Lower Eyelid Blepharoplasty
IN SAN DIEGO

What’s the difference between fat repositioning, fat excision, and fat grafting?

• Fat repositioning (fat redraping): Moving your own under-eye fat to fill hollows and smooth contour irregularities — Dr. Abboud’s preferred technique for natural, balanced results.

• Fat excision: Carefully removing excess fat when puffiness is excessive or not amenable to repositioning.

• Fat grafting (fat transfer): Harvesting fat from another part of the body (such as the abdomen or thighs) and injecting it to restore volume in areas of hollowness or deflation.

 

Can it be combined with other treatments?

Yes. Lower eyelid blepharoplasty is frequently combined with complementary procedures to enhance results:

• Laser resurfacing to improve fine wrinkles, pigmentation, and skin texture

• Upper eyelid blepharoplasty for full upper and lower eye rejuvenation

• Midface or cheek lifting to support the lower lid and improve cheek volume

• Neurotoxins (e.g., Botox) to soften crow’s feet and dynamic wrinkles

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At what age should I get a lower eyelid blepharoplasty? 

There’s no specific age that’s considered ideal for lower eyelid blepharoplasty. The decision is based more on your anatomy and concerns than your age. Most patients seek surgery in their 40s to 60s, when under-eye bags, puffiness, or hollowness become more noticeable due to fat protrusion, volume loss, or skin laxity. However, some younger patients in their 20s and 30s may be candidates if they have hereditary under-eye bags or early signs of aging. A consultation with Dr. Abboud can help determine whether surgery is appropriate for your unique features and goals.

 

Does lower eyelid blepharoplasty get rid of wrinkles?

The primary goal of lower eyelid surgery is to address under-eye bags, puffiness, and volume irregularities, not to smooth fine lines or surface wrinkles. While the procedure may provide some mild tightening of the skin, it does not treat wrinkles directly. Fine lines and crepey texture are more effectively improved with laser resurfacing, chemical peels, or neurotoxin injections. If there is notable excess skin contributing to laxity, a conservative skin pinch can be performed during surgery to enhance the result without over-tightening the eyelid.

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Will I have visible scars?

In most cases, the procedure is performed transconjunctivally, with incisions placed inside the lower eyelid — leaving no visible scar. If skin removal is necessary, the incision is made just below the lower lash line and typically heals discreetly and blends naturally into the skin over time.

 

How long do the results last?

Lower eyelid blepharoplasty offers long-lasting rejuvenation, with most patients enjoying results that last 20 years or more. The longevity depends on factors such as skin quality, facial anatomy, lifestyle habits, and aging. Among the techniques, fat repositioning (or fat redraping) tends to offer the most durable and natural results, as it preserves your own tissue and redistributes volume rather than removing it. While no procedure can stop the aging process, many patients never require a second surgery. Skincare, sun protection, and occasional maintenance treatments can help prolong your refreshed appearance.

 

Will I be able to see after surgery?

Yes. Although you may experience some temporary blurriness due to swelling, ointments, or mild dryness, your vision will remain intact. Most patients can see immediately after surgery and return to normal visual function within the first few days. Dr. Abboud will provide detailed post-operative care instructions to ensure a safe and smooth recovery.