Lower Blepharoplasty

Surgery involves rejuvenation of the lower eyelid and cheek region often involving a combination of fat sculpting and repositioning and excess skin removal and/or resurfacing.

BEFORE

Lower Blepharoplasty

Dr. Mancini approaches lower blepharoplasty on an individualized patient basis. Fat sculpting and repositioning are performed with a small hidden incision on the back surface of the eyelid and is often combined with small amounts of skin removal with a small incision camouflaged below the lower eyelid lash line. Resurfacing of the thin eyelid skin with laser or chemical peeling can be performed simultaneously if needed to improve the skin quality.

Example : 44yo female before and after lower blepharoplasty with fat transposition

LOWER BLEPHORAPLASTY

Functional & Aesthetic Benefits

Smoother, firmer under-eye contours

Reduction in puffiness and "bags"

Improved transition between lower eyelid and midface

A more rested, youthful appearance

Who Should Consider Lower Blepharoplasty?

Lower blepharoplasty may be appropriate for individuals who experience under-eye puffiness, hollowing, or loose skin that contributes to a fatigued or aged appearance. Many patients seek this procedure when non-surgical treatments fail to address persistent under-eye bags or deep tear troughs.

While it is most commonly performed in patients in their 40s and beyond, younger individuals with hereditary fat herniation or volume loss can also benefit. Ideal candidates are in good general health, do not smoke, and have realistic expectations about the outcomes of surgery.

During consultation, Dr. Mancini carefully evaluates each patient’s anatomy, lifestyle, and goals to determine whether lower blepharoplasty is the most appropriate treatment option.

Patient Summary

At 44, this patient wanted to address under-eye hollowness and tired-looking eyes. She underwent lower blepharoplasty with fat transposition to smooth and restore volume to the under-eye area, creating a more refreshed and youthful appearance. The results enhance her natural features while maintaining her unique expression.

What Patients Ask About Lower Blepharoplasty

Under-eye bags are typically caused by herniated fat, skin laxity, volume loss, and age-related changes in facial support structures.
Lower blepharoplasty can improve some fine lines and skin laxity, but additional treatments such as chemical peels or laser resurfacing may be recommended for optimal skin texture improvement.
Most patients can resume normal activities within 1-2 weeks, with swelling gradually improving over several weeks.
The goal is not to change your appearance but to restore a more rested, refreshed look while maintaining natural facial expression.
In many cases, Dr. Mancini uses fat repositioning techniques to soften the transition between the lower eyelid and cheek.
While the aging process continues, results are long-lasting and often remain noticeable for many years.
Fat transposition involves repositioning existing eyelid fat to restore volume and smooth hollows beneath the eyes.
Yes. Many patients are candidates for transconjunctival lower blepharoplasty, which places incisions inside the eyelid.

Why Choose Dr. Mancini?

With dual board‑certification in ophthalmology and oculoplastic surgery, Dr. Mancini brings refined surgical expertise and an aesthetic sensibility to upper‑eyelid rejuvenation. Serving Beverly Hills, Los Angeles, and Shanghai, his practice combines advanced techniques, global experience, and a commitment to natural‑looking, sustainable results.

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