Lower Eyelid Surgery (Lower Lid Blepharoplasty) in Philadelphia

Lower Eyelid Surgery (Lower Lid Blepharoplasty) in Philadelphia

Aging around your lower eyelids can make you look older and tired. Loose skin and puffiness from fat pads usually cause this appearance. People may comment that you look tired and seem that you did not have enough sleep when you actually did! Lower eyelid surgery can remove the loose skin and puffy fat to give a refreshed and youthful appearance.

Dr. Lo performs lower eyelid surgery, also known as a lower eyelid tuck or lower lid blepharoplasty, for patients in Philadelphia and South Jersey. Patients come from around the country to see Dr. Lo for lower eyelid surgery. Online virtual HIPAA-compliant consultations are also available.

What Can Lower Eyelid Surgery Do?

  • Remove protruding fat pads to eliminate a puffy eyelid look
  • Remove loose skin below the eyes
  • Make you look younger and more alert
  • Enhance your confidence in your appearance

Am I a Good Candidate for Lower Eyelid Surgery?

You may be a candidate for lower eyelid surgery if you:

  • Experience puffiness or “bags” in your lower eyelids
  • Have loose skin on your lower eyelids
  • Appear tired and older because of protruding fat and loose skin in your lower eyelids
  • Feel that you could look better with the extra skin and fat removed from your eyelids
  • Are in good health
  • Are a non-smoker or planning to stop smoking for your surgery
  • Have realistic expectations of your eyelid surgery results

What Does Lower Eyelid Surgery involve?

What Is the Eyelid Surgery Consultation Like?

A consultation with Dr. Lo is required before your lower eyelid surgery. During this consultation, Dr. Lo will discuss your goals for the procedure, evaluate your situation, and offer recommendations. Many patients choose to have their upper and lower eyelid surgeries done at the same time.

How Is Lower Eyelid Surgery Done?

The Traditional Lower Eyelid Incision

Illustration: The Traditional Lower Eyelid Incision - Female

This incision hides naturally below the eyelashes of your lower eyelid and in the crow’s feet. The resulting scar usually heals so well that you can barely see it. There is no damage to your eyelashes, and you do not lose any eyelashes from the surgery.

Illustration: The Traditional Lower Eyelid Incision - Male

The excess puffy fat is trimmed and removed from the three fat compartments in the lower eyelid.

The Transconjunctival Lower Eyelid Incision

There is the option of placing the incision on the inside of the lower eyelid. This is called the transconjunctival approach. Dr. Lo may recommend this technique in situations where an individual has excess fat pads in the lower eyelids but minimal loose skin.

How Long Does It Take to Recover From Lower Eyelid Surgery?

When you go home after the lower eyelid procedure, you should rest and elevate your head. You will have small Steri-Strips™ (thin medical tape) on the outer part of your incisions. Placing ice or ice packs on the lower eyelids will minimize the swelling and bruising. Dr. Lo has a special protocol to minimize your swelling and bruising so that you may return to normal activities quickly.

You may be able to drive in three to five days, and you may resume exercise in 10 to 14 days. However, you will need to avoid heavy lifting and exertion for two weeks.

How Long After Blepharoplasty Do You See Results?

You will notice improvement immediately, but swelling and bruising may hide the final results for many weeks. At one month, you usually begin to see the early results of your surgery, but it may take six months or more for all residual swelling to resolve so you can see your final results.

You will have regular follow-up appointments with Dr. Lo to monitor your healing for up to one year after the surgery.

Frequently Asked Questions About Eyelid Surgery

How much does lower eyelid surgery cost?

The cost of lower eyelid surgery is approximately $5,000, which includes Dr. Lo’s surgical fee, and the hospital and anesthesia fees. The lower eyelid surgery is a highly specialized surgical procedure, and the overall cost of your operation will vary depending on your specific needs.

How long does lower eyelid surgery take?

A lower eyelid tuck takes about 30 to 45 minutes to complete.

What type of anesthesia is used for lower eyelid surgery?

