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How the Lower Eyelids Change Over Time

As we age, the lower eyelids undergo various changes due to factors like skin laxity, fat displacement, and muscle weakening. These changes often result in the development of under-eye bags, puffiness, dark circles, and fine wrinkles. The loss of skin elasticity and the redistribution of fat can cause a tired or aged appearance. Lower eyelid surgery addresses these issues by removing or repositioning fat, tightening muscles, and eliminating excess skin, thereby restoring a youthful and refreshed look.

a woman looking at the camera while tilting her head slightly after getting lower eyelid surgery in NYC

What Does Lower Blepharoplasty Treat?

  • Under-eye bags
  • Puffiness
  • Dark circles
  • Wrinkles and fine lines
  • Excess skin
  • Fat displacement
  • Muscle laxity
  • Tired or aged appearance

What Does Lower Eyelid Surgery Entail?

Lower blepharoplasty, also known as lower eyelid surgery, is a surgical procedure aimed at rejuvenating the lower eyelids by addressing issues such as under-eye bags, puffiness, and excess skin. This surgery involves the removal or repositioning of fat deposits and tightening of the skin and muscles around the lower eyelids. The result is a more youthful and refreshed appearance, enhancing overall facial aesthetics.

Dr. Guida often performs lower eyelid surgery in NYC using a transconjunctival approach, where the incision is made inside the lower eyelid, leaving no visible scar. This method offers direct access to puffy fat, reduces risks, minimizes bruising, and ensures quicker healing. Alternatively, an external incision can be made under the eyelashes, although this technique is less common. To enhance the results, Dr. Guida frequently uses a fractional CO2 laser to tighten the skin, stimulate collagen production, and remove fine lines, wrinkles, and sun-damaged spots. Learn more about the benefits of Laser Lower Eyelid Surgery.

The Recovery Process

After lower blepharoplasty, you can expect a relatively quick recovery. Initial swelling and bruising typically subside within the first week, and any discomfort can be managed with prescribed medication. Dr. Guida advises patients to keep their heads elevated and apply cold compresses to minimize swelling. You’ll likely be able to resume normal activities within 7 to 10 days, although strenuous activities should be avoided for a few weeks. The transconjunctival approach, which leaves no visible scars, allows for faster healing.

Lower Blepharoplasty Before & Afters

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Lower Blepharoplasty FAQs

What is the ideal age for lower blepharoplasty?

There is no specific age for lower eyelid surgery in NYC; it depends on individual needs and concerns. Many patients seek the procedure in their 40s or older, but younger patients with hereditary under-eye bags can also benefit from a lower blepharoplasty.

Will there be visible scars?

When performed using the transconjunctival approach, lower blepharoplasty leaves no visible scars. If an external incision is made, it is usually well hidden under the eyelashes.

Is the procedure painful?

Most patients experience minimal discomfort during and after the procedure, managed effectively with prescribed pain medication.

Can lower blepharoplasty be combined with other procedures?

Yes, lower blepharoplasty can be combined with other facial rejuvenation procedures, such as upper eyelid surgery, facelifts, or laser skin resurfacing, for comprehensive results.

Will I need someone to drive me home after surgery?

Yes, you will need someone to drive you home after your lower blepharoplasty. The procedure typically involves sedation or anesthesia, which can impair your coordination and reflexes. For your safety, it’s essential to have a responsible adult accompany you to the surgery and stay with you for at least the first 24 hours during your initial recovery.

Will insurance cover the cost of blepharoplasty?

Insurance coverage for blepharoplasty depends on the reason for the surgery. If the procedure is purely cosmetic, insurance typically does not cover the cost. However, if drooping eyelids impair your vision or cause other functional issues, insurance may provide partial or full coverage. Dr. Guida’s office can assist you with the documentation and pre-authorization process if medical necessity is established.

How do I know if I am a good candidate for eyelid surgery?

You may be a good candidate for lower blepharoplasty if you have under-eye bags, puffiness, or excess skin that makes you look tired or older. The ideal candidates are healthy non-smokers with realistic expectations about the results. During your consultation, Dr. Guida will evaluate your facial structure, skin quality, and medical history to determine your candidacy.

Why Choose Us For Lower Eyelid Surgery in NYC?

Dr. Robert Guida is a highly trusted and experienced facial plastic and reconstructive surgeon known for his exceptional talent and consistently positive results. With over 30 years of practice, Dr. Guida has earned a sterling reputation for delivering natural-looking, rejuvenating outcomes. If you are considering lower eyelid surgery in NYC or other facial enhancements, Dr. Guida’s expertise ensures you are in capable hands. Schedule your consultation to discuss your goals and begin your journey towards a more youthful appearance.

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