Lower Blepharoplasty Bellevue & Kirkland (2023)



Upper or lower eyelids



Upper and lower eyelids



Lower eyelids + Firming (Bleparokantoplasty)







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All fillers $100 off through May

processing time

1 hour

Recovery time

1 week

Lower eyelid surgery

Dermal filler injections are among the most popular cosmetic procedures in the United States, with over a million injections performed each year. Within the dermal filler category, hyaluronic acid fillers are by far the most popular due to their good safety profile and versatility.

It starts with



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Lower Eyelid Surgery $4,285 Upper or Lower Eyelids Learn More ➜

Lower Blepharoplasty Bellevue & Kirkland (1)

Juvederm Ultra

525 $


Juvederm UltraPlus

550 $


Juvederm Volume

850 $


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For: Juvederm Ultra commonly used as a lip filler can also treat nasolabial folds. Typically, Ultra is considered one of the thinner Juvederm fillers. On average, it lasts from three to six months.

UltraPlus: Contains lidocaine for improved comfort and is also used for dramatic lip augmentation. It is also used in nasolabial folds. Slightly thicker than Ultra, it has a few more uses and is sometimes used on the cheeks or chin. It is versatile and is great for volume loss and facial wrinkles. Juvederm Ultra Plus also lasts about six months, although it can take longer in some places and people.

sound volume: Among the longest-lasting hyaluronic acid options, Voluma is most commonly used on the chin or cheeks. It may take up to two years. Of all the hyaluronic acid fillers, it is often considered the longest lasting.

Description :

Juvederm Bellevue&Kirkland

Dermal fillerInjections are among the most popular cosmetic procedures in the United States, with over a million injections performed each year. Within the dermal filler category, hyaluronic acid fillers are by far the most popular due to their good safety profile and versatility. Hyaluronic acid fillers are offered by two manufacturers of fillers - Restylane and Juvederm. Both are more or less equal in use and most providers offer both. Northwest Face & Body offers the best of Juvederm Bellevue and Kirkland.

Juvederm summary

Juvederm is a type of injectable cosmetic known as a dermal filler. It is injected for two main purposes: to fill in depressions and wrinkles, or to enlarge areas of the face. Primarily used on the face, dermal fillers such as Juvederm are among the leading non-surgical anti-aging procedures. With millions of filler injections performed each year, it is an extremely popular and versatile tool for achieving a younger look and perfect facial aesthetics.

In facial fillers, some subclasses refer to what the filler is made of. Juvederm belongs to the largest and most widely used classification: hyaluronic acid fillers. This means that Juvederm carries less risk than semi-permanent fillers and can treat more areas, such as lips.

Themain injectorsat Northwest Face & Body are masters of using Juvederm to inventively augment and fill out facial features. Northwest Face & Body brings you the best Juvederm Bellevue and Kirkland deals.

Juvederm summary

Juvederm has many uses all over the face. Some areas that Juvederm can treat include:

  • Usta
  • cheeks
  • Chin
  • temples
  • Under the eyes
  • Nos
  • Nasolabial folds
  • Doll lines
  • Jaw

Patients can usually treat multiple areas at once. Juvederm also combines well with neurotoxin therapy such as BOTOX or Dysport. Your primary injector will discuss which areas are candidates for treatment and the best Juvederm filler for each area.

Advantages of fillers based on hyaluronic acid

Hyaluronic acid occurs naturally in the body, and its highest concentration is found in the eyes and joints. So while rejection or an allergy to the filler is possible, it's very unlikely. Another important advantage of hyaluronic acid fillers is that they contain a natural reversing factor, hyaluronidase.

After injection, it breaks down the filler. If you experience significant side effects or complications, or are dissatisfied with your new appearance, there is a simple antidote. This also increases the safety of hyaluronic acid fillers compared to other types of fillers. In the event of a blockage (injection of a filler into a blood vessel) or an adverse event, they can be treated immediately at the doctor's office.

While this may not seem like an advantage at first glance, the temporary nature of hyaluronic acid fillers allows patients to stop treatments at any time, try different filler options, and try a different look each time. This experimentation allows patients to find the filling option and technique that is right for them.

Types of Juvederm fillers

Juvederm makes several different fillers, each with a slightly different consistency and typically used in different areas. The main Juvederm offerings are Juvederm Ultra, Juvederm Ultra Plus and Juvederm Voluma. Your primary injector can discuss each option with you in detail and help you determine which is best for the area being treated and your goals.

