Frequently Asked Questions

At Shikara Facial Plastic Surgery in New York City we offer lower blepharoplasty to address puffy lower eyelid bags, hollow under eyes, and excess skin that can make you look tired. The procedure can be customized with fat transposition, skin pinch, fat grafting, or resurfacing to create a natural, rested appearance.

What is lower blepharoplasty surgery?

Lower blepharoplasty is a procedure that improves the appearance of the lower eyelids by addressing fat, skin, and muscle changes that occur with age. The surgery smooths the transition between the eyelid and the cheek for a youthful and refreshed look.

What is fat transposition in lower blepharoplasty?

Fat transposition is a technique where the natural fat pads under the eyes are repositioned instead of being removed. By moving the fat into the hollow areas of the tear trough, it avoids a hollow or sunken look and restores a soft, youthful contour.

What is a skin pinch in lower blepharoplasty?

A skin pinch is used when there is extra wrinkled or crepey skin under the eyelashes. A very thin strip of skin is removed through an incision just under the lash line. This helps smooth the skin without disturbing the muscle or deeper tissues.

Can lower blepharoplasty be combined with fat grafting?

Yes. In patients with significant hollowing or volume loss, fat grafting from another part of the body can be added to restore balance. This is often combined with fat transposition for the most natural result.

What is the role of skin resurfacing after lower blepharoplasty?

Resurfacing treatments such as chemical peels or laser can be performed at the same time as lower blepharoplasty or in the healing phase. They help tighten fine lines, improve skin texture, and enhance the overall result.

How is the healing process after lower blepharoplasty?

Swelling and bruising are common for the first one to two weeks. Incisions made inside the eyelid are invisible. If a skin pinch is performed, the fine scar sits just under the lashes and typically heals very well. Most patients return to social activities in 10–14 days.

What results can I expect from lower blepharoplasty?

You can expect smoother under-eye skin, less puffiness, and a natural transition from eyelid to cheek. Results are long-lasting, although normal aging continues.