Lower blepharoplasty (lower eyelid surgery)

With age, fat can bulge under the eyes and the skin can loosen, causing bags and a tired look. Lower blepharoplasty reshapes the area by removing or moving fat and, if needed, trimming extra skin.

The incision is either on the inside of the lower eyelid, which leaves no visible scar, or just below the lashes. The technique depends on whether you mainly have fat bags, loose skin, or both.

Expect swelling, bruising and a tight or dry feeling in the eyes. Cold compresses and lubricating drops help. Avoid rubbing your eyes, contact lenses for a while if your surgeon advises, and strenuous activity. Most bruising fades in one to two weeks, though fine swelling can last longer.

Risks include dry or irritated eyes, asymmetry, bruising, infection, a rounded or pulled-down lower eyelid, and, rarely, problems with vision. Tell us about any eye conditions and your use of eye drops or contact lenses. Results differ from person to person, and any procedure can need a touch-up or revision.

Is my problem mostly fat bags, skin, or both? Where will the incision be? How long will my eyes feel dry? When can I wear makeup and contact lenses again?