  • For: Juvederm Ultra commonly used as a lip filler can also treat nasolabial folds. Typically, Ultra is considered one of the thinner Juvederm fillers. On average, it lasts from three to six months.
  • UltraPlus: Contains lidocaine for improved comfort and is also used for dramatic lip augmentation. It is also used in nasolabial folds. Slightly thicker than Ultra, it has a few more uses and is sometimes used on the cheeks or chin. It is versatile and is great for volume loss and facial wrinkles. Juvederm Ultra Plus also lasts about six months, although it can take longer in some places and people.
  • sound volume: Among the longest-lasting hyaluronic acid options, Voluma is most commonly used on the chin or cheeks. It may take up to two years. Of all the hyaluronic acid fillers, it is often considered the longest lasting.

Before and after Juvederm injections at Bellevue


The first step to undergoing Juvederm filler injections at Bellevue is to consult with the main injector. During this appointment, your primary injector will ask about your goals, medical history, filler history, and lifestyle. They can also briefly examine the area to assess leather quality, thickness, and other factors that affect the selection and filling process.

If they feel you are a good candidate for the procedure of your choice, they will discuss the many filling materials you have to choose from. In some cases, you may have same-day filler injections. Otherwise, you can make an appointment at a convenient time or before leaving the office.

Infusion process

First, the Master Injector will prepare the injection sites. This includes disinfecting areas with alcohol and cleaning them of makeup or environmental residue. They will then likely apply a topical anesthetic cream. This will stay for about ten to twenty minutes. During this time, your injector will prepare Juvederm.

Your main injector will then start injecting the filler. Depending on the treatment, they may use a needle or a cannula. If you use a needle, they will start injections immediately. With the cannula, they will make a small entry point for the cannula with a small needle. Once the needle or cannula is in place, they will slowly inject the filler. They can move the needle around the injection site or inject multiple sites to increase the volume evenly for perfect results.

For most areas, the injections themselves take no more than about ten to fifteen minutes. You can treat multiple areas at once. Along with the topical anesthetic cream, Juvederm contains a small amount of lidocaine to make it easier to inject the filler.


Some common side effects may occur a few days after the injection, such as:

  • Edema
  • Bruises
  • Reddening
  • Irritate
  • Itchy
  • Lumps

For the most part, these side effects should go away within a week or two. For a day or two after your Juvederm injections, your primary injector may advise you to avoid vigorous exercise, alcohol, and certain blood-thinning medications and supplements.

Your filler will continue to set for about two weeks. If after two weeks you still notice lumps, bumps or the result does not meet your goals, our injectors can make quick contact.

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Frequently asked questions:

How long do Juvederm fillers work?

Who should not use Juvederm?

How to extend the durability of fillers?

Is Voluma the best Juvederm filler?

How much do Juvederm fillers cost?

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Containing the thinnest skin on the face, the eye area is prone to aging, skin damage and discoloration. As we age, the loss of fat around the eyes can cause excess skin to accumulate under the eyes. It can also cause significant dimples and a dark appearance under the eyes. This can cause the face to age prematurely, especially when combined with environmental damage. Lower eyelid surgery - or lower blepharoplasty - helps the lower eyelid look younger. Dr. Ludwig Allegra of Northwest Face & Body offers the best deals on Bellevue and Kirkland eyelid surgery.

Overview: Surgery of the lower eyelids

Lower eyelid surgery removes excess skin under the eyes and tightens the skin, giving it a younger appearance. As one of the first areas to start showing age, patients often seek this surgery at a younger ageface lift surgery. However, it is often combined with other rejuvenating treatments.

Due to the fact that it occupies a relatively small area, blepharoplasty is considered one of the least risky facial plastic surgeries. Patients also tend to recover well and fairly quickly compared to other procedures. It is usually run in parallel with oneupper eyelid surgeryand may includefat injectionsor repositioning depending on anatomy and goals.

Benefits and risks

All surgical procedures come with a unique set of benefits and risks. Understanding and honestly weighing them before choosing a knife is essential to ensure a good result. Overall, the procedure carries little risk and the benefits generally outweigh them. However, this will vary from patient to patient. During the consultation, Dr. Allegra will discuss your individual risk profile.

