Lower lid blepharoplasty is a precision surgical procedure that removes excess skin and fat from beneath the eyes, reducing puffiness, bags, and wrinkles to create a more refreshed, youthful appearance. At The Collins Center, Dr. Beth Collins uses refined techniques that maintain your natural eye shape while improving tired-looking eyes and restoring a more alert, rejuvenated expression.
Before / After Gallery
Our before-and-after gallery showcases the subtle yet transformative results of lower eyelid surgery. Each patient experiences natural-looking rejuvenation that preserves their unique eye shape and character while reducing the appearance of fatigue, puffiness, and aging. These results demonstrate how small, precise changes can make a significant difference in your overall facial harmony without appearing overdone or changing your essential features.
Treatable Areas
- Under-eye bags and puffiness
- Excess or wrinkled skin beneath the eyes
- Hollows or dark circles under the eyes
- Fine lines around the lower eyelid
- Fatty deposits causing lower lid bulging
- Mild to moderate lower eyelid laxity
- Tear troughs and deep creases between lower lid and cheek
How Lower Lid Blepharoplasty Works
During lower lid blepharoplasty, Dr. Collins makes an incision either just below the lash line or inside the lower eyelid (transconjunctival approach), depending on your unique anatomy and aesthetic goals. Through this carefully placed incision, she removes or repositions excess fat that causes under-eye bags, tightens lax muscles, and removes small amounts of redundant skin when necessary.
The procedure is typically performed under local anesthesia with sedation. Dr. Collins uses meticulous surgical techniques to ensure natural-looking results with minimal scarring, preserving your eye’s natural shape and function while creating a smoother, more rested appearance. Some patients may benefit from fat grafting or filler treatments to address hollow areas, creating a seamless transition between the lower eyelid and cheek.
After surgery, you’ll experience mild swelling and bruising that gradually subsides during the initial recovery period. Most patients return to normal activities once the majority of visible swelling has decreased, with final results becoming fully visible as all residual swelling resolves. The results are long-lasting, helping you look more rested and refreshed for years to come.
Results You’ll Love
- Significantly reduced under-eye bags and puffiness
- Smoother, firmer skin beneath the eyes
- Diminished appearance of dark circles
- Reduced fine lines and wrinkles around the lower eyes
- Natural-looking results that maintain your unique eye shape
- Improved contour between the lower eyelid and cheek
- A more rested, alert, and youthful appearance
- Long-lasting rejuvenation that looks natural as you continue to age
Are You a Candidate for Lower Lid Blepharoplasty?
- You have persistent bags, puffiness, or excess skin beneath your eyes
- You appear tired or older than you feel because of your eye appearance
- You have good overall health and realistic expectations
- You don’t have significant dry eye issues or other serious eye conditions
- You’re bothered by how your lower eyelids affect your appearance
- You’re a non-smoker or willing to quit smoking before surgery
- You’re at least 35 years old (though candidates of various ages may qualify)
- You desire natural-looking rejuvenation without changing your essential features
Why Choose The Collins Center
- Double board-certified plastic surgeon – Board certified in both general surgery and plastic surgery, with training from Emory University, one of the top plastic surgery programs in the country
- 25+ years of surgical expertise – With over a decade and a half of dedicated surgical practice, Dr. Collins brings proven experience and refined technique to every procedure
- Physician-led care with medical oversight – Every aspect of your treatment is overseen by Dr. Collins, ensuring the highest standard of safety and results grounded in medical science
- Empathetic, patient-centered approach – Dr. Collins’ personal experiences with surgery and body transformation enable authentic understanding of your aesthetic concerns and emotional needs
FAQs about Lower Lid Blepharoplasty
How long does lower lid blepharoplasty surgery take?
Lower lid blepharoplasty typically takes 1-2 hours to complete. If you’re having both upper and lower eyelids treated simultaneously, the procedure may take 2-3 hours. The surgery is generally performed as an outpatient procedure, meaning you can go home the same day.
Will I have visible scars after lower eyelid surgery?
Scarring is minimal with lower lid blepharoplasty. When an external approach is used, the incision is placed just below the lower lash line where it’s naturally camouflaged. Many patients qualify for a transconjunctival approach, where the incision is made inside the lower eyelid, leaving no visible external scar at all.
When can I return to work after lower eyelid surgery?
Most patients return to work and normal daily activities within 7-10 days after surgery, once the majority of swelling and bruising has subsided. If you’re concerned about visible recovery, you may want to allow 10-14 days before returning to work or attending important social events.
How long do the results of lower eyelid surgery last?
Lower lid blepharoplasty results are long-lasting, typically enduring for 10-15 years or more. While the aging process continues, the improvements from your surgery remain, and you’ll continue to look younger than if you hadn’t had the procedure. Maintaining a healthy lifestyle, avoiding sun damage, and using quality skincare can help extend your results.
Will lower lid blepharoplasty get rid of dark circles?
Lower lid blepharoplasty can significantly improve dark circles caused by shadows from puffy under-eye bags or excess skin. However, if your dark circles are primarily due to skin pigmentation or very thin skin showing blood vessels underneath, the procedure may be combined with other treatments like fat grafting or laser therapy for optimal results.
Is lower eyelid surgery painful?
Discomfort after lower lid blepharoplasty is typically mild and well-controlled with prescribed pain medication for the first few days, followed by over-the-counter pain relievers if needed. Most patients describe the recovery as involving tightness and mild soreness rather than significant pain.
Can I combine lower lid blepharoplasty with other procedures?
Yes, lower lid blepharoplasty is commonly combined with upper eyelid surgery for complete eye rejuvenation. It can also be performed alongside other facial procedures such as facelift, brow lift, or non-surgical treatments like Botox or fillers for comprehensive facial rejuvenation. Dr. Collins will help you determine the safest and most effective combination approach for your goals.







