Procedures - Lower Eyelid Blepharoplasty

Rejuvenating the lower eyelid surgicallly with blepharoplasty may include fat excision or repositioning, skin excision, or mid-face elevation. Lower eyelid bags may be treated non-surgically through volume augmentation with fillers such as Restylane. Lower eyelid blepharoplasty is performed to address cosmetic concerns of the lower eyelid and cheek. For the majority of patients this can often be performed without any external incisions, through transconjunctival lower blepharoplasty. This procedure involves excising, resecting, or repositioning the three fatty compartments of the lower eyelid through a hidden incision inside the eyelid as needed. This approach provides a natural, non-surgical look after surgery that preserves the structure and function of the orbicularis muscle in the lower eyelid. Some patients have excess skin in lower eyelid and may benefit from pinch skin excision or laser skin resurfacing.

As an ophthalmic plastic surgeon, Dr. Iyengar is particularly skilled in this approach given its proximity to the eye. Lower eyelid surgery is performed as an outpatient procedure and patients do not require an eye patch. Bruising and swelling generally resolves in 1-2 weeks.