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Face Lower Eyelid Lift

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Dr. Pellegrino and Dr. Perrotta are experienced in state-of-the-art lower eyelid surgery (lower blepharoplasty) techniques that provide a natural-looking lower eyelid lift and remove bags and excess skin under the eyes. Incisions are placed in the natural creases of the eye where scars are hidden.

If you only have bulging fat under the eyes, the fat may be removed through an incision inside the lower eyelids with no external incision. This procedure is called transconjunctival blepharoplasty.

Candidates for Lower Blepharoplasty

  • People with excess lower eyelid skin
  • People with bulging bags of fat under the eyes that make them appear tired and older

The Goals of a Lower Eyelid Lift

  • A more youthful and rested appearance around the eyes
  • Greater self-confidence

Initial Consultation for Lower Eyelid Surgery

Drs. Perrotta and Pellegrino have developed a warm and friendly process for preparing you for eyelid surgery. Your consultation is important because you and your plastic surgeon must be “on the same page” regarding the results you want. This is why Dr. Perrotta or Dr. Pellegrino will devote as much time as necessary to discuss your individual goals and needs with you.

Dr. Pellegrino or Dr. Perrotta performs a focused physical examination to determine your suitability for a lower eyelid lift. Once he determines his surgical plan, our aesthetic coordinator will produce a written quote which lists all costs of your proposed surgery so that there are no surprises. At that time, an appointment is set for your pre-op visit.

Note that all procedures have risks, and minor complications occur occasionally that can be easily addressed. Major complications are quite unusual with eyelid surgery.

If you have bags that involve the upper cheeks rather than the lower eyelids, you might have festoons, which are caused by redundant muscle. Corrections of festoons could fix this problem.

Additional procedures that can enhance the result of lower blepharoplasty are Upper Blepharoplasty, Forehead Lift, Facelift or Chemical Peels.

Pre-op Visit

Much is covered during your pre-op visit. Your surgeon will explain the surgical technique to you and thoroughly inform you as to what you can expect, including any potential complications. While all procedures include risks, major complications are rare with eyelid surgery.

Dr. Perrotta or Dr. Pellegrino will then obtain a more complete medical history from you and perform a final pre-op physical examination, including a check of your vital functions to ensure that you are physically fit for surgery. Prior to releasing you from your pre-op visit, your doctor and our staff will give you detailed instructions for the time leading up to your surgery, as well as for the time immediately following it.

The Lower Eyelid Surgery Procedure

Drs. Perrotta and Pellegrino usually perform the operation on an outpatient basis with local anesthesia with or without IV sedation. Selected patients can use general anesthesia. Your surgeon places the incisions where the natural creases of the lower eyelids occur, and he then removes the excess skin and fat. If needed, he also tightens the muscle and/or the eyelid itself.

Note that a lower eyelid lift will not remove or erase all lines and wrinkles around the eyes, but it will soften them.

Post-op Recovery

You will be asked to use ice packs and to keep your head elevated for the first 48 hours after surgery. All stitches are usually removed within 3-7 days. Any initial mild discomfort is controlled with oral medications. Bruising and sensitivity to light last a week or two. Swelling progressively disappears over several weeks.

You can wear eye makeup shortly after the sutures have been removed. Contact lenses can be worn when comfortable, usually within 7-10 days. After your procedure, you will follow up with us several times so that we can monitor your healing.


Lower blepharoplasty is considered cosmetic, so insurance does not usually cover it.

Before and After

Click here to see our Lower Eyelid Lift Before and After photo gallery.

We are grateful to our patients for granting us the privilege of posting their before and after photos on our website. While we greatly value their privacy, we also salute their eagerness to share their life-changing results with other individuals considering plastic surgery. Every patient on this website has enthusiastically provided his or her written consent for us to show the world his or her results.

Contact us today to schedule your consultation for lower eyelid surgery.