Lower Blepharoplasty in Sydney

What is lower blepharoplasty?

Lower eyelid blepharoplasty, commonly known as under-eye surgery, is a procedure performed to treat puffy, sagging lower eyelids or under-eye bags.

Who might benefit from lower blepharoplasty?

People who may benefit from lower blepharoplasty include those with under-eye bags or puffiness, loose or sagging skin of the lower eyelids, or dark shadows caused by eyelid structures such as bulging fat or hollow areas. Suitable candidates are generally in good overall health and have realistic expectations about the outcomes of surgery.

What to expect during lower blepharoplasty surgery

During lower eyelid blepharoplasty, incisions are tailored to your specific goals and needs.

  • When only fat is removed or repositioned, the incision can be placed inside the eyelid (transconjunctival blepharoplasty), leaving no external scar.

  • If you have significant hollowing around the eye area, fat grafting can sometimes be used to plump up the hollowed areas.

  • If there is loose skin under the eyelid, a incision may be made just below the lash line to remove a small amount of skin without altering the eyelid shape (pinch blepharoplasty)

  • In some cases, canthal suspension (canthopexy) is performed to support the lower eyelid and to maintain its position at the corner of the eyes.

A combination of the above techniques are often used to meet your aesthetic goals.

Lower blepharoplasty in Sydney: Key details at a glance

  • Surgery time: 1.5 – 2.5 hours

  • Anaesthesia: Local anaesthetic with sedation or general anaesthesia.

  • Incision placement: inside the eyelid (with no external scar) or below the lash line.

  • Downtime: 2 weeks for swelling and bruising, which can be longer when combined with upper blepharoplasty.

  • Results: typically last between 7 and 15 years depending on your individual anatomy, your skincare regime, and if combined with other treatments. The ageing process still continues despite surgery.

Recovery process from lower blepharoplasty

  • Immediately after surgery: it might be helpful to wear sunglasses home, expect bruising and swelling and temporary blurry vision (usually from the ointment applied during surgery).

  • Home care: involves continued application of antibiotic ointment and artificial tears, keeping your head elevated, and using cold compresses.

  • Bruising and swelling usually improve within 2 weeks, although the final result can take several weeks or months to appear.

  • Temporary sensations such as numbness, tightness, or mild dryness may occur but usually resolve with time.

  • If the incision is inside the eyelid, the sutures do not require removal. If the incision was made below the lash line, the sutures here will need to be removed in approximately 5-7 days’ time.

  • Avoid wearing make-up for 2 weeks.

  • Avoid wearing contact lenses for at least 2 weeks after surgery. You may wear glasses instead.

  • Return to desk job and social activities within 2 weeks.

  • Avoid heavy lifting and exercise for 4-6 weeks.

‍For more information, please read our article on FAQs on blepharoplasty recovery.

Risks & complications

  • All surgery carries risks and may include:

    • Drug reactions.

    • Allergic reactions.

    • Infection. 

    • Bleeding and haematoma (blood clot).

  • Risks specific to blepharoplasty will be discussed with you during your consultation and will also be provided in your consent paperwork. These include:     

    • Bruising and swelling.

    • Watery eyes.

    • Dry eyes.

    • Asymmetry.

    • Difficulty closing eyes: This is very rare.

    • Vision loss: This is extremely rare.

    Choosing a specialist surgeon with proper anaesthetic support helps minimise these risks.

Dr Jenaleen Law caring female Plastic Surgeon Sydney Chatswood Darlinghurst

Plastic, Reconstructive
& Aesthetic Surgery,
Sydney

Contact Dr Law below to
request a consultation.