Lower Blepharoplasty Gallery

Notice the puffiness of each lower eyelid. This is due to orbital fat protruding and is a common concern for many patients. While some patients are born with puffy lower eyelids, this is a problem that more commonly develops over time. This patient underwent transconjunctival lower blepharoplasty (scarless approach through the inside of the eyelid) to address the puffiness. After surgery, the puffy areas are no longer visible and the patient has a natural and aesthetically pleasing appearance.

Notice the puffiness of each lower eyelid. This is due to orbital fat protruding and is a common concern for many patients. While some patients are born with puffy lower eyelids, this is a problem that more commonly develops over time. This patient underwent transconjunctival lower blepharoplasty (scarless approach through the inside of the eyelid) to address the puffiness. After surgery, the puffy areas are no longer visible and the patient has a natural and aesthetically pleasing appearance.

Notice the puffiness of each lower eyelid. This is due to orbital fat protruding and is a common concern for many patients. While some patients are born with puffy lower eyelids, this is a problem that more commonly develops over time. This patient underwent transconjunctival lower blepharoplasty (scarless approach through the inside of the eyelid) to address the puffiness. After surgery, the puffy areas are no longer visible and the patient has a natural and aesthetically pleasing appearance. This patient also underwent bilateral upper blepharoplasty. During surgery, excess skin was removed and the eyelid was contoured to enhance the upper eyelid appearance.

Notice the puffiness of each lower eyelid. This is due to orbital fat protruding and is a common concern for many patients. While some patients are born with puffy lower eyelids, this is a problem that more commonly develops over time. This patient underwent transconjunctival lower blepharoplasty (scarless approach through the inside of the eyelid) to address the puffiness. After surgery, the puffy areas are no longer visible and the patient has a natural and aesthetically pleasing appearance. This patient also underwent bilateral upper blepharoplasty. During surgery, excess skin was removed and the eyelid was contoured to restore the eyelid platform.

This is another great example of how surgery can enhance appearance in a way that looks natural. Puffiness of the under eyes or eye bags are a common condition we treat at Raleigh Eye and Face. The puffiness is caused by orbital fat shifting forward over time. In some cases, patients are born with visible fat in the lower eyelids. When puffiness is present, patients are often mistaken as being tired. Lower blepharoplasty can be performed to contour the fat and create a smooth and youthful transition between the eyelids and the cheeks. The incisions are made on the inside of the eyelids. This patient also had relative left microptosis or a mild eyelid droop. In the ‘before’ photo, the right upper eyelid looks pseudo retracted or too high when in reality the issue is that the left upper eyelid was a touch too low. This patient also underwent a left microptosis repair which was also performed on the inside of the eyelid. There are no visible scars or signs of surgery, and the patient looks refreshed and natural. Here is a summary of what was done in the case.

Left micro ptosis repair surgery: the left upper eyelid was raised to a normal height.

Lower blepharoplasty surgery: orbital fat that shifted forward over time was sculpted to create a smooth transition between the lower eyelids and cheeks.

Notice the puffiness of each lower eyelid. This is due to orbital fat protruding and is a common concern for many patients. While some patients are born with puffy lower eyelids, this is a problem that more commonly develops over time. This patient underwent transconjunctival lower blepharoplasty (scarless approach through the inside of the eyelid) to address the puffiness. After surgery, the puffy areas are no longer visible and the patient has a natural and aesthetically pleasing appearance.

Notice the puffiness of each lower eyelid. This is due to orbital fat protruding and is a common concern for many patients. While some patients are born with puffy lower eyelids, this is a problem that more commonly develops over time. This patient underwent transconjunctival lower blepharoplasty (scarless approach through the inside of the eyelid) to address the puffiness. After surgery, the puffy areas are no longer visible and the patient has a natural and aesthetically pleasing appearance.

Notice the under eye puffiness. This is due to orbital fat protruding and is a common concern for many. This patient underwent transconjunctival lower blepharoplasty (scarless approach through the inside of the eyelid) to address the mounds of fat. After surgery, the under eye area has a smooth contour resulting in a natural and aesthetically pleasing appearance.

Notice the under eye puffiness. This is due to orbital fat protruding and is a common concern for many. This patient underwent transconjunctival lower blepharoplasty (scarless approach through the inside of the eyelid) to address the mounds of fat. After surgery, the under eye area has a smooth contour resulting in a natural and aesthetically pleasing appearance.

This is a great example of how surgery and non surgical procedures compliment each other to provide the best results. Surgery, botulinum toxin, and laser all play different roles in rejuvenation. Here is what was done in this case.

Upper blepharoplasty surgery: excess upper eyelid skin was removed and the upper eyelids were contoured to reestablish an eyelid crease on each side.

