Who is an ideal candidate for lower blepharoplasty surgery, and how is it done?

What is lower blepharoplasty surgery?


Lower blepharoplasty, or lower eyelid surgery, is a cosmetic surgical procedure specifically designed to address issues related to the lower eyelids and the surrounding areas, says Dr. Anmol Chugh, a board-certified plastic surgeon at CK Birla Hospital, Gurgaon.

People who are worried about specific cosmetic or functional issues in this area frequently give it some thought.

Here are some important reasons why individuals think about lower eyelid surgery:


  1. Under-Eye Bags:

A lower blepharoplasty can be beneficial for those candidates who have prominent under-eye bags. These bags can make a person look tired or older than they are and can be caused by ageing, genetics, or lifestyle choices. A more youthful and rested appearance can be achieved by removing extra skin and fat during the operation.


  1. Puffy or Swollen Lower Eyelids:

Some males or females may experience chronic puffiness or swelling in their lower eyelids, which can be caused by fluid retention, allergies, or genetics. Lower blepharoplasty can help reduce this puffiness and create a smoother contour.


  1. Excess Skin and Wrinkles:

In the region of the lower eyelids, ageing can cause the formation of extra skin and wrinkles. By removing this extra skin and tightening the remaining skin, lower blepharoplasty can give the eyes a more youthful appearance.


  1. Droopy Lower Eyelids:

Some people may experience discomfort or have vision problems as a result of droopy lower eyelids. This problem can be resolved by lower blepharoplasty by realigning or strengthening the lower eyelid muscles.


  1. Desire for a More Youthful Appearance:

Nowadays, many men and women are choosing lower blepharoplasty to achieve a more youthful and refreshed appearance. It can be part of an overall facial rejuvenation plan.

It’s important to note that lower blepharoplasty is a surgical procedure and, like all surgeries, carries risks and potential complications. Therefore, it should be considered carefully

But, how is Lower Blepharoplasty done? Explain by Dr Anmol Chugh


A board-certified plastic surgeon with experience in facial plastic surgery often does it. Here is a description of the standard lower blepharoplasty procedure:

1. Consultation: Before any surgical option, the process begins with Dr. Chugh. During this consultation, the doctor assesses the patient’s facial anatomy and skin quality and discusses the patient’s goals and expectations. On that basis, they can give you an idea about the surgical technique, potential risks, and recovery process.


2. Anaesthesia: Depending on the surgeon’s preference and the patient’s needs, lower blepharoplasty procedures can be carried out under local anaesthesia with sedation or general anaesthesia. During the consultation, a decision will be made regarding the anaesthesia to be used.


3. Incision Placement: The decision between the two basic lower blepharoplasty techniques relies on the specific requirements of the patient:


  • Transconjunctival Approach: In this approach, we makes an incision inside the lower eyelid, along the conjunctiva (the inner lining of the eyelid). This technique is often used when the primary concern is fat protrusion or puffiness without excess skin. It leaves no visible external scars.


  • Subciliary Approach: By creating an incision just below the lower lash line, this method enables us to access loose muscles and skin, remove extra skin and fat, and correct sagging skin. Although this procedure could leave a little scar along the lash line, it is typically fairly undetectable and simple to cover with makeup.

4. Tissue Adjustment: Depending on the specific issues being addressed, the surgeon may perform the following:


  • Fat Removal or Repositioning: Excess fat may be removed or repositioned to reduce puffiness or hollowness in the under-eye area.


  • Skin Tightening: Excess skin is trimmed, and the remaining skin is tightened to create a smoother and more youthful appearance.


  • Muscle Tightening: If necessary, the underlying muscle (orbicularis oculi muscle) may be tightened to improve the contour of the lower eyelid.


5. Closure: The incisions are closed with fine sutures or surgical adhesive. If external sutures are used, they are typically removed within a week or two after the surgery.


6. Recovery Process : After the procedure, patients are typically monitored in a recovery area for a short time and then allowed to go home the same day. They are instructed to keep their head elevated and use cold compresses to reduce swelling and bruising. Most patients can return to normal activities within a week or two, although some swelling and bruising may persist for a few weeks.


7. Results: Over time, as swelling subsides and the healing process progresses, patients will see the final results of the lower blepharoplasty. The results are typically long-lasting and can make a significant difference in the appearance of the lower eyelids.


About Author : Dr Anmol Chugh

Dr. Anmol Chugh is a Board Certified Plastic SurgeonThe Director of the Plastic and Aesthetic Center at the CK Birla Hospital in Gurugram, Delhi NCR, is Dr. Chugh. He is the top plastic surgeon in India, and his clientele is international.

Dr. Chugh offers a holistic approach in accordance with the needs of the patient and has more than 13 years of experience in the field of aesthetics. He earned his medical degree from the esteemed Maulana Azad Medical College in New Delhi and continued there to get his master’s in general surgery as part of his quest for excellence. He then pursued an M.Ch. in Plastic and Reconstructive Surgery at Safdarjung Hospital in New Delhi, one of India’s top universities.