Lower Blepharoplasty Surgery
Understanding Lower Eyelid Surgery
This procedure targets specific concerns affecting the area beneath your eyes to create a more youthful and natural look.
Lower blepharoplasty primarily addresses fat pockets that bulge forward to create bags, as well as excess skin that causes wrinkles. It can also help smooth out deep hollows under the eyes. However, surgery does not fix dark circles caused by skin pigment or blood vessels. Our goal is to improve the contour of your eyelid without changing your natural expression.
- Removes or repositions fat to eliminate puffiness.
- Tightens loose skin and muscle for a smoother look.
- improves the transition between the eyelid and the cheek.
The best candidates are generally healthy adults who have realistic expectations about the results. You might benefit from this surgery if you have persistent bags or loose skin that does not improve with sleep or diet. It is important that you do not smoke, as nicotine can slow down the healing process. During your exam at our Marlton clinic, we will ensure your eyes are free from infections or conditions that could make surgery unsafe.
Surgery is not the only way to improve the appearance of your lower eyelids. For some patients, our ophthalmologists may recommend dermal fillers to smooth out hollow areas or laser treatments to tighten mild skin laxity. While these options are less invasive, they cannot remove large fat pads or significant amounts of extra skin. We will discuss all your options to find the right plan for you.
Preparing for Your Procedure
Proper preparation is the key to a safe surgery and a smooth recovery process.
During your first visit, our ophthalmologists will perform a thorough eye exam. We will test your vision, check your tear production, and assess the strength of your eyelid muscles. We will also measure the amount of excess fat and skin to determine the best surgical approach for your specific anatomy. Be ready to discuss your medical history, including any past surgeries and medications you currently take.
To reduce the risk of bleeding, you will need to stop taking certain medications and supplements before surgery. This typically includes aspirin, ibuprofen, and supplements like fish oil and vitamin E. If you take prescription blood thinners, we will work with your prescribing doctor to manage them safely. You must also stop using all nicotine products, including vapes, for at least four weeks before your procedure.
The Procedure and Recovery
We use modern surgical techniques and technology to ensure your comfort and deliver excellent results.
Our ophthalmologists use different techniques based on your needs. One common approach places the incision inside the lower eyelid, which leaves no visible scar and is excellent for removing fat. Another approach involves an incision just below the eyelashes, which allows us to remove excess skin. We typically use local anesthesia with sedation, so you remain relaxed and comfortable throughout the surgery.
You can expect some swelling and bruising, which usually peaks two to three days after surgery. Your vision may be temporarily blurry due to the protective ointment we apply. Most patients report only mild to moderate discomfort, which can be managed with prescribed medication or acetaminophen. You should plan to take one to two weeks off from work to heal.
- Apply cold compresses for the first 48 hours to reduce swelling.
- Sleep with your head elevated on pillows to help fluid drain.
- Avoid bending over, heavy lifting, or straining for at least one week.
- Do not wear contact lenses or eye makeup until cleared by your doctor.
While lower blepharoplasty is generally safe, all surgeries carry some risks. These can include infection, bleeding, or temporary dry eyes. In rare cases, the lower eyelid may pull downward, which might require further treatment. If you experience severe pain, sudden vision loss, or swelling that gets rapidly worse, contact our office immediately for emergency evaluation.
Frequently Asked Questions
Here are answers to some of the most common questions our patients ask about lower eyelid surgery.
In most cases, lower blepharoplasty is considered a cosmetic procedure and is not covered by insurance. However, if the surgery is needed to fix a functional problem, such as an eyelid that turns inward or outward causing eye damage, it might be medically necessary. Our staff can help you understand your coverage options.
The results of lower blepharoplasty are long-lasting and often visible for many years. While the surgery removes the fat bags, the natural aging process will continue. You can help preserve your results by protecting your skin from the sun and maintaining a healthy lifestyle.
If we use the internal incision approach, there are no visible scars on your face. If an external incision is needed to remove skin, it is placed just below the lashes where it heals into a fine line that blends with your natural creases. We take great care to ensure scarring is as minimal as possible.
Expert Eyelid Care in Marlton
Your eyes deserve the highest quality care from a skilled and dedicated team. ReFocus Eye Health Marlton is proud to offer advanced oculoplastic surgery to patients across Evesham, Voorhees, Mount Laurel, and the surrounding communities. Schedule a consultation today to learn how our ophthalmologists can help you achieve your aesthetic goals safely.
Dr Grossman does an outstanding job making sure my eye health is at his best. He uses the latest technology. The office is efficient.
Lorraine Horton
Dr. Heuer was very professional and easy to talk to. I enjoyed being in what appeared to be an all female office. I highly recommend allowing them to take care of your eye care needs.
Lasaunji Richardson
Dr Grossman is seriously the best!! Explains everything and takes time to answer all of your concerns. So professional and great bedside manner!!!!
Francheska Vargas
Highly recommend Dr Charles Glass. Did a great job on my cataract surgery. He listens to patients and helps you figure out what works best for you! Could not be happier with him and The Refocus Marlton Team!
Jacquelyn DePiano
Dr Glass is absolutely the best. He is one of the most personable and nicest doctors I’ve ever met. The nurses and office staff is great!
Sam Marini
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Wednesday: 8am-7pm
Thursday: 8am-7pm
Friday: 8am-5pm
Saturday: 9am-2pm
Sunday: Closed