First, let's look at the benefits and benefits of lower eyelid surgery. Some benefits include:

  • Remove excess skin
  • Fix bags under the eyes
  • Treat swelling
  • Replace or add grease
  • Remove excess fat
  • Reduce wrinkles and fine lines
  • Look more awake
  • Brighter appearance under the eyes
  • Reduce shadows
  • Better vision (in some cases)
  • Minimal scarring
  • Natural results
  • Keep the natural movement of the eyes and eyelids
  • It can minimize eye strain or eye strain
  • Quick process
  • It can be easily combined with other facial plastic procedures
  • Little regeneration or downtime
  • Minimal pain after the procedure
  • It is performed by a plastic surgeon with many years of experience in eyelid surgery

As mentioned, lower eyelid surgery is fairly low risk for most patients. However, it comes with typical surgical risks and higher risks for certain demographics. Some of the potential risks and complications associated with lower blepharoplasty include:

  • Pollution
  • Bleeding
  • Long-term swelling or bruising
  • Dry eye
  • Visible or raised scars
  • Injury to the muscles or nerves of the eye
  • Vision complications (usually transient)

Transconjunctival and percutaneous incisions in lower blepharoplasty

There are two surgical approaches to lower eyelid surgery. First, Dr. Allegra may use a transconjunctival incision, which means she makes an incision inside the lower eyelid. This essentially eliminates the possibility of visible scarring. It also allows Dr. Allegra provides access to essential structures and keeps the incisions away from the eyeball.

A percutaneous incision is another option for lower blepharoplasty. This is probably the most common surgery under the eyes. The incision covers the edge of the lower eyelid, which hides it in the natural transition from the skin to the eye. This incision is farther away from the eye, but it can also cause visible scarring.

Sometimes both incisions are used during lower eyelid surgery. It depends a lot on your needs during surgery and your goals. Both tend to heal well and cause no noticeable scarring. However, there are times when one incision may be preferable to another. If a large amount of skin needs to be removed, Dr. Allegra may recommend a percutaneous incision. If there are concerns about the muscle, a transconjunctival incision may be recommended.

Before and after lower eyelid surgery


During your consultation at Northwest Face & Body you will meet Dr. Allegro, which will ask you about your goals and concerns. They may then also ask about aspects of your medical history and lifestyle. This helps him make sure you are a good candidate for both surgery and blepharoplasty. At the end, he will conduct a thorough examination of the eyelids and the surrounding area.

If Dr. Allegra deems you a good candidate for blepharoplasty, he will create an approach tailored to your goals and anatomy. She will explain this in detail, as well as any other procedures she may recommend and the results you can expect. Before you leave the office, you will receive a personalized price offer, all necessary approvals and information regarding financing.


During the operation, Dr. Allegra will make the necessary incision inside or just below the lower eyelid. From there, it will remove excess fat and release certain fatty structures to allow it to tighten muscles and skin. Then Dr. Allegra will remove the remaining excess skin and stretch it to its natural position.

During the sewing process, Dr. Allegra will take care of maintaining the correct movement of the eyelids. This also includes ensuring that your muscles function properly as much as possible. Some muscle weakness after blepharoplasty is normal and usually temporary.

Blepharoplasty is often performed under local and general anesthesia. Regardless of this, patients remain fully comfortable during the procedure. Local anesthesia can help reduce side effects and shorten recovery time.

Back to health

Lower blepharoplasty is a fairly short operation with minimal postoperative pain. However, it still requires traditional surgical repair. Many patients feel they don't need prescription painkillers. Many people can manage their pain with Tylenol or similar over-the-counter painkillers. In addition to limited activity, some postoperative recommendations may include:

  • Use cold compresses and/or ice for the first two days
  • Avoid applying makeup or specific skincare for a week
  • Raise the headboard or sleep/rest in a supine position
  • Avoid strenuous exercise for at least two weeks
  • Do not watch TV, read or do anything that requires visual concentration for about two days
  • Don't drive for at least three days
  • Avoid ibuprofen and aspirin
  • Come for post-operative visits
  • Take medications as directed (only take painkillers when needed)

Each patient will undergo an individual treatment. Therefore, their recovery instructions will be personalized to suit them and their process. Dr. Allegra will provide more detailed post-operative care and recovery instructions at several points during the surgery.

