Lower Blepharoplasty (Lower Eyelid Surgery)

Top Facial Plastic Surgeon Serving Newport Beach and Orange County

Procedure Time

1-2 Hours

Recovery Time

12-21 Days

Price Range

Per Case Basis* ($5k - $13k)

Outpatient

Key Takeaways of the Page

Lower blepharoplasty, or lower eyelid surgery, corrects puffiness and sagging in the lower lids, as well as hollowness between the cheek and lower lid, also known as a nasojugal groove and/or tear trough deformity. The surgery can improve a tired or aged appearance and restore a more youthful and refreshed look.

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Who Is the Ideal Candidate for Lower Blepharoplasty?

Ideal lower blepharoplasty candidates are looking for a way to permanently reduce lower-eyelid puffiness, undereye bags, and lower-lid drooping. If a patient feels that these issues are causing them to look constantly tired or older than they actually are, this surgery may be the perfect solution.

Why Choose Newport Beach Blepharoplasty Specialist Dr. Batniji?

Dr. Batniji is able to provide his patients with beautiful, long-lasting lower eyelid surgery results due to his unique understanding of facial aesthetics and his vast knowledge and expertise in facial plastic surgery techniques.

As a specialist in facial plastic surgery, Dr. Batniji has dedicated his practice to beautifying the face. He is board certified by the American Board of Facial Plastic & Reconstructive Surgery and by the American Board of Otolaryngology.

Dr. Batniji is affiliated with several accredited surgery centers and hospitals in Southern California, and your lower eyelid surgery may take place at any one of these. He most commonly performs surgery at the Newport Beach Surgery Center and Hoag Hospital, both of which are located in Newport Beach, California. He also performs surgery at Fashion Island Surgical Center in Newport Beach and Beverly Hills Surgical Center in Beverly Hills, CA.

Dr. Batniji is a member of the Department of Otolaryngology-Head and Neck Surgery and the Department of Plastic Surgery at Hoag Hospital. He is an educator, lecturer, and acknowledged leader in his field.

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What Conditions Can a Lower Blepharoplasty Improve?

Lower blepharoplasty is intended to improve the appearance of lower-eyelid bags, chronic lower-eyelid puffiness, and lower-eyelid drooping. Many patients choose to undergo a lower blepharoplasty to reduce or eliminate signs of aging. The procedure can create a more refreshed and alert appearance.

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What Is the Cost of Lower Blepharoplasty?

Lower blepharoplasty is among the more affordable cosmetic surgeries. Cost can be impacted by the time required to perform the procedure, anesthesia fees, and more. Medical insurance usually will not cover the cost of lower eyelid surgery, since it is typically a purely cosmetic procedure.

In rare instances, lower eyelid surgery in Beverly Hills or Newport Beach may be deemed medically necessary. An example of such a case would be in the event that the lower eyelids are obstructing vision. In these cases, insurance may cover some or all of the costs of lower eyelid surgery.

OUR RESULTS

Where Can I View Examples of Dr. Batniji’s Lower Blepharoplasty Results?

How Long Do Lower Blepharoplasty Results Last?

Due to the anatomy of the lower eyelid and Dr. Batniji’s advanced surgical techniques, lower blepharoplasty results can be quite long-lasting. Most patients can expect their results to last for 10 years or more, depending on factors like genetics, lifestyle, and sun exposure. In fact, some patients note an improvement in the appearance of their lower eye area for the remainder of their lives.

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How Long Does Lower Blepharoplasty with Dr. Batniji Take?

Lower eyelid surgery in Beverly Hills takes approximately one to two hours to perform. The procedure almost never requires an overnight hospital stay and is done on an outpatient basis.

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Is Lower Blepharoplasty Done with General Anesthesia?

Most commonly, lower eyelid surgery utilizes monitored anesthesia or general anesthesia.

What Happens During Lower Blepharoplasty Surgery?

The incision created for lower blepharoplasty is small and well-concealed. It is located either within the lower eyelid (specifically to address excess fat) or a few millimeters below the eyelash line (to address excess fat and skin).

The exact nature of the surgery will depend on the individual patient and their concerns. To correct hollowness resulting from a nasojugal groove or tear trough deformity, Dr. Batniji will first loosen the fat of the lower eyelid and then reposition it into the hollow area, keeping the blood supply attached so that the fat will survive.

