Overview of the procedure
Lower eyebags usually develop from a combination of skin laxity and wrinkles, and also the natural fat we have under the eyelid bulging out. This bulge also creates the crease between the lower eyelid and cheek that really concerns people.
Why get a lower blepharoplasty?
Patients often need a combination of dealing with the skin problem and the fat bulging problem – each patient has different needs and needs a tailored approach to their problem. In cases where the wrinkled skin is the only issue, this can in certain cases be treated without surgery using skin boosters, small amounts of filler, or even simply treatments to the surface of the skin like laser/chemical peels.
After Surgery
The scar is either very well hidden underneath the eyelashes, or a cut is made inside the eyelid so there is no external scar – this is called trans-conjunctival blepharoplasty, and some people call this ‘scarless’ blepharoplasty. Many of us have hereditary bulging of the fat in the lower eyelid (‘steatoblepharon’), which can affect us from young adulthood, and so in such cases, avoiding an external scar is worthwhile. Overall, the procedure typically transforms the cheek region from a tired, worn appearance back to the youthful, natural contours. The repositioning of fat can also reduce the dark circles around the eyelid region in some selected patients.
Crucially, one of the key aspects of lower eyelid surgery is avoiding bad scarring that pulls the lower eyelid down – this is called lid malposition or ectropion. Mr Saleh sees many patients with poor results from lower blepharoplasty needing expert revisional surgery to correct the lid position to avoid lifelong watery and misshapen eyes.
Procedure at a glance
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Discuss with a surgeon
If you’re considering a lower eyelid lift or eye bag surgery or have questions about the procedure, engaging in a discussion with a surgeon at Beverley Clinic can provide you with invaluable insights tailored to your unique needs.
Our experienced team is dedicated to helping you understand your options and achieve your aesthetic goals, ensuring you feel confident and informed every step of the way.
Our clients experience at Beverley Clinic
Upper eyelid lift/eye bag surgery (blepharoplasty) Patient
Don’t wait, go for it
I have been Mr Saleh’s patient through 2 operations. Firstly a face and neck lift and lower bleph which were beautiful and then an upper bleph along with removal of breast implants and breast uplift. My face looks 10 years younger, the bags under my eyes have simply disappeared (thank you Mr S) and my double chin is nowhere to be seen. My upper bleph really opened my eyes up and looks fab and my explant and breast uplift are stunning. I couldn’t be happier. Mr Saleh is a lovely man, very kind, caring and very clever. He knows his stuff and takes a lot of time to ensure he has explained everything. I wouldn’t hesitate to recommend him. In fact I’m already going for my next rejuvenation. At this rate I’ll be a foetus. Don’t wait, go for it. He’s a top guy.
Frequently asked questions
Our FAQs section provides comprehensive answers to the most common inquiries regarding our procedures, helping you to make informed decisions and gain clarity on what to expect throughout your journey at Beverley Clinic.
Do I have to have stitches removed?
Yes, between 5 and 7 days after your surgery, we arrange stitch removal. The small plasters on the sides of your eyes after surgery are holding the stitch ends in place. So it is important not to remove these until we see you. We prefer non-dissolving stitches so you don’t get marks on either side of the scar, which dissolving stitches can leave behind. The stitch removal does not hurt and takes 10-15 seconds to do in the clinic.
Will I be swollen and bruised and what should I do to recover?
Most patients get quite prominent black eyes in the days after the surgery. Arnica tablets, available at the pharmacy, can be taken the week before surgery and the week of your recovery. This reduces swelling and bruising. Cool eye pads can also soothe discomfort and reduce swelling, but ice should be avoided to avoid cold burns.
Sleeping with an extra pillow to elevate your head and night is very helpful in reducing the swelling, and we provide some eye ointment to reduce the risks of getting grittiness in the eyes in the days after surgery.
Will my eyes be even after the surgery?
Yes, there are always minor asymmetries in any two-sided surgery. However, these small asymmetries would not be typically apparent to you. During the early recovery period, you will likely experience noticeable asymmetry, as one side typically swells more than the other; however, this asymmetry usually resolves over time. Also, the scar can be redder on one side versus the other, but they both settle quite quickly in most cases, and we are happy for patients to apply makeup once the stitches are removed.
When can I drive?
Patients can drive after 5-7 days. This is to make sure the eyes aren’t swollen and free from visual disturbance, which may invalidate car insurance.