Frequently asked questions

How long does the swelling after lower eyelid surgery last?

Visible swelling usually subsides within ten to fourteen days. However, slight residual swelling may persist for several months. In patients who smoke or do not follow recovery instructions, swelling may persist longer. In general, blepharoplasty surgery generally does not cause much swelling for more than two or three days.

Dr. Allegra can best discuss the swelling you may experience after lower eyelid surgery as she understands your medical history, medications you are taking, and aspects of your lifestyle that may impact your recovery.

It is safe?

Yes, blepharoplasty is considered one of the safest cosmetic procedures of all plastic surgeries. It rarely causes serious problems or complications, and patients are generally satisfied with its results. The average patient will not have a significantly increased risk during or after surgery. If a patient is at excessive risk, Dr. Allegra will likely prescribe other treatments to address their concerns.

Are the effects of lower eyelid surgery permanent?

Like other anti-aging surgeries, lower blepharoplasty cannot stop aging completely. Therefore, the extra, loose skin can come back, but it often takes several years, if not more than a decade. Some aspects of the procedure may be essentially permanent, such as vision correction which may affect the subsequent aging of the skin or the healing of muscles in the area. Patients can enjoy the effects for several years.

Will the shape of my eyes change?

So maybe. However, upper eyelid surgery or temple fillers are often better at addressing the shape of the eye than lower blepharoplasty. An additional procedure can be added to reshape the eye if needed.

How much does lower eyelid surgery cost?

Eyelid surgery at Dr. Allegra at Northwest Face & Body starts at $4,285. This applies to lower eyelid surgeries only, adding upper eyelids or other procedures incurs additional charges. A comprehensive list of our searchable prices can be found on our websitePrice list.

Northwest Face & Body also works with third-party finance companies to help you fit Bellevue upper blepharoplasty into your budget. For more information on plastic surgery financing options and links to apply, please visit our websitefinancing page.

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Bellevue's best lower blepharoplasty in the northwest face and body

Northwest Face & Body has served Bellevue and Kirkland for over thirty years. Featuring a luxurious surgical suite on the shores of Lake Washington, the facility has hosted thousands of patients undergoing surgical and non-surgical procedures. Less than ten minutes from Bellevue and Kirkland, Northwest Face & Body offers the best upper eyelid surgery Bellevue and Kirkland has to offer.

Dr. Louis Allegrais a plastic surgeon and otolaryngologist who has been performing facial procedures, both medical and cosmetic, for three decades. His knowledge and experience in cosmetic and medical facial procedures make him one of the most qualified plastic surgeons, especially in eyelid surgery.

To find out more and to schedule a consultation, please call:425-576-1700. You can also contact us online via the contact form, chat orPrice simulator.


Lower Blepharoplasty Bellevue & Kirkland? ›

HOW MUCH DOES BLEPHAROPLASTY COST IN SEATTLE? The final blepharoplasty cost Seattle with Dr. Santos depends on whether the patient choose local or general anesthesia. An upper or lower blepharoplasty under local anesthesia starts at $3,995 and under general anesthesia starts at $4,995.

How much is lower blepharoplasty in Washington state? ›

HOW MUCH DOES BLEPHAROPLASTY COST IN SEATTLE? The final blepharoplasty cost Seattle with Dr. Santos depends on whether the patient choose local or general anesthesia. An upper or lower blepharoplasty under local anesthesia starts at $3,995 and under general anesthesia starts at $4,995.

Who is not a good candidate for lower blepharoplasty? ›

Persons with dry eye, diabetes, and glaucoma may not be suitable candidates for eyelid surgery. Persons with drooping and uneven eyebrows may also not make good candidates. Avoid drinking and smoking as they can interfere with the surgery outcome.

What is the average age for lower blepharoplasty? ›

Droopy eyelids appear when you get beyond 30. This is the ideal age for blepharoplasty, though younger people can also go through it. However, most plastic surgeons recommend one to be at least 18 to undergo the procedure.

What are the 2 types of lower blepharoplasty? ›

Currently, lower eyelid blepharoplasty is performed either by the transcutaneous approach or by the transconjunctival approach.

