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With Dr. Srinivas Iyengar Lower Blepharoplasty

San Diego Eyelid Specialists focuses exclusively on eyelid surgery—every patient, every day. For patients seeking a lower blepharoplasty in San Diego, Dr. Srinivas Iyengar delivers natural, precise results using a refined, scarless internal approach that avoids the hollow or “pulled” look. As San Diego’s eyelid expert, he prioritizes both aesthetics and safety, preserving blink mechanics and eyelid support for lasting comfort. If you’re considering a lower eyelid lift in San Diego, schedule your consultation today.

Lower Blepharoplasty Cases
Dr. Iyengar showing patient her eyelids on the TV

What Is Lower Blepharoplasty?

Lower blepharoplasty, or lower eyelid surgery in San Diego, addresses under-eye bags, puffiness, shadows, and a sharp eyelid-to-cheek junction that can make you look tired or older than you feel. Traditional techniques often removed fat through an external incision, leading to hollowness and visible changes to the eyelid shape.

Dr. Iyengar’s modern, lower eyelid blepharoplasty in San Diego uses hidden incisions on the inside of the eyelid (transconjunctival). Instead of simply excising fat, he gently reshapes and repositions it to smooth the eyelid-cheek transition. He also preserves the orbicularis muscle—critical for blinking—to protect eye health and maintain a natural expression.

Benefits of Lower Eyelid Surgery

Lower blepharoplasty offers cosmetic and functional advantages. Patients describe looking rested and confident, without looking “done.”

Benefits of lower eyelid surgery include the following:

  • Scarless internal incisions
  • Smoother eyelid-to-cheek transition
  • Correction of puffiness and bags
  • Natural volume preservation
  • Protection of blink and eyelid function
  • Avoidance of hollow or “pulled” look
  • Refined, refreshed appearance
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Who Is a Good Candidate for Lower Blepharoplasty in San Diego?

You may be a candidate if you have persistent under-eye bags, puffy fat pads, or hollow shadowing that concealer can’t hide. Candidates should be in good general health, non-smokers (or willing to pause), and have realistic goals for a natural, balanced improvement.

Age isn’t the deciding factor. Some patients seek lower eyelid blepharoplasty in San Diego in their 30s or 40s due to hereditary bags; others consider treatment later as skin and support structures change. At consultation, Dr. Iyengar will determine whether surgical reshaping, subtle skin tightening, or—when appropriate—carefully placed filler is the best path.

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Lower Eyelid Blepharoplasty with Fat Repositioning

This patient was bothered by her lower eyelid bags and came to see Dr. Iyengar.  Dr. Iyengar’s particular approach to the eyelid-cheek junction reduces any hollowing and shows a smooth transition from the lower eyelid to the cheek. She was pleased with the final result from her eyelid surgery.

Before and after of a Lower Eyelid Blepharoplasty

Your Consultation

Your visit is personal and thorough. Dr. Iyengar evaluates eyelid anatomy, skin quality, fat pads, eyelid support, and cheek position. He explains your options clearly and will advise against surgery if a non-surgical approach would serve you better. Many patients value his ethics; he only recommends what he would suggest for his own family.

You’ll review expected outcomes, view before-and-after results, and receive a customized plan designed to refresh—not change—your natural look.

What to Expect During Your Procedure

Most lower eyelid lifts in San Diego are performed in-office under local anesthesia. Through a small incision hidden inside the eyelid, Dr. Iyengar carefully recontours and repositions fat to smooth the lid-cheek junction. When needed, he can support the lower lid with subtle tightening techniques while preserving the orbicularis muscle to maintain a natural blink.

This scarless, tissue-respecting approach helps prevent lid retraction, ectropion, and visible hollowness—complications often seen when fat is over-removed or external skin is aggressively excised. The procedure is efficient, and patients typically go home the same day.

