150+ Lower Blepharoplasty Patients in the Past 6 Months: What You Should Know
150+ Lower Blepharoplasty Patients in the Past 6 Months: What You Should Know
I performed lower blepharoplasty on more than 150 patients in the past six months alone. Here are six things I believe more people should know about the procedure.
1. The Incision Belongs Inside the Eyelid
For cosmetic lower blepharoplasty, I consider the transconjunctival approach non-negotiable.
Beyond that, the surgeon’s results matter more than whether the surgeon removes fat, uses fat grafting, or chooses another specific technique. The best approach is the one that consistently produces natural results in that surgeon’s hands.
2. More Treatment Does Not Automatically Mean a Better Result
Not every patient needs fat grafting, laser resurfacing, skin removal, canthopexy, or canthoplasty.
Less is more.
3. You Do Not Have to Be Older to Benefit
Under-eye bags are often genetic. Many young patients pursue lower blepharoplasty because they have always looked tired, even when they feel well rested.
4. Lower Blepharoplasty Cannot Correct Every Under-Eye Concern
Pigmentation, festoons, fine lines, skin texture, and cheek volume loss may require a different or additional treatment.
Understanding what surgery can realistically improve is essential.
5. Recovery Is Not Perfectly Linear
Swelling and asymmetry can fluctuate throughout the healing process.
Most of our patients are happy with their improvement within the first month, but healing continues well beyond that. In some cases, it may take approximately one year to see the final result.
6. The Best Results Should Be Difficult to Detect
The goal is not to change someone’s face or make them look operated on.
It is to create a natural, refreshed result that is undetectable yet still impactful.
About Pradeep Mettu, MD
Pradeep Mettu, MD, is an ASOPRS fellowship-trained cosmetic oculoplastic surgeon and the founder of Raleigh Eye and Face Plastic Surgery. He is a high-volume lower blepharoplasty surgeon with extensive experience treating patients of different ages, skin types, and facial anatomies, including young patients with genetic under-eye bags.
Raleigh Eye and Face Plastic Surgery has become a destination for cosmetic lower blepharoplasty. Patients travel to Raleigh weekly for surgery, and out-of-town patients commonly begin with a video consultation before traveling for their procedure.
Considering Lower Blepharoplasty?
Raleigh Eye and Face Plastic Surgery treats local patients as well as patients who travel to Raleigh for cosmetic lower blepharoplasty. Out-of-town patients commonly begin with a video consultation before traveling for surgery.
Learn more about lower blepharoplasty , view our lower blepharoplasty before-and-after gallery , or schedule an appointment .
Patients traveling to Raleigh can also review our out-of-town patient information .
Lower Blepharoplasty Frequently Asked Questions
Where is the incision placed during cosmetic lower blepharoplasty?
Dr. Mettu considers an inside-the-eyelid, or transconjunctival, incision non-negotiable for cosmetic lower blepharoplasty.
Does every lower blepharoplasty patient need additional treatments?
No. Not every patient needs fat grafting, laser resurfacing, skin removal, canthopexy, or canthoplasty. More treatment does not automatically produce a better result.
Can younger patients have lower blepharoplasty?
Yes. Under-eye bags are often genetic, and many young patients pursue lower blepharoplasty because they have looked tired for years even when they feel well rested.
How long does lower blepharoplasty recovery take?
Most patients are happy with their improvement within the first month, but healing continues beyond that. In some cases, it may take approximately one year to see the final result.
What concerns may not be corrected by lower blepharoplasty alone?
Pigmentation, festoons, fine lines, skin texture, and cheek volume loss may require a different or additional treatment.
What should a natural lower blepharoplasty result look like?
The goal is a refreshed result that does not make the patient look changed or operated on. The improvement should be undetectable yet still impactful.
