Lower Blepharoplasty Before and After Photos

This page provides before and after photographs of actual patients who have had surgery by Dr. Kapadia. Of course, these photos should be considered a reference and not as a prediction for how you will look after surgery. Though all of the patients shown below have had lower lid surgery in conjunction with upper eyelid surgery, many patients can benefit from lower blepharoplasty alone. Additional information about lower blepharoplasty surgery can be found in the information section of this website. Patients with less severe puffiness under their eyes may be candidates for Restylane injections into the lower eyelid and tear trough area.

Patient 1: Before and after lower blepharoplasty

Before lower eyelid bags surgery After lower eyelid bags surgery

These photos show a patient who had lower blepharoplasty surgery to treat lower eyelid bags. Before surgery, she has a very tired appearance due to the excess fatty tissue in her lower eyelids. After surgery the bags are gone and there is a smoother transition between the lower eyelids and cheeks.

Before and After lower eyelid bags surgery

The full face photos show the dramatic improvement in her overall appearance from treating the lower eyelids. After surgery she looks refreshed and much less tired. Note her “natural” appearance without any change in the shape of her eyes.

Patient 2 - Before and after lower blepharoplasty and upper eyelid nasal fat pad removal.

Before Lower blepharoplasty and upper eyelid nasal fat pad removal After Lower blepharoplasty and upper eyelid nasal fat pad removal

These photos show a woman in her 40s who underwent lower blepharoplasty surgery to remove the bags under her eyes. A small amount of excess fat was also removed from the inner corners of her upper eyelids. Prior to surgery, there is excess fatty tissue under her eyes which causes the appearance of a lower eyelid “bag”. After surgery, the eye bags are gone, but there is no change in the shape of lower eyelids. She looks natural, and doesn’t look like she has had any surgery. The incisions are hidden on the back of her lower eyelids, so there are no visible incisions or scars.

Before and After Photos for Lower Blepharoplasty

When full face photos are compared, you can see that improving the appearance of her eyes leads to a dramatic improvement in her overall look. Removing the under eye bags makes her look much less tired and more youthful.

Patient 3 Before and after lower blepharoplasty surgery

Before lower eyelid fat removal surgery After lower eyelid fat removal surgery

These photos show a patient in her early 50s who underwent lower blepharoplasty surgery. Before surgery she had severe under eye bags, which make her look tired. Removal of excess lower eyelid fat leads to a less tired, more awake look.

Patient 3 before and after lower blepharoplasty, full face photos

Lower eyelid fat removal surgery before and after photos

The improvement in her overall appearance is even more prominent in her full face photos. She looks younger and much less tired after surgery. Note that there is some increase in fine lines after the excess fat is removed. This can be treated with a laser resurfacing procedure or topical retinoid medications if desired. Nonetheless, there is a dramatic improvement in the patient’s overall appearance without making her look “different” or changing the shape of her eyes. She still looks “natural” and doesn’t have the “surgical” look seen in many celebrities who have had plastic surgery.

Patient 4 - Before and after photos, upper and lower blepharoplasty

Before: Upper and lower blepharoplasty After: Upper and lower blepharoplasty

Discussion: Upper and lower blepharoplasty performed in combination are a very powerful way to reverse signs of facial aging. These photographs show a woman in her 50s who underwent upper and lower blepharoplasty. She has a significant amount of puffiness in her lower eyelids which is emphasized even further when she looks upward.

Same patient as prior (patient 4) when looking upward

Before: Upper and lower blepharoplasty when looking upward After: Upper and lower blepharoplasty when looking upward

Surgery results in dramatic improvement in the puffiness of her lower eyelids, as well as a more subtle improvement in the appearance of her upper eyelids. She still looks very natural after surgery and doesnt look "done".

There are a number of factors in lower eyelid surgery which can lead to an unnatural appearance. Overly aggressive removal of lower eyelid fat may result in a "hollow" appearance to the lower eyelids, accentuating the tear trough area (lines under the eyes). Removal of too much lower eyelid skin can pull the eyelid downward, a problem known as eyelid retraction or ectropion. This problem may cause the eyes to feel irritated and uncomfortable in addition to resulting in a poor cosmetic outcome.

Dr. Kapadia regularly sees patients who have had surgery by other doctors and are not happy with their results. Complications from lower blepharoplasty are often difficult to manage. By far, the best outcome comes from having the surgery done properly the first time around.

Additional lower blepharoplasty photos are shown here.