Recovering After Lower Eyelid Surgery

Expect mild swelling and bruising for 7–10 days, with most discomfort manageable using cold compresses and over-the-counter pain relief. Many patients experience “social downtime”—feeling fine, but choosing to lie low while bruising fades. Makeup can usually be resumed after clearance, and contact lenses shortly thereafter.

Dr. Iyengar provides detailed aftercare, including elevation, icing, incision hygiene, and sun protection. He follows up personally to ensure comfort and a smooth recovery, supporting you at every step.

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I would give Dr. Iyengar 10 stars if I could!

J.V.B.

I just recently had a skin lesion removed from my lower eye lid. The procedure was cosmetic and something I wanted to do for years, but was terrified to go through with. I had made it out to be much scary than it actually was. I came into the office incredibly nervous and the staff was so kind and patient with me. Dr. Iyengar did the most incredible job making sure I stayed comfortable through the very quick procedure and was so precise with his work. He kept every single lash in place and the area has heeled beautifully and way quicker than I could have imagined! I am SO HAPPY I went to him for this and would recommend him highly to anyone looking for an eyelid specialist! He definitely knows what he’s doing!!!

I went from feeling like I looked tired and angry all the time…to vibrant and awake!

K.M.

I went from feeling like I looked tired and angry all the time…to vibrant and awake! The whole experience was worth it! The surgery was fast and painless, recovery was smooth, and the results are terrific! I have three words for those who hate their eyes like I did…make an appointment! Thank you Dr. Iyengar!

I highly recommend Dr. Iyengar for any eyelid procedure you want or need to have done.

B.B.

I highly recommend Dr. Iyengar for any eyelid procedure you want or need to have done. I had bags and circles under my eyes for many, many years that always bothered me. Initially, I went to a dermatologist to see if a laser procedure would help, but he said it was a surgical issue and referred me to Dr. Iyengar. Upper eyelid and scarless lower eyelid procedures were recommended, and I went ahead with both. The results are incredible!! No more bags or circles under my eyes, and the extra skin on my upper eyelids is gone. I am thrilled with the results!! The entire experience was great from beginning to end, including the office visits, his staff is awesome, too! To the procedures, done right there at the surgery center in the same building, to the aftercare. Everything has been smooth, organized, and very professional. No pain from beginning to end either! I shouldn’t have waited until my 60’s to have it done, but I am glad I finally did!

I saw Dr. Iyengar for ptosis correction, and I am so happy with the results!

A.A.

I saw Dr. Iyengar for ptosis correction, and I am so happy with the results! He’s an excellent surgeon, and just as importantly, he’s understanding and patient and really takes time to listen and answer questions. Highly recommend!

The procedure was done very quickly and efficiently. Dr. Iyengar has a magic touch.

A.C.

Dr. Iyengar did my upper eyelid surgery one week ago. I was a little nervous to have the surgery since it was on my eyes, but after meeting with Dr. Iyengar and his staff, I was confident enough to schedule the surgery. I am beyond thrilled with the results already, and they are still a little swollen and bruised. Such a difference. The procedure was done very quickly and efficiently. Dr. Iyengar has a magic touch. I’m so happy I went with San Diego Eyelid Specialists. The office staff is great, too. I highly recommend them.

I have been a faithful fan of BOTOX for at least ten years, and when he does my BOTOX, it’s perfect.

A.B.

I work at a surgery center in Encinitas that Dr. Iyengar does surgery at. First off, every nurse I work with raves about his technique in the OR. He is not just a good eye surgeon, he is gifted. I’m talking blow-your-mind skills when it comes to eyelid surgery. I actually go to him for my BOTOX injections now. I have been a faithful fan of BOTOX for at least ten years, and when he does my BOTOX, it’s perfect. Never too much, just right! I am definitely planning on going to him in the next year for eyelid surgery/blepharoplasty. I referred a friend to him, and she couldn’t be happier. I’m not big on referring surgeons because it’s a very personal choice, but I do recommend him to everyone who has any eye issue, not just surgery.

