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What is Lower Eyelid Surgery?
Lower eyelid surgery, or lower blepharoplasty surgery, is a surgical procedure done by plastic surgeons to correct excess eyelid skin or puffiness on the lower eyelids that can cause patients to appear tired or aged. This procedure can help patients restore a more youthful and energized appearance and is often paired with upper eyelid surgery (upper blepharoplasty) or a brow lift to address the upper and lower eyelids and the forehead all at once.
Who is a Candidate?
Those with deep grooves under the eyes, puffy lower eyelids, excess skin and wrinkles under the eyelids, or bags and dark circles can often benefit from lower eyelid surgery. The surgery can also be used to tighten the lower lids and correct sagging lids that may have pulled away from the eyeball, a condition that is known as ectropion.
Candidates should be in good overall health and free of any medical conditions that could impair healing. A consultation with Dr. Sweat is needed to determine if this procedure suits you. During your initial consultation, you can discuss your cosmetic goals, ask questions, and discuss any concerns.
There is no set age for this procedure; with the proper preparation and guidance, lower blepharoplasty can be a transformative step toward a refreshed and youthful appearance. Maintaining a stable lifestyle and a commitment to following post-procedure care instructions are essential for achieving long-lasting results.

Jeffery A.Sweat, M.D.
“Bringing out inner confidence and helping the patient through their own personal journey makes what we do so fun and rewarding.”
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The Procedure
During the lower eyelid blepharoplasty procedure, an incision will be created just below the lower lash line, so you don’t have to worry about a visible scar. Through this incision, excess skin and fat will be removed. Incisions will be closed with very fine sutures to reduce the chance of scarring, most of which will dissolve independently without needing removal.
Transconjunctival Incision
Another option for redistributing or removing excess fat is a transconjunctival incision inside the lower eyelid. During this technique, no excess lower eyelid skin is removed unless an additional incision is made externally.
Transcutaneous Incision
A transcutaneous incision is a commonly used technique in lower blepharoplasty, particularly for patients who need both fat removal or redistribution and excess skin tightening. This approach involves creating a small incision just below the lower lash line.
Combining with Upper Eyelid Surgery
Lower blepharoplasty can be performed in conjunction with upper eyelid surgery (upper blepharoplasty) for a comprehensive rejuvenation of the eye area. This combined approach addresses concerns in upper and lower eyelids, such as sagging skin, under-eye bags, puffiness, and drooping eyelids.
The Benefits
of Lower Blepharoplasty
Lower blepharoplasty is a highly effective procedure for restoring a refreshed and youthful appearance to the under-eye area, offering a variety of benefits, including:
The Results
After lower eyelid surgery, patients will experience light sensitivity, tearing, swelling, and bruising. Applying cold packs intermittently for the first 48 hours after surgery around the eyes can help diminish swelling and minimize discomfort.
Over-the-counter pain medications can help with discomfort, and prescription pain medication will be given as necessary. Any stitches will be removed after about a week. Following Dr. Sweat’s aftercare instructions can help to ensure a safe and speedy recovery.
Most patients feel comfortable returning to light activities and their normal routine after 1-2 weeks, though swelling and bruising may take longer to subside fully. By six weeks, you should notice a significant improvement in the appearance of your lower eyelids, with smoother, tighter skin and a refreshed look.
The results of lower eyelid surgery can be long-lasting, especially when combined with a healthy lifestyle and proper skincare routine. To learn more about what to expect from the procedure and how it can benefit you, schedule a consultation with Dr. Sweat at our Sacramento, CA office or complete our online form.

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Contact J. Sweat Plastic Surgery today if you’re seeking more information about our services or want to schedule a consultation. Fill out the form, and our friendly team will get back to you as soon as possible.
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