What are the disadvantages of lower blepharoplasty? ›

  • Infection and bleeding.
  • Dry, irritated eyes.
  • Difficulty closing the eyes or other eyelid problems.
  • Noticeable scarring.
  • Injury to eye muscles.
  • Skin discoloration.
  • Temporarily blurred vision or, rarely, loss of eyesight.
  • The need for follow-up surgery.
Jun 24, 2022

Why is a lower blepharoplasty more expensive? ›

Lower Blepharoplasty Cost

Lower blepharoplasty procedures tend to be more expensive than procedures performed on the upper eyelids due to the fact they tend to be more complex and also often require a general anaesthetic which will add to the cost.

How painful is a lower blepharoplasty? ›

There may be some swelling and bruising, but most people do not experience much pain. Application of ice packs and elevating your head can help reduce swelling and speed up recovery.

How long is the downtime for lower lid blepharoplasty? ›

Your eyelid may be swollen and bruised for 1 to 3 weeks after surgery. The appearance of your eye may continue to get better for 1 to 3 months. Most people feel ready to go out in public and back to work in about 10 to 14 days.

Is lower blepharoplasty worth it? ›

In the hands of an experienced surgeon, lower lid blepharoplasty is safe and produces excellent results. In very mild cases, some laser treatments can be effective in resurfacing and tightening the lower lid skin.

Are you awake during lower blepharoplasty? ›

In the majority of cases, blepharoplasty patients can expect to be given local anesthesia and conscious sedation to ensure their comfort and safety. The local option creates numbing of the eyelid tissues only.

Does lower blepharoplasty change eye shape? ›

There are three fat pockets that are usually manipulated or reduced during a lower eyelid procedure to treat lower lid bags or dark circles. There is no noticeable change in the shape of the eyes with fat removal from either the upper or lower eyelids.

What is better than blepharoplasty? ›

A brow lift is better to meet the following goals:

Basically, if your area of concern is the eyelid area, eyelid surgery would be the likely solution, whereas if your concern is around the forehead, eyebrows, and between the eyes, a brow lift may be the better option.

Is 60 too old for blepharoplasty? ›

There is no upper age window for blepharoplasty. Patients in good health can get eyelid surgery even in their 60s, 70s, or 80s.

What is scarless lower blepharoplasty? ›

Lower Eyelid Surgery (Lower Blepharoplasty)

Scarless eyebag removal involves addressing the lower eyebags via an incision in the conjunctiva (the mucosal layer on the inside of the lower eyelid) without leaving an external scar.

Can lower blepharoplasty go wrong? ›

Lower eyelid retraction is a devastating complication of bad blepharoplasty results in which the lower eyelid is pulled down. Lower lid retraction has primarily been reported in patients who underwent a transcutaneous approach to lower eyelid surgery – when the surgery is done through lower lid skin.

Why do my eyes look weird after lower blepharoplasty? ›

Short-term changes in the shape of the eye can occur. The position of the eyelid can temporarily change due to the bruising and swelling associated with eyelid surgery. For the majority of patients, this issue usually resolves itself within approximately 6 weeks.

Why do I still have bags after lower blepharoplasty? ›

Causes of leftover eyelid fat

Reduction of the lateral fat pad of the lower eyelid can be more technically challenging during blepharoplasty when the incision is made behind the eyelid (transconjunctival). This is one reason that leftover fat pouches are more common at the outer corner of the lower eyelids.

What is the best technique for lower blepharoplasty? ›

One of the most popular techniques used for lower eyelid blepharoplasty is the transconjunctival approach. This is a great option for patients who do not have excess lower eyelid skin, but rather an abundance of lower eyelid fat prolapse.

How to get rid of under eye bags permanently without surgery? ›

The following tips can help you reduce or eliminate bags under your eyes:
  1. Use a cool compress. Wet a clean washcloth with cool water. ...
  2. Cut down on fluids before bedtime and limit salt in your diet. ...
  3. Don't smoke. ...
  4. Get enough sleep. ...
  5. Sleep with your head slightly raised. ...
  6. Reduce allergy symptoms. ...
  7. Use cosmetics.
Mar 1, 2022

Are you put under for lower blepharoplasty? ›

Lower eyelid blepharoplasty can be performed in the office under local anesthesia. However, most lower eyelid blepharoplasty is performed in the outpatient surgery center under a twilight (MAC) anesthesia. Given the length and nature of the procedure, MAC anesthesia is usually more comfortable for the patient.

