles are a very common reason patients seek a blepharoplasty consultation with our facial plastic surgeons. These bags and circles lend to looking older and fatigued, and are impossible to hide behind makeup. Genetics, variations in anatomy, excess sun exposure, aging and herniation of orbital fat can all be reasons why these lower eyelid problems exist.


While there are many reasons for bags and circles to develop, it is important to know that our blepharoplasty treatment approach also varies according to the needs of each individual. Applying expert knowledge, skill and state-of-the-art technology, our physicians develop a customized plan that will bring you back to your natural, youthful appearance and help you maintain that look long term. We literally help you turn back the clock and slow the hands of time.

What is Lower Eyelid Blepharoplasty

The treatment plan is based on the options that best address your individual concerns and anatomical features. Lower eyelid blepharoplasty is a general term that encompasses a variety of surgical techniques. Your surgery may involve removal or repositioning of herniated fat tissue, reduction of excessive skin, or a combination of both. To further enhance skin tightening, the application of the Fractional CO2 Laser may also be involved. Your surgeon will discuss your best treatment options with you in detail at the time of your consultation.

Lower Eyelid Bags vs. Festoons

Although they are often confused with one another, lower eyelid bags and festoons are two entirely different issues. Lower eyelid bags are mostly formed by fat tissue and/or excessive skin and are located just beneath the eyes.


In contrast, festoons are pockets of edema that form on or above the cheekbones, giving the appearance of a “second bag”. Due to the differences in location and cause, treatment of bags and festoons require a solid knowledge of anatomy and a great deal of experience by the surgeon to deliver a successful, yet natural appearing outcome.

Ideal Candidates for Eyelid Surgery

During your consultation, you will undergo an extensive evaluation to make sure that you are a suitable candidate for surgery. There are certain medical conditions that manifest themselves with droopy eyelids. Prior to proceeding with surgery if these conditions would have to be managed. It is important to note that drooping lower eyelids often affect elderly individuals, so in general age is not a reason not to have surgery if you need it.

Things to Consider

Preparing for Lower Blepharoplasty

Rest assured that the surgeon will do everything possible to make sure that your surgery is as comfortable and as easy for you as possible.

If you are having anesthesia, do not have anything to eat or drink starting at midnight the night before your surgery unless you are instructed otherwise by either your surgeon or your primary care physician. The exception to this role is that you can take her morning medicines with a sip of water. If you have diabetes or high blood pressure, your surgeon or treating physician will tell you if any modification to your usual morning dose as is necessary.

Potential Risks of Lower Blepharoplasty

The risks associated with blepharoplasty are very uncommon. While it is impossible for any surgeon to guarantee that you will never have a complication, rest assured that you are in expert hands and your risk of complications is very small.

The possible eyelid surgery risks include:

  • Dry, irritated eyes
  • Difficulty closing your eyes
  • Infection and bleeding
  • Skin discoloration
  • Risks associated with surgery (anesthesia reaction)

Operation Duration

30-60 Minutes

Anesthesia Use

Local Anesthesia with Sedation

Recovery Duration

7-14 Days

Insurance Covered


Recovery From Eyelid Surgery

This surgery is usually performed on an outpatient basis, so you will go home the same day.

  • There is minimal pain after the procedure, although some discomfort is normal.
  • Temporary blurred vision is normal and should subside within the first 24 hours.
  • Ice packs are recommended for the first two days while bending and heavy lifting should be minimized.
  • Swelling and bruising around to eyes lasts for seven to ten days.

Most patients can return to work after one week. Your physician will also provide detailed post surgical instructions.

Schedule a Consultation

If you are ready to schedule a consultation, contact one of our Michigan locations and a staff member will reply shortly.

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