Lower eyelid surgery, also known as a lower blepharoplasty, is a great procedure for patients to improve the appearance of the bags under their eyes, which can give patients a tired appearance. Excess eyelid skin is removed during the procedure, as well as fat, and the underlying tissue can be tightened and re-positioned to improve the overall appearance. Dr. Charles Hsu, a plastic surgeon in Beverly Hills, has performed many successful lower eyelid surgeries that make his patients look younger and more awake.
The following are some common reasons why patients consider lower eyelid surgery:
• Excess skin and fine, crepe paper type lower eyelid wrinkles
• Bags and dark circles under the eyes
"I came back to get Microneedling PRP (Vampire Facial) with Mimi & OMG .. how did I ever live without getting PRP for the past few years?! After two session of PRP my skin is NOTICEABLY smoother. My texture has gotten so much better and I have gotten SO many compliments on my skin (& I work for cosmetic skin care company .. so getting compliments on my skin really means a lot to me!!). My foundation also applies sooooo SMOOTHLY! Thanks Mimi and Dr.Hsu !!"- G.C. / Yelp / Aug 02, 2017
"I had work done on my eyes by Dr. Hsu, he did a wonderful job I am very pleased with his work. I advise anyone who would like to get cosmetic surgery go to Dr. Hsu you will be very pleased. Thank you, Wanda Williams"- W.W. / Yelp / May 06, 2015
"This review only contains a rating"- M.M. / Google / Jul 24, 2017
"Went in today for a microneedling session with Mimi. She was absolutely fantastic! She was very thorough and explained the procedure well and answered all of my questions. She was easy to talk to and was very professional. The receptionist was also very welcoming and I didn't have to wait at all. The office is very clean, quiet and private. The only thing is I wish I knew about the parking situation. It gets pricey if you park in the lot, there's meter parking along Doheny."- S.T. / Yelp / Jul 11, 2017
"This review only contains a rating"- O.K. / Google / Jun 26, 2017
Dr. Hsu will first ask about the patient’s specific goals for the lower eyelid surgery. He will examine the lower eyelid area with the eyes open and closed. Dr. Hsu will then give his assessment and discuss how the surgical plan will be individualized for the patient’s anatomy. Since each patient's anatomy and surgical goals are different, the patient and Dr. Hsu will work together to reach optimal aesthetic results.
Lower blepharoplasty procedures are performed under general anesthesia for approximately 2 – 3 hours. Dr. Hsu will create a small incision underneath the lower eyelashes, ensuring that the scar is well hidden. He will then open up the skin in that area to remove the excess fat. Much like the upper blepharoplasty, Dr. Hsu will tighten any laxity of muscle and remove excess skin as needed. If upper and lower blepharoplasties are done in conjunction, the procedure will last approximately 3 – 4 hours.
Recovery & Post-Op
After the surgery, patients should use a cold compress or hand towel in 20 minute intervals on the surgical area for the first 48 hours to help minimize swelling. Patients should plan to stay home from work and limit activities for a prescribed time after surgery to give the eyelids a chance to heal. The amount of time it takes for each patient to recover varies.
From Dr. Hsu
“Both upper eyelid surgery and lower eyelid surgery are two of my favorite procedures for patients. These usually give excellent results with immediately visible benefits for patients. The eyes and their surrounding skin are some of the first areas of the face to experience changes with aging, so early rejuvenation of these areas can make a dramatic difference.
In the lower eyelids, I will vary my approach based on the individual patient. In some patients, it is purely an excess skin problem causing lower eyelid skin wrinkling. In others, there is some muscle weakness that can be addressed with tightening. In others, there is an issue of excess fat causing a bulging eye bag appearance. The approach to each patient needs to be individualized based on what specifically is causing the suboptimal appearance.”
Plan Your Procedure
- Average Cost
- $3,500 - $5,000
- Recovery Time
- 6 Weeks
- Average Procedure Time
- 2-3 Hours
- Post-op Follow-up
- 6-12 Months
- Procedure Recovery Location
Lower Eyelid Surgery FAQs
In traditional blepharoplasty, Dr. Hsu will make the incision in an inconspicuous site along the lash line and smile creases of the lower lid. In a transconjunctival approach, he will correct eyelid puffiness caused by excess fat by making an incision inside the lower eyelid. This technique requires no external incision, but it cannot be used to remove excess skin. The type of eyelid surgery chosen will be based on the patient’s facial features and aesthetic preferences. The goal is to help you achieve the most beautiful and natural-looking results.
For the easiest recovery period, patients should have the following items readily accessible at home:
- Ice cubes, ice pack, or freezer bags filled with ice, frozen corn, or peas (based on recommendation for cold application to the eyelids)
- Small gauze pads
- Eye drops or artificial tears (ask Dr. Hsu to recommend the proper type)
- Clean washcloths and towels
- Over-the-counter painkillers, which Dr. Hsu will recommend
Lower eyelid surgery results should be long lasting. Lower blepharoplasty is usually performed to remove eye bags and puffiness around the eyes, and it should only need to be performed once.