Lower Blepharoplasty

Lower Blepharoplasty Overview

Treats: Sagging in the lower eyelid, bags, and some wrinkles

Length: 1-2 hours

Anesthesia: Awake or Asleep

In/Outpatient: Outpatient

Side Effects: Patients may experience swelling or bruising. Temporary double vision and blindness may also occur, but should remedy themselves within a day. Eye itching, dryness, and other discomfort can be medicated with eye drops or other prescriptions.

Risks: Anytime a patient has any kind of surgery, there is a risk of bleeding, infection, scarring, or side effects from anesthesia.

Recovery: Recovery from eyelid surgery generally takes several weeks. Within two days to a week, the stitches will be removed. In the first week, patients will want to make sure that their eyes receive plenty of rest. The redness and swelling occurring after the blepharoplasty procedure will fade with time.

Duration of Results: 10-20 years

Remarkable Care, Exceptional Results

lower eyelid surgery before and after


“I was tired of being told I looked tired due to the bags under my eyes. I would hide behind my glasses because I was so embarrassed.
Pros for blepharoplasty is the speedy recovery and very little pain.
Con the brow lift recovery was not as fast as blepharoplasty. I’m still healing from 4 months later however it doesn’t keep me from doing anything just a little tender at the incision points. I’d do it again!”

-civitares, RealSelf


lower blepharoplasty patient in charlotte, nc

Over time, the delicate skin around the eyes can become thin and loose, causing puffiness, dark circles, and sagging tissue under the eyes that can make a person look older or tired. Whether due to genetics, sun exposure, weight gain, or age, it is possible to correct puffy or wrinkling lower eyelids and achieve a more youthful, natural-looking appearance with an eyelid procedure known as lower blepharoplasty.

The top aesthetic destination of the south, Carolina Facial Plastics, is led by double board-certified facial plastic surgeon Dr. Jonathan Kulbersh. With his team of cosmetic experts, a fully accredited surgery center, and a private recovery retreat all located in the heart of SouthPark, Carolina Facial Plastics is known for unparalleled and natural-looking results exclusively for the face.

lower blepharoplasty on a male patient in charlotte nc

The eyes are the most important facial feature as they relay the majority of our non-verbal communication. The shape of the eye and the surrounding facial features will show a gamut of emotions, including joy, sadness, worry, or fatigue. The contour and structure of the lower eyelid create an eye shape that appears open and awake. A smooth area that seamlessly transitions from the lower eyelashes to the cheek area is ideal. However, this transition can be interrupted over time by hollowing, puffiness, or wrinkles that age the eye and overall appearance. Eyelid surgery reverses these changes to create a refreshed, more youthful appearance.


lower blepharoplasty before and after results in Charlotte, NC

Over time, we lose the smooth transition from the eyelashes to the cheek. This change occurs because:

  • Sun exposure damages the lower eyelid skin
  • Fat herniated from behind the eye creates bags
  • Loss of volume forms in the cheek
  • Sagging begins in the cheek tissue

These changes can develop wrinkles, bags, or dark circles underneath the eye that will create a sad or tired eye that makes people self-conscious about their appearance and prompts them to seek eyelid treatment.


lower eyelid surgery results on a female patient

Lower blepharoplasty is an eyelid surgery that creates a smoother transition from the lower eyelid to the cheek. There are many technical variations Dr. Kulbersh might use during a lower blepharoplasty to customize the eyelid procedure. The following are the steps taken for each concern:

  • The loose or wrinkled skin of the lower eyelid – A variety of modalities can address the aging skin. The excess skin can be removed by making a small incision underneath the eyelashes. If the skin has begun to thin, a chemical peel or laser resurfacing treatment can stimulate collagen production and rejuvenate the epidermis.
  • Excess puffiness or bags under the eyes – Excess fat that herniates from behind the eye may lead to puffiness in the lower lid. Dr. Kulbersh repositions the fat to the cheek area during the procedure. A small incision will be made either under the eyelashes or inside the lower lid so that the scar is well hidden. There are instances where the fat will need to be sculpted or removed. Since the face will lose volume over time, Dr. Kulbersh will not use aggressive fat removal of the lower lids. This common practice in previous eyelid surgeries results in a hollow appearance years later. Dr. Kulbersh has revamped his technique to create a more long-lasting result.
  • Loose or sagging eyelid – If the eyelid is drooping, it may need tightening with a canthopexy procedure. A canthopexy creates a firmer, smoother contour to the lower eyelid.
  • Loss of Volume in the Cheek – If a deflated cheek contributes to the circles underneath the eye, Dr. Kulbersh can use facial fat transfer, facial fillers, or a cheek implant to restore volume to the cheek area.

To learn more about lower eyelid surgery, visit medlineplus.gov.


Blepharoplasty is an ideal plastic surgery option for those who want to significantly reduce the appearance of bags, puffiness, loose skin, or hollowness under the eyes. The procedure is minimally invasive and, when performed by a skilled surgeon, can achieve a smooth, supple, and youthful look. By eliminating excess skin or fat under the eyes, a lower eyelid surgery rejuvenates the entire face and helps correct the proper contour and function of the eyelids when needed.


lower eyelid surgery blepharoplasty before and after

The recovery from a lower blepharoplasty will take about 1-2 weeks depending on the individual. During the first week after the eyelid procedure, the patient will experience swelling and bruising. This will peak 48 hours after the surgery. Vision will be a little hazy as the patient will be placing drops and ointment in the eye. There is minimal pain associated with this eyelid treatment, but patients will have narcotic pain medications available. Stitches placed below the eyelids are dissolvable. For fat reposition lower blepharoplasty, the stitches will be removed 1 week after surgery.

For the best treatment and recovery from a lower blepharoplasty procedure, Dr. Kulbersh invites you to schedule your surgery at Fairview Surgical Suites, an exclusive, single-room operating theater dedicated to facial aesthetic surgery, and Fairview Recovery Retreat, a recovery center where you can relax in a stress-free environment surrounded by aftercare professionals. Both facilities are designed to maximize your results and ensure a speedy recovery with the highest level of care.

At Carolina Facial Plastics in Charlotte, Dr. Jonathan Kulbersh specializes in only facial plastic surgery, including rejuvenating upper and lower eyelid surgery. He had trained with the best in Beverly Hills and did additional training in oculoplastic surgery (eye plastic surgery). To learn more about lower blepharoplasty and whether it is a procedure for your specific needs and goals, please contact us and schedule a consultation today by calling (704) 842-3644.


Dr. Kulbersh often combines lower blepharoplasty with other procedures, including an eye lift, which can often be performed at the same time. Common examples include:

Dr. Kulbersh has the expertise to customize your surgical plan to ensure you enjoy the best possible results from your procedure.

Frequently asked questions

Patients typically resume work from home in a few days and go back into the office one week after eyelid surgery.


Patients can resume exercise two weeks after their eyelid procedure.


Contacts can be worn two weeks after surgery.


A lower blepharoplasty will last forever. The under-eye area will always look better than if a patient never had surgery. With that said, all patients will continue to age and see changes in the area under the eyes. Generally speaking, a lower blepharoplasty will last 10-20 years.


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Dr. Paul Nassif Hear what Dr. Paul Nassif of Botched says about Dr. Kulbersh

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