Lower Lid Blepharoplasty

What is a lower lid blepharoplasty?

A lower lid blepharoplasty is an operation to remove excess fat and / or skin from the lower eyelids. It removes the ‘eyebags’ people get in their lower eyelids as they get older.

Why would I need a lower lid blepharoplasty?

A lower lid blepharoplasty is usually considered for cosmetic reasons. It can help to improve the tired look that can develop with age. The surgery can also help to tighten the skin in the lower lids.

How does a lower lid blepharoplasty work?

The surgery is usually performed under general anaesthesia or sedation. A careful assessment is made of the location and distribution of the fat pads under the eyes and we mark any excess skin. Incisions can be made either in the skin just below the eyelashes or, if only fat is being removed, on the inside of the eyelid. The prolapsed fat (tissue that has slipped downwards) is then either removed or repositioned. Any excess skin is carefully removed. The sutures are removed after one week. The lower lids will remain swollen for a few weeks and the final result is not visible until at least two months after surgery. For more details, please see our post-operative advice page.

What are the risks of blepharoplasty surgery?

As with any form of surgery, there are potential risks involved in blepharoplasty – although serious complications are very rare. The risks include:

  • infection: this is very rare around the eyelids
  • bruising and swelling: this is very common after eyelid surgery but usually settles after a week
  • scarring: the scar from blepharoplasty forms along the natural skin crease of the eyelid and heals very well
  • under- or over-correction: although we measure the amount of skin removed very carefully, sometimes further surgery is needed
  • reduced vision: any operation performed on the eyelids could in theory cause damage to your eyesight. Fortunately this risk is extremely rare.


For more information on blepharoplasty surgery please visit the BOPSS website.

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