Lower lid malposition and/or laxity can be corrected with a lateral canthopexy, lateral canthoplasty, or tarsal strip procedure. Excess muscle of the lower eyelid, known as orbicularis muscle hypertrophy, can be corrected by trimming the muscle. Once these issues are addressed, Dr. Batniji will conservatively remove excess skin from the lower lid before closing the incisions.

The lower eyelid lift is commonly performed with a midface/cheek lift for additional correction from the lower eyelid to the cheek.

Some patients have concerns about having a surgical procedure so near to their eyes. You can rest assured that a blepharoplasty is not ocular surgery. The eye itself is never involved, and the surgery is quite safe. Dr. Batniji has many years of education, training, and experience, ensuring that you receive top-quality care.

I am a 68-year-old woman and have been recommended by my surgeon to get a lower eyelid blepharoplasty. Are there any risks with this procedure of which I should be aware? I am a bit nervous about having incisions so close to my eyes.

Lower eyelid blepharoplasty is a wonderful procedure for rejuvenating the lower eyelid complex. Specifically, the procedure can remove fullness (“bags”) underneath the eye, fill in hollows/creases between the eye and cheek, and can remove excess/wrinkled skin.

Prior to endeavoring upon the procedure, I would obtain a full medical history to make certain you are healthy for this procedure. As well, I would request an EKG as well as some blood tests to further evaluate your overall health.

If your health precludes you from undergoing surgery, then I would recommend my lower lid non-surgical procedure, which includes filler augmentation of the lower lids with or without laser skin resurfacing.

If you are healthy to undergo the lower eyelid blepharoplasty surgery, rest assured that the incisions are made in specific areas that are very safe and heal very well. Potential risks of the surgery include, but not limited to, bleeding, infection, rounding of the lower eyelid contour, dry eye, and corneal abrasion.

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What Is the Lower Blepharoplasty Recovery Process Like?

Swelling and bruising may result after your lower eyelid surgery. These can be minimized by keeping the head elevated, applying cold compresses, and taking certain herbal medications, such as Arnica Montana and Traumeel, after your surgery.

Artificial tears and ointment may be used to help prevent dry eyes. If you do experience any discomfort after your surgery, it can be treated with medication. Patients who wear contact lenses will need to refrain from using them for a period of time.

The sutures are removed one week after surgery, at which time you will be shown how to use special makeup to help camouflage any remaining discoloration. You may be able to return to work approximately one week after your lower eyelid surgery.

Click Here for Aftercare Instructions for Blepharoplasty Patients

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Beverly Hills

Beverly Hills or Newport Beach

Contact Our Office

When it comes to facial plastic surgeons, Newport Beach residents have a lot of options. Patients consistently choose Dr. Batniji as a trusted facial plastic surgeon. We would love to schedule a time for you to meet Dr. Batniji, who can help you develop an effective plan to reach your cosmetic goals. To get started, contact us today!

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Newport Beach

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Pelican Hill Resort

Beverly Hills or Newport Beach

Fly in for Surgery

Dr. Rami Batniji cares for patients from across the United States, Europe, the Middle East, and many other locations worldwide.

Patients who travel to Newport Beach and Beverly Hills for facial plastic surgery with Dr. Batniji may enjoy a stay at the Resort at Pelican Hill or recover in a private retreat at San Ysidro Ranch, located in Santa Barbara.

Conde Nast Traveler Magazine ranked the Resort at Pelican Hill as a top-rated resort and placed it at the top of its Gold List. San Ysidro Ranch was named the best resort hotel in California.

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Frequently Asked Questions

Lower Blepharoplasty FAQs

In order to prepare for a lower eyelid lift at Batniji Facial Plastic Surgery, patients must avoid taking NSAIDs (non-surgical anti-inflammatory drugs) and any supplements that reduce the blood’s ability to clot. This is very important, because anything that reduces clotting ability results in an increased risk of bleeding during and after surgery.

Smokers will need to quit several weeks before the date of their lower blepharoplasty surgery. This is necessary because smoking greatly reduces skin health, which can in turn result in prolonged recovery time and an increased risk of complications.

It will be vital to arrange transportation home from the procedure in advance, since patients will not be able to drive immediately following their lower eyelid surgery. Patients should arrange for a friend or family member to stay with them for the first night after the surgery, since they will be able to help with any issues the patient may run into.

