Lower blepharoplasty is a surgical procedure that addresses the lower eyelids by removing or repositioning fat, skin, and muscle tissue. The procedure targets under-eye bags, hollowing (tear troughs), and excess skin that can make the eyes appear tired or aged. A surgeon can choose between a skin incision just below the lash line or a transconjunctival approach (inside the eyelid) depending on the specific concerns and anatomy.

This procedure is typically considered by people with visible under-eye bags, significant puffiness, or excess lower eyelid skin that affects their appearance. Good candidates are in overall good health, have realistic expectations about outcomes, and are bothered enough by the concern to pursue surgery. A qualified surgeon will evaluate your eyelid anatomy and facial structure to determine if surgery is appropriate for your goals.

Lower blepharoplasty is usually performed under local anesthesia with sedation or general anesthesia, depending on the surgeon's preference and the extent of work. The procedure typically takes 30 minutes to an hour. The surgeon makes an incision along the lower lash line or inside the lower eyelid, then removes or repositions fat and trims excess skin before closing with fine sutures.

Most people experience swelling and bruising around the eyes for the first 7 to 10 days, with the most noticeable changes subsiding within the first two weeks. Sutures are usually removed within a week. You should avoid strenuous activity and heavy lifting for several weeks. Most people can return to light activities and work within 10 to 14 days, though complete healing takes several months.

Improvements in under-eye bags, puffiness, and lower eyelid skin typically become visible as swelling resolves over the following weeks and months. Results are generally long-lasting; while aging continues, the surgical improvements usually remain stable for many years. Individual outcomes depend on surgical technique, skin quality, and how well the healing process progresses.