• 858.432.2700
  • Encinitas, CA
  • La Jolla, CA

Scarless Lower Eyelid Surgery

Lower eyelid blepharoplasty is performed to address the lower eyelid bags or hollows.  In 2020, the treatment for lower eyelid bags and hollows is different than it was a decade ago.  There are many plastic surgeons that simply remove lower eyelid fat through an incision n the lower eyelid in everyone causing that hollow, sculpted, surgerized, look that was commonly seen in the early 90s.    Over the last decade, the advances in hyaluronic acid fillers have helped defer or avoid surgery in many people. There are, however, many people who still need lower eyelid surgery to address those bags under the eyelid.

We are the primary referral practice for med-spa and aesthetic practices in the San Diego area for lower eyelid blepharoplasty.  Our practice regularly sees patients who have undergone lower eyelid blepharoplasty by a general plastic surgeon and now need repeat surgery to fix a suboptimal result. As a fellowship-trained oculoplastic surgeon, Dr. Iyengar brings the highest level of expertise to the periocular area.  Also, an expert in lower eyelid rejuvenation and with a decade of experience in lower eyelid fillers, Dr. Iyengar is able to distinguish who might benefit from fillers and who might benefit from surgery.

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Case 1: This is an African-American patient that 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.


Case 2: This is a Brazilian model who had scarless lower eyelid blepharoplasty with fat repositioning performed by Dr. Iyengar. This technique avoids the hollowness seen when plastic surgeons who are not eyelid specialists just remove the fat.  She was very happy with the result.


Case 3: This nice Persian young woman in her 20s with prominent eyes (negative vector) and had lower eyelid bags underwent our scarless lower eyelid blepharoplasty procedure with fat repositioning.  In her case, the fat from her lower eyelids was repositioned onto the cheek to make that eyelid-cheek transition smooth.  Dr. Iyengar is one of the only surgeons in San Diego that has significant expertise in this technique.

scarless Scarless Lower Eyelid Blepharoplasty by Dr. Srinivas Iyengar


Case 4:  This stunning African-American woman came to see us from Orange County, California with bags underneath her eyes.  She had done her homework and understood the scarless fat repositioning technique that Dr. Iyengar uses in his lower eyelid blepharoplasty.  She was thrilled with the result.


Lower Eyelid Blepharoplasty with Fat Respositioning
Dr. Iyengar is an expert in the advanced technique of fat repositioning–this avoids the hollowed look after lower eyelid blepharoplasty.

Case 5:  This stunning young woman wanted her lower eyelid bags fixed before her wedding but didn’t want any visible scars. She also wanted to avoid any lower eyelid hollowing.  The darkness seen below the eyelid bags are a shadow from the fat above.  Dr. Iyengar’s approach uses this fat to fill in the dark area (the valley where the shadow is), giving a nice transition from the eyelid to the cheek.

Lower Bleph with Repositioning
Dr. Iyengar’s scarless approach to lower eyelid blepharoplasty with fat repositioning


San Diego’s Expert In Revisional Eyelid Surgery

Eyelid surgery is best performed by oculoplastic surgeons who operate on eyelids everyday.  Dr. Iyengar has operated on many physicians and plastic surgeons and as such is regularly asked to fix complications from other surgeons when the outcome is suboptimal.   Many patients seek out Dr. Iyengar for their lower eyelid blepharoplasty because they know of his attention to detail, safety, and that he is the one that plastic surgeons look to to fix their complications.  Unfortunately, there are risks with every surgery but choosing a surgeon who a specialist in an area reduces the chances of any complications.

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Case 1: This is a case of a patient who had a lower eyelid blepharoplasty performed by a San Diego general plastic surgeon. Her eyelids were pulling down from too much skin removed. Dr. Iyengar was able to fix this complication using skin grafts.  She was very pleased with the result and glad to be back to herself.  Our scarless approach to lower eyelid blepharoplasty avoids the risk of this complication.

Case 2: This is another case of a patient who had a lower eyelid surgery by a La Jolla plastic surgeon and ended up with a complication. She came to see Dr. Iyengar to fix this eyelid problem, known as ectropion and/or eyelid retraction and was pleased with the result.  The scarless approach avoids this risk.


Case 3:

This nice patient saw a Carmel Valley plastic surgeon where she had lower eyelid blepharoplasty as well as a fat transfer procedure where fat from the abdomen was injected into her face.  She came to see Dr. Iyengar for surgical correction after this procedure and was pleased with the final result.

Fixing Eyelid Surgery Complications--Dr. Iyengar
This nice patient underwent a lower eyelid blepharoplasty and a fat transfer by a San Diego plastic surgeon. She came to see Dr. Iyengar to fix her suboptimal outcome.










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