Lower blepharoplasty surgery: orbital fat that shifted forward over time was sculpted to create a smooth transition between the lower eyelids and cheeks.

Botulinum toxin was strategically placed to balance the brows and relax the facial muscles.

Laser resurfacing was performed to rejuvenate the skin, improve skin quality, fine lines, wrinkles, and pigmentary changes. In this case, higher energy settings were used on the malar area where some mild redness is apparent - this will improve. This patient is shown approximately 3 weeks following laser resurfacing. There will be continued overall improvement in the skin over the course of months.

This was an interesting case that highlights how combining treatments can lead to the best results. This patient in her 60s had volume loss in her upper lids and temples which was accentuated by her prominent cheekbones. This volume loss along with ptosis and a compensatory brow hike resulted in an aged appearance with hollow upper eyelids. Additionally, her skin quality had diminished over time. She underwent multiple treatments to address the various contributing factors. This is a great example of how surgery and non surgical procedures compliment each other to provide the best results. Surgery, botulinum toxin, filler and laser all play different roles in rejuvenation. Here is what was done in this case.

Ptosis repair surgery: the upper eyelids were raised to a normal height.

Lower blepharoplasty surgery: orbital fat that shifted forward over time was sculpted to create a smooth transition between the lower eyelids and cheeks.

Upper blepharoplasty surgery: excess upper eyelid skin was removed.

Botulinum toxin was strategically placed to treat forehead and other facial wrinkles and relax the facial muscles.

Filler was placed in the temples to address age related volume loss. This improved facial contours by treating a relative depression above this patient’s high and prominent cheekbones.

Laser resurfacing was performed to rejuvenate the skin, improve skin quality, fine lines, wrinkles, and pigmentary changes.

Notice the under eye puffiness. This is due to orbital fat protruding and is a common concern for many. This patient underwent transconjunctival lower blepharoplasty (scarless approach through the inside of the eyelid) to address the mounds of fat. After surgery, the under eye area has a smooth contour resulting in a natural and aesthetically pleasing appearance.

Notice the puffiness of each lower eyelid. This is due to orbital fat protruding and is a common concern for many patients. While some patients are born with puffy lower eyelids, this is a problem that more commonly develops over time. This patient underwent transconjunctival lower blepharoplasty (scarless approach through the inside of the eyelid) to address the puffiness. After surgery, the puffy areas are no longer visible and the patient has a natural and aesthetically pleasing appearance. This patient also underwent bilateral upper blepharoplasty. During surgery, excess skin was removed and the eyelid was contoured to enhance the upper eyelid appearance.

Notice the puffiness of each lower eyelid. This is due to orbital fat protruding and is a common concern for many patients. While some patients are born with puffy lower eyelids, this is a problem that more commonly develops over time. This patient underwent transconjunctival lower blepharoplasty (scarless approach through the inside of the eyelid) to address the puffiness. After surgery, the puffy areas are no longer visible and the patient has a natural and aesthetically pleasing appearance. This patient also underwent bilateral upper blepharoplasty. During surgery, excess skin was removed and the eyelid was contoured to enhance the upper eyelid appearance.

Notice the under eye puffiness. This is due to orbital fat protruding and is a common concern for many. This patient underwent transconjunctival lower blepharoplasty (scarless approach through the inside of the eyelid) to address the mounds of fat. After surgery, the under eye area has a smooth contour resulting in a natural and aesthetically pleasing appearance.

This patient underwent bilateral upper blepharoplasty. During surgery, excess skin was removed and the eyelid was contoured to enhance the upper eyelid appearance.

The patient also had a lower blepharoplasty. Notice the puffiness of each lower eyelid. This is due to orbital fat protruding and is a common concern for many patients. While some patients are born with puffy lower eyelids, this is a problem that more commonly develops over time. This patient underwent transconjunctival lower blepharoplasty (scarless approach through the inside of the eyelid) to address the puffiness. After surgery, the puffy areas are no longer visible and the patient has a natural and aesthetically pleasing appearance.

The patient also underwent internal ptosis repair in which surgery is performed on the inside of the eyelid to improve the upper eyelid height.

Notice the puffiness of each lower eyelid. This is due to orbital fat protruding and is a common concern for many patients. While some patients are born with puffy lower eyelids, this is a problem that more commonly develops over time. This patient underwent transconjunctival lower blepharoplasty (scarless approach through the inside of the eyelid) to address the puffiness. After surgery, the puffy areas are no longer visible and the patient has a natural and aesthetically pleasing appearance. This patient also underwent bilateral upper blepharoplasty. During surgery, excess skin was removed and the eyelid was contoured to enhance the upper eyelid appearance.