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Orbital / Eye Area

Lower Blepharoplasty

Correction of under-eye bags, hollows, and the lid–cheek junction.

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Region
Lower eyelid
Anaesthesia
General anaesthesia
Theatre time
2–4 hours
Downtime
2 weeks

Overview

Lower blepharoplasty addresses orbital fat herniation and tear-trough hollowing, usually with fat repositioning rather than removal. It is frequently combined with a canthopexy to support the lid.

What it changes

  • Under-eye fat bags
  • Tear-trough hollow
  • Lid–cheek junction smoothness
  • Lower lid skin laxity

Common goals

Reduce eye bags
Smooth the lid–cheek transition
Reduce a tired appearance

Candidates

General factors a surgeon may consider. Only a qualified surgeon can assess whether you are a candidate.

  • General physical health suitable for the anaesthetic required
  • Realistic, clearly articulated aesthetic or functional goals
  • Stable anatomy appropriate for the technique proposed
  • Non-smoking or willingness to stop for the surgeon's required window

Surgical approach

  1. 01Transconjunctival (no external scar) or subciliary incision
  2. 02Fat repositioning over the orbital rim
  3. 03Canthal support where indicated

Recovery timeline

  1. Day 1

    Immediate post-operative period. Swelling begins, dressings or splints may be in place, supervised rest.

  2. Week 1

    Peak swelling and bruising. Limited activity, soft diet where relevant, first follow-up visit.

  3. Week 2

    Bruising fades. Many people feel socially presentable, light activity resumes.

  4. Week 4

    Most acute swelling resolves. Gradual return to exercise as cleared by the surgeon.

  5. Month 3

    Contours become clearer. Residual swelling continues to settle.

  6. Month 6

    Result is largely representative of the final outcome.

  7. Month 12+

    Final refinement, scar maturation, and revision assessment if needed.

Risks & complications

Bleeding, haematoma, or infection
Temporary or, rarely, permanent nerve disturbance
Asymmetry or an outcome that differs from expectations
Scarring, delayed healing, or wound problems
Anaesthetic risks
Possible need for revision surgery
Lower lid retraction or ectropion
Persistent swelling (chemosis)
Hollowing from over-resection
Very rare vision-threatening haematoma

Limitations

Does not treat dark pigmentation of the skin
Does not lift the midface
Fine wrinkles may need resurfacing

Before & after cases

No verified cases published yet

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Surgeons performing this procedure

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Cost

$4,000 – $12,000

These are broad estimates only. Actual costs vary significantly by country, surgeon, hospital, anaesthesia, imaging, orthodontic treatment, revision policy, and individual complexity. Always obtain a written quotation.

Questions to ask your surgeon

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Information on this platform is for educational purposes and should not replace consultation with a qualified medical professional. Surgical suitability, risks, and expected outcomes must be assessed by an appropriately qualified surgeon.