Lower Bleph: Patient #897204
What Is a Lower Blepharoplasty?
A lower blepharoplasty (commonly called a lower bleph) refreshes and rejuvenates the under-eye area by eliminating puffiness, excess skin, and fine wrinkles. Over time, collagen loss, fat shifting, and weakened support structures cause noticeable changes, making the eyes look tired or aged. Fortunately, a lower bleph directly addresses these concerns by removing or repositioning fat, tightening muscles, and smoothing out loose skin. As a result, patients achieve a more youthful, well-rested appearance.
How the Procedure Works
Surgeons tailor each lower blepharoplasty to the patient’s specific needs. Depending on the level of correction required, they use one of two surgical techniques:
- Transconjunctival Approach: This method works best for patients with excess fat but minimal skin laxity. The surgeon makes a hidden incision inside the lower eyelid, allowing for fat removal or repositioning without any visible scarring.
- Subciliary Approach: Ideal for patients who need both fat removal and skin tightening, this technique involves an incision just below the lash line. This approach not only removes excess fat but also smooths and tightens the lower eyelid for a natural, youthful look.
To further enhance results, surgeons often recommend complementary treatments such as dermal fillers, fat grafting, or laser resurfacing. These additional procedures help improve skin texture, restore lost volume, and create an even more refreshed appearance.
Combining Lower Bleph with Other Procedures
A lower blepharoplasty works well as a standalone procedure, but combining it with other facial rejuvenation treatments can maximize results. Many patients choose to pair it with an upper blepharoplasty (eyelid lift) to brighten the entire eye area. Others opt for a facelift to achieve full mid-face rejuvenation. By addressing both the upper and lower eyelids or lifting the cheeks along with the eyes, these procedures create a well-balanced, youthful transformation.
Long-Lasting, Natural Results
Patients who undergo a lower bleph notice a dramatic improvement in their under-eye appearance. The procedure reduces puffiness, smooths wrinkles, and restores a rested, alert look. Because the incisions are discreet, scarring remains minimal. Best of all, the results last for years, making lower blepharoplasty one of the most effective ways to achieve a brighter, more youthful appearance.
Patient Overview
This patient sought treatment for concerns related to their brow and eye area, specifically excess fat in the lower eyelids and a persistent tired appearance. These common signs of aging often result from fat protrusion, skin laxity, and mid-face volume loss. After a thorough assessment, a lower blepharoplasty was recommended to restore a more refreshed and youthful look.
Clinical Assessment
Upon evaluation, the patient exhibited lower lid pseudo-herniation, tear trough formation, and mid-face descent—all contributing to a fatigued appearance. These conditions occur when fat pockets shift forward and the supportive structures around the eyes weaken. By addressing these concerns with a lower bleph, the procedure aimed to smooth the under-eye area and restore facial balance. Postoperative photos, taken six years after the procedure, demonstrate long-term success and lasting results.
Surgical Approach
To achieve optimal results, the surgeon performed a transconjunctival lower blepharoplasty, a technique that minimizes external scarring while effectively addressing excess fat. The procedure involved:
- A transconjunctival incision inside the lower eyelid, ensuring no visible scarring.
- Precise fat removal from the medial, middle, and lateral compartments to reduce puffiness and create a smoother contour.
- Voluma injections to restore lost volume and enhance mid-face lift, further improving overall facial harmony.
This combination of techniques successfully rejuvenated the patient’s lower eyelid area, providing a natural, refreshed appearance that has remained consistent over time.