Does lower blepharoplasty get rid of hollow eyes? ›

A blepharoplasty procedure can be done on just the lower part of the eyes or on both the lower and top lids. A lower eyelid lift tightens loose skin and eliminates the hollow appearance.

Do eyes look worse after blepharoplasty? ›

Your eyes may look swollen and bruised after your surgery. The eyelid swelling is usually worse early in the morning and will get better during the day as you sit or walk around. You may also have swelling on your cheeks and jawline. This will start to get better 2 to 3 weeks after your surgery.

Are there stitches with lower blepharoplasty? ›

Incisions made from within the lower eyelid need minimal suturing and any sutures placed are usually absorbable and do not need removal. Skin wounds are usually closed with permanent nylon sutures as these are easy to remove and cause very little reaction in the skin.

Does fat grow back after lower blepharoplasty? ›

Any fat removed from the eyelids, for example, will not grow back (even if you gain weight); and bags under the eyes and hoods over the eyes shouldn't appear again, either.

How long will my eyes be swollen after lower blepharoplasty? ›

Post-operative swelling peaks at about 48-72 hours, and then subsides over the next few days. The majority of swelling after eyelid surgery will disappear in the first week, but small amounts may persist for 6 - 12 weeks during which subtle improvements in appearance will continue.

Does blepharoplasty lower your eyebrows? ›

Does blepharoplasty lower eyebrows? In some cases, yes. A blepharoplasty (eyelid surgery) might cause the eyebrows to drop with time. To avoid that, your plastic surgeon can give you a brow lift at the same time as your eyelid surgery to keep your eyebrows in balance and avoid having them droop after some time.

Will I look the same after blepharoplasty? ›

Slight Changes May Occur. For patients with hooded eyelids, a blepharoplasty can create a smoother surface area on their eyelids, which can slightly change the appearance of the eyes and make them appear less sunken.

Will my eyes look bigger after blepharoplasty? ›

Yes. Double eyelid surgery (upper and lower blepharoplasty) can make your eyes look bigger by excising excess skin around the eyes and lifting sagging skin.

Is lower blepharoplasty covered by insurance? ›

Insurance companies do not generally cover the lower eyelid blepharoplasty, but upper blepharoplasty can be covered in cases where an examination by an ophthalmologist determines that droopiness of the upper eyelid impairs vision or the functionality of the eye.

Is lower blepharoplasty permanent? ›

Are the changes with blepharoplasty (eyelid surgery) permanent? Blepharoplasty will not stop your eyes from aging. However, the results usually last a long time. Upper-eyelid surgery can last anywhere from 5 to 7 years to an entire lifetime, while lower-eyelid surgery rarely needs to be done more than once.

How many times can you have lower blepharoplasty? ›

While the procedure is often considered to be a long-lasting treatment option, some patients do get lower eyelid surgery a second time. While it's uncommon, some patients may opt for revisionary eyelid surgery. Patients who are considering the surgery may have had their initial surgery early on.

Had lower blepharoplasty still have bags? ›

After blepharoplasty that involved the reduction of bulging fat pouches, there is a residual bulge. This most often ocurrs at the outer corner of the lower eyelid, at the location of the lateral fat pad. This can create a contour irregularity or a mismatch with the other regions of the eyelid.

What is the recovery time for blepharoplasty? ›

Although the procedure is not major, patients will still need to take some time off from work. Patients who have undergone upper lid surgery will usually be able to go back after 7-10 days. The recovery time is a little longer for lower lid surgery, with time off work increasing to 10-14 days.

How do you qualify for blepharoplasty? ›

One can qualify for eyelid surgery, covered by medical insurance, if it is deemed medically necessary. The main reason cited is impaired vision is caused by excess upper eyelid skin which can make everyday activities such as driving, reading and using telecommunication devices much more hazardous.

Does lower blepharoplasty get rid of hollows? ›

Lower eyelid surgery, also known as lower blepharoplasty, is great for reducing the bulging, baggy appearance in the lower eyelids. However, it involves removing the fat pads below the eyes and often a hollow, sunken look can occur if too much fat is removed.

Does lower blepharoplasty make you look younger? ›

Blepharoplasty tightens the skin around the eyelids, providing refreshed, long-lasting results. Eyelid surgery can be performed on the upper and lower eyelid producing a dramatically younger appearance.


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