Lower Eyelid Surgery Overview
If you always look tired or you can't get rid of the puffy bags below your eyes, a lower eyelid lift, also known as a blepharoplasty, may help to refresh your appearance. In the lower lids, recontouring mainly involves finding a solution for the bulging fat causing the lower lids to look puffy and removing excess skin. For years, the standard approach to an eyelid lift was simply to remove the fat pad behind the skin, and for some people this still works well, but Dr. Alan Brackup, a double board-certified cosmetic surgeon and ophthalmologist, has found that for some people, repositioning the fat without removal can yield a more natural-looking and beautiful rejuvenation. Dr. Brackup, who also has training in oculofacial plastic surgery, will select the approach that works best for each patient's unique anatomy at his office, Cosmetic Surgery Specialists in Langhorne, Bucks County, PA.
Lower Eyelid Surgery Reviews
"If you are on the fence about a facelift...don't be!!!!! - Dr. Brackup did a facelift and upper and lower eyelid surgery on me five weeks ago and I am thrilled with the results. He and his staff walked me through everything that would occur. I am a baby, and I can tell you that this was really not a bad procedure at all. I would do it again and recommend anybody who is apprehensive; not to hesitate!!! First day some discomfort after that Tylenol, icing and sleeping on a few pillows...no big deal with fantastic results!!!I no longer have to be self-conscious about jowls, turkey neck. I can take pictures with my family and not be concerned with how I look.....and yes, I am not afraid to say it....I am vain. I did this for myself and again, I am so happy!!!!"- Anonymous / Vitals / Jul 24, 2013
"My search was over after being referred to Dr. Brackup!!!. My son's wedding was coming up in August, 2016. My eyes were horrible .When I smiled you saw know eye's. I met one surgeon that was scared to remove the lower bags. How would that look? Didn't make sense. With Time running out by chance I when to a new hairdresser, that had her eyes done and look beautiful. Even though Dr. had a busy schedule,he made it a point to fit me in for June 28th. I was assured my eye's would look beautiful by August 20th. Dr. Brackup was right. I had Upper and lower procedures done. Dr. sculpted my eyes to compliment my high cheek bones. They are beautiful. At 60 years old I look twenty years younger!! Dr. Brackup and his entire staff were kind and honestly the best experience I ever had. He is gifted with hands of gold. He only works from the neck up and is a oculoplastic surgeon. My confident's is through the roof. I walk with my head high for the first time in a very long time. Thank you, Dr. Brackup for setting this butterfly free!! Before pictures click on Rosemarie P. Thanks"- R.P. / Yelp / Apr 06, 2017
"Dr. Alan Brackup was recommended to me by both my Primary Doctor and my Eye Doctor. I had drooping eyelids that were impairing my vision and impacting my self confidence. My consultation with Dr Brackup was in August and I immediately scheduled upper and lower eyelid surgery for September. I liked the fact that Dr Brackup did not pressure me to have this surgery. This was my decision, and I am so glad that I went ahead with the surgery! In preparation for the surgery, I met with Michele, a Patient Care Coordinator who spent considerable time giving me pre-surgery, surgery, and post-surgery instructions, and answering any questions that I had about the surgery. Michele also told me that I could finance payment if I wished and she gave me information on financing. This meeting completely relieved my anxieties. I had my surgery done the first week of September. I experienced no pain on the day of surgery or during my recuperation, and the healing process occurred much faster than I anticipated. I went back to work 2 days after surgery. Thank you to Dr. Brackup and to the awesome professional team who work with the doctor."- M.D. / Yelp / Oct 14, 2017
"Great Choice - Dr. Brackup - Excellent. Just completed my second followup appointment following lower eyelid surgery with excellent results. The entire experience was positive. The staff is pleasant, organized and very competent. Instructions both pre and post op are clearly explained. Dr. Brackup's curriculum vitae is most impressive. Additionally, he's a very nice guy, who is an excellent surgeon. I am very glad..."- M. / RealSelf / Aug 30, 2018
"Lower eyelids, after much thought finally decided on lower eyelid surgery. - After much thought finally decided on lower eyelid surgery. Completed procedure today. So far so good. Surgery 12 hours ago. Minor swelling. I’ve been icing all day. No pain. Love Dr Brackup been going to his office for 20 years. I Had liposuction in 1999 everything went very well. So far so good with this procedure as well., follow up tomorrow.morning."- R. / RealSelf / Nov 21, 2019
Lower Eyelid Surgery Surgical Technique
There are 2 options for incisions when it comes to lower eyelid surgery to improve any appearance of bulging and sagging below the eye. Incisions may be made just slightly below the lash line and excess fat, tissue or skin will be excised. If the skin has retained good elasticity, a transconjunctival incision may be a better option as the cut is made inside the lower eyelid, which effectively makes any resulting scar concealed. A lower lid lift does not necessarily improve the dark circles that may occur under the eyes. The surgeon may recommend combining a lower blepharoplasty with another procedure such as a chemical peel or an injectable filler.
Lower Eyelid Surgery During/After Surgery
Lower eyelid surgery is usually performed with the patient under sedation at an accredited surgical facility. It takes approximately 1 hour to complete both lower lids or 1– 1.5 hours if an upper and lower eyelid lift are being combined. After surgery, patients should apply a cold compress or ice pack to their eyes to minimize swelling. Patients will need a few days before they return to their normal activities and should avoid strenuous activity like exercise until they are cleared by their doctor. After surgery, it is important that the patient regularly apply sun protection and wear sunglasses to avoid visible scars.
Plan Your Procedure
- Procedure Recovery Location
Lower Eyelid Surgery FAQs
Long Lasting Results?
The results of a lower eyelid lift are typically long lasting, but normal aging will continue to occur. While the lower eyelids will never be as bad as they were before eyelid surgery, gravity, sun exposure, and other factors will still gradually add signs of aging. Most patients only need blepharoplasty once in their life, but a touch-up surgery or injectable fillers may be considered if the patient wants to refresh their results.
Wrinkles and Crow's Feet?
Crow’s feet and forehead wrinkles are better treated with procedures such as a facelift, brow lift or a cheek lift as the results of the eyelid surgery are confined to the eyelids only. Eyelid surgery can also be combined with a nonsurgical procedure such as BOTOX®, which combats wrinkles on the forehead and around the eyes. An injectable filler can also be effective because it adds volume to hollow areas for a softer, smoother appearance.
Upper and Lower Lifts?
It can be very beneficial to have both upper and lower eyelid lifts performed at the same time so the surgeon can make all improvements at once to avoid multiple anesthesia charges and to create a more dramatic result. Patients who are having their upper eyelid surgery covered by insurance because of vision problems, may want to have both eyelids done plus the lower eyelids for an even appearance. Your surgeon will discuss your options during your consultation and create your best treatment plan based on your needs and goals.
Goals of Eyelid Surgery?
Recontouring is the key to a successful result. In lower lids, recontouring mainly involves finding a solution for the bulging fat causing our lower lids to look puffy.