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 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.

Lower Blepharoplasty in Boston Massachusetts

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 2 - Before and after upper and lower blepharoplasty surgery

Before lower blepharoplasty surgery photos in Boston After lower blepharoplasty surgery photos in MetroWest Boston MA

These photos show a male patient in his late 40s who underwent upper and lower blepharoplasty surgery. The excess skin on his upper eyelids and puffiness in his lower eyelids makes him look older than his real age and gives him a tired appearance.

Lower Blepharoplasty Eyelid Surgery in Boston

Full face photos show that eyelid surgery alone can make a dramatic difference in a person’s overall appearance. Note that the patient looks natural and not overdone. Male patients need more conservative surgery to look natural and to avoid feminizing the face. The patient looks younger and less tired after surgery.

Patient 3 - Before and after photos, upper and lower blepharoplasty

These photos show a woman in her 60s who underwent upper and lower blepharoplasty.

Before Upper and lower blepharoplasty eyes only After Upper and lower blepharoplasty eyes only

Discussion: Before surgery, she had a tired appearance due to extra skin on her upper eyelids and excess fatty tissue in her lower eyelids. After surgery, she still looks natural – just less tired and more youthful.

Before Upper and lower blepharoplasty in New Hampshire

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 2) 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.


Patient 5 - Before and after photos, upper and lower blepharoplasty and internal browpexy

Before: Upper and lower blepharoplasty and internal browpexy After: Upper and lower blepharoplasty and internal browpexy

Discussion: These photographs show a man in his 40s who underwent upper and lower blepharoplasty and internal browpexy. Excess skin on the upper eyelids was concentrated in the outer aspects of the upper eyelids, so removal of skin was performed predominantly in this location. A subtle elevation to the brow was achieved by placing sutures to support the brow through the upper blepharoplasty incision. Excess fat was removed from the lower eyelids and a canthoplasty performed to raise the position of the sagging lower eyelids. Again, note the natural appearance in the postoperative photograph. The patient does not look like he has had any surgery even though the before and after photos show otherwise.

Lower blepharoplasty surgery can be performed alone or in conjunction with upper blepharoplasty surgery. Information about the cost of lower blepharoplasty surgery can be found in the information section of this website.


Patient 6 - Before and after photos, upper and lower blepharoplasty

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

Discussion: These photos show a woman in her upper 50s who underwent upper and lower blepharoplasty surgery. Prior to surgery, there is excess skin on the upper eyelids and extra fat in the lower eyelids. After surgery, the patient has a more youthful, less tired appearance but still looks very natural. Note there is no change in the shape of the lower eyelids. Fine lines under the eyes can be treated with laser resurfacing if desired.