What is Lower Blepharoplasty Surgery?
Lower blepharoplasty is a specialised cosmetic surgical procedure designed to enhance the appearance of the lower eyelids and surrounding area. Dr Scott J Turner performs this procedure to:
- Remove or reposition excess fat deposits that create “bags” under the eyes
- Trim away loose or sagging skin that contributes to fine lines and wrinkles
- Tighten underlying tissues and muscles for improved lower eyelid contour
- Address tear trough deformities by strategically managing fat distribution
- Correct deep grooves, festoons, and hollows in the under-eye area
This transformative procedure effectively reduces signs of ageing and fatigue around the eyes, creating a more refreshed and youthful facial appearance that looks completely natural.
Are You a Suitable Candidate for Lower Eyelid Surgery?
Understanding if you are a suitable candidate for lower blepharoplasty is the first crucial step. Ideal candidates typically:
- Have concerns with the appearance of their lower eyelid area
- Present with excess skin, puffiness, or contour irregularities in the lower eyelid region
- Have reached facial maturity (typically 18+ years of age)
- Can identify specific aesthetic concerns in the lower eyelid area
Additional important criteria for candidates include:
- Physical Health: Being in good overall physical health with no underlying medical conditions that could interfere with healing
- BMI Considerations: Research shows that patients with BMI below 30 kg/m² experience significantly better outcomes with only 32.5% overall complication rate compared to 80% in those with BMI above 30 kg/m²
- Emotional Well-being: Having realistic expectations about what surgery can achieve and understanding potential outcomes
- Smoking Status: Non-smokers or those willing to quit at least 6 weeks before and after surgery, as smoking significantly impairs healing and increases complications
- Medical History: No conditions that affect blood clotting or wound healing
A comprehensive consultation with Dr Scott J Turner at either our Double Bay or Manly clinic is essential to determine your suitability for the procedure and to discuss your specific concerns.
Lower Blepharoplasty Surgery – What to Expect
When undergoing lower eyelid surgery with Dr Turner, you can expect a procedure tailored to your specific needs and desired outcomes. The surgery typically takes 60-90 minutes and is performed under general anaesthesia in a private hospital setting.
Surgical Approach
Dr Turner will determine the most suitable surgical approach based on your individual facial anatomy and aesthetic goals:
Transconjunctival Approach
- Incisions placed inside the lower eyelid (conjunctiva), leaving no visible external scarring
- Ideal for patients who primarily need fat removal or repositioning without skin excision
- Perfect for younger patients with good skin elasticity who only show fat-related puffiness
- Can be combined with laser resurfacing or chemical peels to address skin texture issues
Subciliary Approach
- Fine incisions placed just below the lower lash line
- Allows for removal of excess skin and fat
- Provides access to reposition fat and tighten underlying muscles
- Results in a barely visible scar that blends with your natural eyelid crease
- Preferred when there is significant excess skin or muscle laxity
Combined with Upper Eyelid and Brow
For comprehensive facial rejuvenation, lower blepharoplasty can be performed alongside:
- Upper eyelid surgery (upper blepharoplasty) to address drooping upper eyelids
- Brow lift to elevate sagging eyebrows and reduce forehead wrinkles
- Creating a harmonious and balanced appearance across the entire eye area
Complementary Procedures
Dr Turner may recommend complementary treatments to enhance your results:
- Non-surgical treatments like injectables, dermal treatments and laser resurfacing procedures to address tear trough deformities, improve skin texture, or reduce fine lines
- Face lift or neck lift for more comprehensive facial rejuvenation
- Fat grafting to restore volume in areas of hollowness