Lower blepharoplasty by Dr. Aaron Kearney

The lower eyelids play a significant role in the overall appearance of the face. Over time, aging, genetics, and environmental factors can lead to puffiness, dark circles, under-eye bags, and skin laxity. Lower blepharoplasty is a surgical procedure designed to address these concerns by removing or repositioning excess fat, tightening the skin, and restoring a youthful, refreshed appearance. At Aaron Kearney, M.D. Plastic Surgery, we specialize in advanced eyelid rejuvenation techniques to achieve natural, long-lasting results for our patients.

Who Is a Candidate for Lower Blepharoplasty?

Lower blepharoplasty may be suitable for individuals who:

  • Have persistent under-eye bags or puffiness that do not improve with rest or skincare.

  • Experience loose or sagging skin beneath the eyes that creates a tired or aged appearance.

  • Have deep tear troughs or hollowness under the eyes.

  • Wish to reduce dark circles caused by shadowing from excess fat or volume loss.

  • Are in good overall health and have realistic expectations about the outcome of the procedure.

During your consultation, Dr. Kearney will assess your unique concerns and recommend a personalized treatment plan to achieve the best aesthetic outcome.

Understanding Lower Blepharoplasty

Lower blepharoplasty is a highly customizable procedure tailored to each patient’s needs. Techniques may include:

Transconjunctival Lower Blepharoplasty

  • Best for patients with under-eye fat pockets but minimal excess skin.

  • Incision is made inside the lower eyelid, leaving no visible external scars.

  • Fat is repositioned or removed to create a smoother contour.

Traditional (Subciliary) Lower Blepharoplasty

  • Ideal for patients with excess skin and muscle laxity in addition to under-eye bags.

  • Incision is placed just below the lower lash line to allow for skin tightening and fat adjustment.

  • Can be combined with laser resurfacing or chemical peels to improve skin texture and reduce fine lines.

Fat Repositioning or Grafting

  • Instead of removing fat, this technique redistributes it to smooth hollows and tear troughs.

  • Can be combined with fat grafting to restore lost volume and improve under-eye shadowing.

The Lower Blepharoplasty Procedure

Lower eyelid surgery is typically performed under local anesthesia with sedation or general anesthesia, depending on the complexity of the case. The procedure includes:

  1. Incisions – Made inside the lower eyelid (transconjunctival) or just below the lash line (subciliary), ensuring minimal visible scarring.

  2. Fat Repositioning or Removal – Excess fat causing puffiness is carefully adjusted to create a smooth transition between the lower eyelid and cheek.

  3. Skin and Muscle Tightening – If needed, excess skin is removed, and the muscle is gently tightened for improved support.

  4. Closure & Recovery – Sutures are placed if necessary, and post-operative care instructions are provided.

Recovery and Healing Process

Recovery from lower blepharoplasty varies by patient, but general guidelines include:

  • First 48 Hours: Mild swelling, bruising, and tightness around the eyes. Cold compresses and prescribed medications help manage discomfort.

  • First Week: Most swelling and bruising improve. Patients should avoid strenuous activities and keep the head elevated while resting.

  • 2 to 4 Weeks: Continued healing with a more refreshed, natural look appearing as swelling subsides.

  • Long-Term Results: Final results become evident within a few months.

Dr. Kearney and our team provide detailed aftercare instructions to ensure a smooth recovery and optimal results.

Benefits of Lower Blepharoplasty

  • Reduction of under-eye bags and puffiness.

  • A smoother, more youthful transition between the lower eyelid and cheek.

  • Enhanced facial harmony with natural-looking results.

  • Minimal scarring with long-lasting improvements.

Schedule Your Consultation

If you are considering lower blepharoplasty to rejuvenate your appearance, Dr. Aaron Kearney and our dedicated team are here to guide you through every step of the process. We are dedicated to delivering beautiful, natural results tailored to your unique needs.

To schedule a consultation, contact our office today. We look forward to helping you achieve a refreshed, youthful look with lower eyelid surgery.