You have a choice of anesthesia for your eyelid surgery.

  • Local anesthesia: uses local anesthesia to numb the area, and you are completely awake
  • Twilight sedation (most popular option): uses local anesthesia to numb the area, and you are made comfortable with intravenous medications
  • General anesthesia: you are completely asleep

Where is eyelid surgery performed?

Dr. Lo performs lower eyelid surgery with general anesthesia or twilight sedation in the safety and sterility of Pennsylvania Hospital Surgicenter or Pennsylvania Hospital. It is an outpatient surgery, and you go home the same day as your procedure.

You also have the option of having your lower eyelid surgery performed under local anesthesia in the office. Dr. Lo will discuss with you what he feels is best for your situation.

What kind of stitches are used for lower eyelid surgery?

Dissolvable sutures are used, meaning the stitches do not need to be manually removed; they will dissolve on their own in one to two weeks.

Is lower eyelid surgery painful?

Lower eyelid surgery is tolerated well and not usually painful. Most of Dr. Lo’s patients take extra strength TYLENOL® afterward or take no pain medications at all. However, if you need stronger pain medications, Dr. Lo will write you a prescription.

How much time should I take off work for eyelid surgery?

You should take about one week off work, as you may have bruising and swelling. You may put makeup on in about five to seven days to cover any bruising. You may wear sunglasses when you go out.

I am concerned with the shape of my eyes. Will I look different after eyelid surgery?

The eyelid surgery is done very naturally, and Dr. Lo will not change the shape of your eyes. By removing loose skin and fat, you will look refreshed and less tired.

How long will my eyelid surgery results last for?

Typically, after Dr. Lo’s technique, you should not need to have your lower eyelid surgery done again.

What are the risks of lower eyelid tuck?

Lower eyelid surgery is safe, but there are risks with any surgery. There are the usual risks of bleeding, infection, healing problems, and dry eyes. Dr. Lo will discuss with you the possible risks in your situation.

Do I need an upper eyelid lift with my lower eyelid tuck?

During your consultation, Dr. Lo will evaluate your situation and determine if you need an upper eyelid lift with your lower eyelid tuck. If you have loose skin over your upper eyelid, then Dr. Lo will likely recommend an upper eyelid lift with your lower eyelid surgery to give you the best look possible.

Do I need a brow lift with my lower eyelid tuck?

During your consultation, Dr. Lo will evaluate your situation and determine if he would recommend a brow lift (forehead lift) with your lower eyelid tuck. A brow lift can correct drooping eyebrows and 'hooding over the eyes' by repositioning the brows to a normal, lifted position. The result is a more alert, rested, and youthful appearance that looks natural and not over-pulled.

What other procedures can be combined with lower eyelid surgery?

A lower eyelid tuck can be performed alone, or it can be performed alongside a face or body contouring procedure to enhance the quality of your results. In addition to upper eyelid surgery and brow lift surgery, common procedures combined with lower eyelid surgery include:

How should I choose my plastic surgeon for lower eyelid surgery?

Finding the right plastic surgeon is essential for a happy and healthy outcome. You should choose a plastic surgeon who is certified by the American Board of Plastic Surgeons (ABPS), which ensures that he or she meets rigorous academic, professional, and ethical standards. Ask to see a surgeon’s before and after eyelid surgery pictures to make sure that you are happy with the results you see.

Dr. Adrian Lo is a top board-certified plastic surgeon in Philadelphia with extensive experience in performing eyelid surgery. He is a member of The Aesthetic Society (ASAPS) and the American Society of Plastic Surgeons (ASPS). He is also a Fellow of the American College of Surgeons (FACS).

Would You Like More Information About Lower Eyelid Surgery?

If you are interested in learning more about lower eyelid surgery, contact Dr. Lo by calling (215) 829-6900 or by filling out our online contact form. Dr. Lo offers lower eyelid surgery for patients in the tri-state area of Pennsylvania, New Jersey, and Delaware, including Philadelphia, Marlton, and Cherry Hill.

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