Lower blepharoplasty is a plastic surgery procedure focused on rejuvenating and enhancing the lower eyelid area. As we age, lower eyelids often develop wrinkles, dark circles, puffiness, and loose skin. Lower blepharoplasty can address these signs of aging to help you achieve a more youthful, well-rested appearance. This procedure is growing in popularity as more patients realize its aesthetic benefits.

How Does Lower Blepharoplasty Work?

Lower blepharoplasty works by removing excess fat, and loose skin from the lower eyelids. The procedure is customized to each patient’s needs and goals. There are two main techniques your surgeon may use:

Transcutaneous Incision

This technique involves making an external incision just below the lash line. The surgeon uses this incision to remove excess fat pads and tissue as well as tighten underlying muscle and membrane. The incision is then closed with fine sutures. This results in a smoother lower eyelid devoid of puffiness.

Transconjunctival Incision

With this technique, the incision is made inside the lower eyelid to avoid an external scar. The surgeon accesses the fat pads through this interior incision, removing excess deposits. Loose skin can be resurfaced or trimmed as needed.

What Can Lower Blepharoplasty Treat?

Some of the common aesthetic issues that can be improved with lower blepharoplasty include:

Under Eye Bags and Puffiness

Excess fat accumulation under the eyes often leads to puffy, protuberant lower eyelids. Lower blepharoplasty sculpts this area by removing excess fat.

Wrinkles and Fine Lines

Wrinkles form below the eyes due to thin, delicate skin as well as repeated animation. Lower blepharoplasty tightens this skin for a smoother appearance.

Dark Circles and Discoloration

Dark circles may be reduced in some cases through lower blepharoplasty by trimming the lower eyelid skin and tightening the muscle. This lessens shadowing and discoloration.

Sad or Tired Look

Removing under eye bags, wrinkles and discoloration results in a more bright-eyed, well-rested look. You appear more energized and youthful.

Benefits of Lower Blepharoplasty

Lower blepharoplasty may offer both aesthetic and functional enhancement of the under eye area with long-lasting results. Benefits include:

More Youthful Appearance

Removing under eye bags, wrinkles, and excess skin restores a smooth, refreshed look reminiscent of youth. You look as vibrant as you feel.

Increased Self-Confidence

Many patients feel more comfortable in their skin after lower blepharoplasty. A refreshed appearance boosts self-esteem and self-image.

Complement Other Facial Procedures

Lower blepharoplasty beautifully complements upper eyelid surgery, facelift, neck lift and brow lift procedures. It completes your facial rejuvenation.

Long Lasting Results

Results from lower blepharoplasty can last 5-10 years or even longer in some cases. You invest in a rejuvenated appearance that persists.

Minimally Invasive Procedure

Depending on the technique, lower blepharoplasty requires minimal downtime. It’s an effective surgery with low overall risk.

Ideal Candidates for Lower Blepharoplasty

The best candidates for lower blepharoplasty include:

Patients in Good Health

You should be in good health without any illness or unchecked conditions. Have a full physical prior to surgery.


Smoking impedes healing and increases risk. You must refrain from smoking before and after surgery.

Realistic Expectations

Have reasonable aesthetic goals for lower blepharoplasty results. Understand the contours achievable.

Issues with Lower Eyelids

You should have one or more issues like under eye bags, puffiness, wrinkles or dark circles.

Good Skin Elasticity

The skin around your lower eyelids should still have good tone and elasticity. This ensures optimal results. 

The Lower Blepharoplasty Procedure Step-by-Step

The exact protocol depends on your individual treatment plan. But the general process includes:


You receive general anesthesia or local anesthesia with sedation to keep you comfortable.


Your surgeon makes a transcutaneous or transconjunctival incision based on the agreed upon approach.

Fat Removal

Excess orbital fat is carefully removed or repositioned through the incision.

Muscle Tightening

Prolapsed or loose muscle and membrane may be tightened.


Often a canthopexy will be performed to give additional support to the lower lid.

Skin Removal

Loose, sagging skin is trimmed away for a smooth contour if needed.

Incision Closure

Finally, sutures close the incisions delicately.

Recovery After Lower Blepharoplasty

Recovery is fairly quick after lower blepharoplasty but you will need to follow essential aftercare instructions:


Take it very easy for 1-2 weeks, allowing your body to heal. Get plenty of sleep during recovery.


Use all prescribed ointments and take medications to reduce swelling and discomfort.

Cold Compresses

Gently apply cold compresses to the treated area to minimize bruising and swelling.

Head Elevation

Keep your head elevated, even while sleeping, to promote proper drainage and reduce swelling.

Avoid Rubbing

Do not rub or touch your lower eyelids as they heal. This can displace the healing tissues.

Sun Protection

Wear sunglasses and avoid sun exposure until healing is complete. Use broad spectrum sunscreen routinely.

Doctor’s Visits

Attend all scheduled follow-up visits with Dr. Roth can monitor your progress closely.

Results: What to Expect

You will look and feel tired, swollen and bruised post-surgery. But as you heal over few weeks, results will emerge:

Less Puffiness

The area under the eyes will appear less puffy as excess fat is removed.

Tighter Skin

Previously sagging skin should look more taught, smooth and lifted.

Fewer Wrinkles

Wrinkles, creases and fine lines shouldl be significantly diminished.

Less Discoloration and Shadowing

Dark under eye circles and hue changes should be lightened.

Overall Rejuvenation

Tired, aging eyes transformed into a vibrant, youthful glow.

Scars Fade

Any minimal scarring from incisions will gradually fade.

Lower Blepharoplasty Cost and Value

The average cost of lower blepharoplasty in Las Vegas is $5,500 – $8,500 depending on the type of surgery necessary, the anesthesia used and Plastic Surgeon’s fees. While not inexpensive, the value of lower blepharoplasty ranges well beyond cost:

  • It provides natural-looking, long-lasting rejuvenation of the under eye area
  • Many patients describe improved self-confidence
  • Results complement other facial rejuvenation procedures
  • A refreshed appearance has personal and professional benefits
  • It’s an investment in a youthful look that persists for years

How to Choose a Surgeon for Lower Blepharoplasty

The success of your lower blepharoplasty greatly hinges on the surgeon you choose, and Dr. Jeffrey Roth is highly recommended for this procedure. A board-certified surgeon based in Las Vegas, Dr. Roth possesses the necessary credentials and qualities to ensure the success of your surgery.

Specialized Training and Experience

Dr. Jeffrey Roth is an experienced, board certified plastic surgeon.

Excellent Bedside Manner

Dr. Roth is a surgeon who listens attentively, answers questions thoroughly and makes you feel comfortable.

Conclusion: Rejuvenating Tired Eyes with Lower Blepharoplasty

In summary, lower blepharoplasty is highly effective at reducing under eye bags, wrinkles, discoloration, and sagging skin for a refreshed look. The procedure is customized for each patient. Recovery is relatively quick with minimal downtime. When performed by a skilled plastic surgeon like Dr. Roth, lower blepharoplasty can take years off your eyes, boost your confidence, and help you look as vibrant as you feel. Schedule a consultation with a board certified plastic surgeon or ENT surgeon, to discuss your candidacy and treatment options. With the right approach tailored to your anatomy and goals, lower blepharoplasty can help you achieve youthful, bright eyes to face the years ahead.

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