Medical Aesthetics
Consultation for Volume Loss
A polynucleotide derived from salmon DNA with the aim of improving the appearance of the skin and reducing inflammation.
What is Lower Blepharoplasty?
Lower blepharoplasty is a surgical procedure performed to address changes in the lower eyelids. These may include excess skin, changes in fat distribution, or alterations in the contour of the lower eyelid. The procedure may involve the removal or repositioning of skin and orbital fat to modify the structure and appearance of the lower eyelid.
The surgical approach depends on the individual’s anatomy and clinical needs. Techniques may include removal of excess skin, repositioning or redistribution of orbital fat, and support of eyelid structures such as the orbicularis oculi muscle or lateral canthal tendon. In some cases, additional procedures may be considered to address related anatomical factors.
Indications for Lower Blepharoplasty
Lower blepharoplasty may be considered for individuals who present with one or more of the following:
- Excess lower eyelid skin
- Prominent orbital fat pads contributing to under-eye fullness or “bags”
- Tear trough deformity or under-eye hollowing
- Lower eyelid laxity or malposition (e.g., ectropion)
- Changes in lower eyelid contour associated with ageing
Surgical Technique
Lower blepharoplasty is typically performed in a hospital setting under general anaesthesia.
Incisions may be placed just below the lower eyelash line. The procedure may involve removal or repositioning of orbital fat, management of excess skin, and support of eyelid structures where indicated. Incision placement is planned to minimise visible scarring where possible.
Disclaimer
Lower Blepharoplasty is suitable only for people aged 18 years and over. All surgical procedures carry risks, which may include infection, haematoma, scarring, asymmetry, changes in eye function, dry eyes, or outcomes that may differ from expectations. Individual suitability, along with specific risks and considerations, should be discussed during a consultation with a registered specialist plastic surgeon. A second opinion from an appropriately qualified health practitioner is also recommended prior to proceeding.
Post Operative Care After Lower Blepharoplasty
Recovery After Lower Blepharoplasty
Following lower blepharoplasty, it is common to experience swelling around the eyes (periorbital oedema), bruising, and mild to moderate discomfort. These symptoms often peak within the first few days after surgery and typically improve over one to two weeks, depending on individual healing responses.
Temporary changes such as tightness, dryness, or altered sensation in the lower eyelid region may also occur. The resolution of these symptoms varies between individuals.
Your recovery will be monitored through scheduled follow-up appointments. Where sutures are used, they are typically removed within five to seven days, depending on the surgical technique and healing progress.
Post-Operative Care Recommendations
- Head elevation: Keep your head elevated when resting in the early post-operative period to assist with swelling management.
- Cold compresses: Cold compresses may be recommended intermittently to help manage swelling and bruising.
- Wound care: Maintain cleanliness of the surgical area and follow your surgeon’s instructions regarding dressings and wound care.
- Activity: Avoid strenuous activity, exercise, and heavy lifting for a period advised by your surgeon, often at least two to three weeks.
- Eye care: Lubricating eye drops or ointments may be recommended if dryness or irritation occurs.
- Follow-up: Raise any concerns or questions with Specialist Plastic Surgeon, Dr Steven Liew (FRACS, MED0001151298) during your review appointments.
Disclaimer
Lower Blepharoplasty is suitable only for people aged 18 years and over. All surgical procedures at Shape Clinic are performed by Specialist Plastic Surgeons, Dr Steven Liew (FRACS, MED0001151298), Dr Ania Smialkowski (FRACS, MED0001668109) and and Dr Henry Shepherd (MED0001860545, FRACS) who are all registered with the Medical Board of Australia. Individual outcomes, recovery times, and healing responses vary. All surgical procedures carry risks, including infection, bleeding, scarring, asymmetry, and delayed healing. Patients are encouraged to seek a second opinion from an appropriately qualified health practitioner before proceeding.
Frequently Asked Questions
Preparation for Lower Blepharoplasty includes steps to help reduce risks and support the recovery process. These may involve:
- Smoking cessation: Stopping smoking at least two weeks before surgery, as smoking can affect healing and increase the risk of complications.
- Medication review: Certain medications or supplements — such as aspirin, anti-inflammatories, and other blood-thinning agents — may need to be paused before surgery. This will be discussed during your pre-operative consultation.
- Support planning: Arranging for transport after surgery and assistance at home during the initial recovery period is recommended.
Your surgeon will provide preparation guidelines tailored to your health history and the planned procedure.
Recovery experiences vary depending on the extent of the procedure and individual healing responses. Common post-operative effects include swelling, bruising, and mild discomfort around the eyes, which often peak in the first few days and gradually improve over several weeks.
Most people can resume light activities or return to work within 1–3 weeks, while full recovery — including scar maturation and the settling of swelling — may take several months.
Disclaimer
Lower Blepharoplasty procedures are suitable only for people aged 18 years and over. Recovery experiences and outcomes vary between individuals. Factors such as age, skin type, overall health, and adherence to post-operative instructions can influence healing. All surgical procedures carry risks, which may include bleeding, infection, scarring, asymmetry, or dry eyes. A consultation with a registered specialist plastic surgeon is required to assess suitability and discuss potential risks, benefits, and alternative options. A second opinion from an appropriately qualified health practitioner is recommended before proceeding.
