Lower Blepharoplasty Eyelid Surgery (Lower Eye Lift) Sydney

Home Treatments   Lower Blepharoplasty (Lower Eye Lift)

What is Lower Blepharoplasty?

Lower blepharoplasty, also known as lower eyelid surgery or a lower eye lift, is a surgical procedure performed at Shape Clinic in Sydney 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. Lower blepharoplasty addresses the lower eyelids specifically; changes affecting the upper eyelids are addressed with upper blepharoplasty. 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 such as the orbicularis oculi muscle or lateral canthal tendon, 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.

Lower Blepharoplasty Sydney (Lower Eyelid Surgery) Frequently Asked Questions

Lower blepharoplasty, also known as lower eyelid surgery or a lower eye lift, is a surgical procedure that may 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.

Lower Blepharoplasty involves making a small incision, either just below the lash line or inside the lower eyelid, through which excess skin, fat, or muscle can be removed or repositioned to address the underlying concern. The technique used depends on individual anatomy and the specific concerns being addressed.

Preparation for Lower Blepharoplasty typically involves attending a thorough consultation with your surgeon, undergoing any required pre-operative assessments, ceasing certain medications or supplements that may increase bleeding risk, and arranging support for your recovery period. Your surgeon will provide specific preparation instructions tailored to your procedure.

Recovery after Lower Blepharoplasty typically involves swelling and bruising for the first 1 to 2 weeks, with most patients able to return to non-strenuous activities within this time. Final results continue to refine over the following weeks to months as swelling fully resolves.

After Lower Blepharoplasty, it is common to experience swelling, bruising, and some tightness around the eyes in the initial days, along with possible mild discomfort, which is generally manageable with prescribed pain relief. Your surgeon will provide specific aftercare instructions, including guidance on activity restrictions and follow-up appointments, to support your recovery.

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.

Treatment Practitioners

Dr. Steven Liew

Specialist Plastic Surgeon
MB BS (SYD)
FRACS
MED0001151298

Dr. Steven Liew is a Specialist Plastic Surgeon based in Sydney, Australia.

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Risks & Recovery

Common temporary effects include redness, swelling, bruising and tenderness. Less common risks include infection, pigment change, scarring or an unsatisfactory/uneven result; rare but serious risks will be discussed with you. Downtime varies by individual and procedure. Your practitioner will assess suitability, explain alternatives and provide personalised aftercare. Results vary. If you have severe pain, vision changes, spreading redness, fever, or any urgent concern, seek immediate medical care and contact us on +61 2 8356 2888.
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