Patients will need to prepare their sleep area for the healing process to ensure a comfortable recovery. This will include making sure that they have cold compresses, towels, and other healing aids close by.

While age can be a factor in making the decision to undergo the surgery, the primary factor should always be eyelid anatomy. This is because the aging process isn’t the only cause of undereye bags and lax skin—genetics and certain medical conditions can also cause these cosmetic issues.

Just like upper blepharoplasty, lower eyelid surgery is an excellent procedure for younger patients and older patients alike. The aging process often affects the eyelids starting in the mid-30s, but even patients as young as age 18 can experience this cosmetic problem. Many others do not have undereye bags until they reach their 60s.

Thus, the best age for lower blepharoplasty surgery in Newport Beach is whenever the patient feels unhappy with their persistent undereye bags and sagging lower eyelids. If there is no longer a consistent transition from the lower eyelid to the cheek, it may be time to consider a lower eye lift.

Note that younger patients with undereye bags are more likely to be suitable candidates for lower eyelid surgery. They typically have less-pronounced signs of aging that are easier to address. They are also usually in better overall health; patients in poor health have a higher incidence of complications.

While most patients with cosmetic undereye issues are excellent candidates for lower blepharoplasty, some patients are recommended to avoid this procedure.

Pre-existing medical conditions play a major role in determining candidacy. Patients with chronic illnesses that slow down the recovery process or contribute to complications are not ideal candidates for a lower eye lift. Diabetes, heart disease, and high blood pressure—especially when they are uncontrolled—can negatively affect candidacy.

Ophthalmic conditions like dry eye, glaucoma, and detached retina must be discussed during one’s consultation, as should thyroid disorders like Graves’ disease.

Patients who are pregnant or breastfeeding are recommended to postpone their lower blepharoplasty surgery. Non-smokers are preferred, and patients who are unwilling or unable to quit smoking may not be ideal candidates for this procedure.

It is important to have realistic expectations regarding the results of eyelid surgery. Rather than being especially dramatic, results are typically more natural-looking, and friends and family are more likely to notice a more generally refreshed appearance without being able to pin down its exact cause.

People who have dark undereye circles are recommended to consider non-surgical options like laser skin resurfacing and fillers like Juvéderm®, since these have a better chance of meeting their cosmetic goals.

Undereye bags occur due to fat in the orbital region. Over the years, muscles and skin in and around the lower eyelid begin to naturally weaken. Their decline in strength leads to a failure to hold orbital fat in place properly. This fat herniates forward, creating a puffy and bulging look. As a result, patients appear older and constantly tired.

Lower blepharoplasty in Beverly Hills is the best surgery for undereye bags, because it offers direct access to the excess bulging fatty tissue of the lower eyelids. No other facial plastic surgery procedure allows this exact type of direct access to orbital fat.

Because of this degree of access, surgeons can precisely and efficiently redistribute orbital undereye fat. This creates a smooth and even appearance, resulting in a fresh and youthful look that lets your eyes take center stage once more.

Lower eyelid surgery is especially ideal for this issue because it allows for use of a technique that focuses specifically on the excess fat. The transconjunctival incision, made within the lower eyelid, is best for patients who do not have excess skin but instead only have bulging fat.

Persistent undereye bags due to aging or genetics cannot be permanently removed without the help of lower eyelid surgery for undereye bags in Newport Beach. Lower blepharoplasty involves long-lasting changes to the tissues of the area, allowing for incredibly effective results.

However, for undereye bags that occur due to other causes, there are options. Patients may notice that they have puffy lower eyelids due to allergies, various medical conditions (including thyroid issues), and a salt-heavy diet. In these cases, medical treatments and dietary changes may be able to resolve the look of under-eye bags.

Additionally, treatments that address fluid and swelling in the undereye region can help. Options include eye creams with caffeine (a vasoconstrictor), ice packs, and other cold items.

Certain med spa treatments are ideal for temporarily reducing hollowness and wrinkles under the eyes. Dermal fillers like Juvéderm® cause an instant increase in volume, restoring an even appearance to the region. Microneedling and laser skin resurfacing address wrinkles and discoloration by creating strategic microinjuries in the tissue, encouraging growth of fresh collagen and new skin cells.

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Dr. Batniji has reviewed and/or written these pages.

To learn more about Dr. Batniji, please visit this page.

For more information regarding facelifts, other facial procedures, and Dr. Batniji, please contact our office to schedule a consultation.

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