I am so glad I did this, and most of all, I am happy that I chose Dr. Iyengar.

L.M.

As a medical doctor myself, I understand that not all doctors are alike. For years, I wanted to get my “heavy” upper eyelids done, as with age they only get worse. The main concern I had was not looking like I had my eyes done. I only wanted to have them look normal. It wasn’t until I saw a friend who looked different (better), but I didn’t know why. She told me that she had her upper eyelids done. I knew then that this was the doctor. I checked out Dr. Iyengar’s other work and his credentials. Everything I saw was top-tier. I had my eyes done in his Encinitas office in July 2020, and it went better than I thought. The doctor was great and reassuring, and his staff were all friendly and helpful. It was overall a very easy experience. After a few weeks, my eyes were looking near “normal,” just as I wanted. It’s almost 2 months now, and I couldn’t be happier. I have now had a few people ask me what’s different, and said, “why do you look younger”. I smiled (and told them). I am SO glad I did this, and most of all, I am happy that I chose Dr. Iyengar.

We could not be more pleased with the experience and results.

S.D.

As a fellow eye surgeon, I am particular about who I send my family to. Having researched many surgeons in California, I had my parents come down from Los Angeles to have eyelid surgery with Dr. Iyengar. We could not be more pleased with the experience and results. He strives for a natural appearance when doing cosmetic eyelid surgery. Something we greatly appreciate. We would highly recommend Dr. Iyengar!

Great staff made everything work seamlessly.

J.F.

His entire staff were very professional and caring. Surgery went well, and the outcome was perfect.

S.S.

Dr. Iyengar was able to see her very quickly and assured us that he was familiar with this and not to worry. Everything was explained in advance, and he and his entire staff were very professional and caring. Surgery went well, and the outcome was perfect.

How Much Does Lower Eyelid Surgery Cost?

Pricing for lower eyelid surgery in San Diego varies based on anatomy, the extent of reshaping and support needed, and whether complementary procedures are performed. After examination, you’ll receive a transparent, personalized estimate. If non-surgical options such as strategically placed fillers are better for your goals, those will be discussed as part of your plan.

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Meet Your Provider Dr. Srinivas Iyengar

Dr. Srinivas Iyengar is a board-certified ophthalmologist and fellowship-trained oculoplastic surgeon who performs eyelid surgery every day. A San Diego native, he served on the world’s only Flying Eye Hospital, operating in more than 20 countries besfore founding San Diego Eyelid Specialists in 2016. Recognized as a Top Doctor in San Diego for over a decade, he is trusted by patients and physicians alike for refined technique, natural results, and an unwavering commitment to eyelid function.

Why Choose San Diego Eyelid Specialists?

This boutique practice focuses exclusively on eyelid surgery, offering expert-level care with direct access and attentive follow-up. Patients are frequently referred by friends, family, and physicians who value honest guidance and natural outcomes. For a specialist-performed lower blepharoplasty in San Diego with a scarless approach and meticulous preservation of eyelid function, contact us today to schedule your consultation.

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Frequently Asked Questions Lower Blepharoplasty

Will there be a visible scar?

Dr. Iyengar typically uses a transconjunctival incision placed inside the eyelid, leaving no external scar.

Can lower blepharoplasty be combined with upper eyelid surgery?

Yes. Many patients choose combined upper and lower procedures for balanced rejuvenation; this will be customized to your anatomy and goals.

How long do results last?

Results are long-lasting. While aging continues, repositioned fat and improved contours generally maintain a refreshed look for many years.

What if I’ve had a poor result elsewhere?

Dr. Iyengar is known for repairing complex eyelid issues, including hollowness, lid retraction, and ectropion. A consultation will determine the safest revision plan.

Will I look “different” or overdone?

No. The goal is a rested, natural appearance—smoother contours without changing your unique features or expressions.

When can I return to normal activities?

Most patients resume non-strenuous activities within a week, with exercise and full schedules phased in after Dr. Iyengar clears you.

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