Lower Blepharoplasty Before and After Photos

This page provides before and after photographs of actual patients who have had surgery by Dr. Kapadia. Of course, these photos should be considered a reference and not as a prediction for how you will look after surgery. Though all of the patients shown below have had lower lid surgery in conjunction with upper eyelid surgery, many patients can benefit from lower blepharoplasty alone. Additional information about lower blepharoplasty surgery can be found in the information section of this website

Patient 1 - Before and after photos, upper and lower blepharoplasty

Discussion: Upper and lower blepharoplasty performed in combination are a very powerful way to reverse signs of facial aging. These photographs show a woman in her 50s who underwent upper and lower blepharoplasty. She has a significant amount of puffiness in her lower eyelids which is emphasized even further when she looks upward.

Same patient as prior (patient 1) when looking upward

Surgery results in dramatic improvement in the puffiness of her lower eyelids, as well as a more subtle improvement in the appearance of her upper eyelids. She still looks very natural after surgery and doesnt look "done".

There are a number of factors in lower eyelid surgery which can lead to an unnatural appearance. Overly aggressive removal of lower eyelid fat may result in a "hollow" appearance to the lower eyelids, accentuating the tear trough area (lines under the eyes). Removal of too much lower eyelid skin can pull the eyelid downward, a problem known as eyelid retraction or ectropion. This problem may cause the eyes to feel irritated and uncomfortable in addition to resulting in a poor cosmetic outcome.

Dr. Kapadia regularly sees patients who have had surgery by other doctors and are not happy with their results. Complications from lower blepharoplasty are often difficult to manage. By far, the best outcome comes from having the surgery done properly the first time around.

Patient 2 - Before and after photos, upper and lower blepharoplasty and upper ptosis repair

Discussion: These photographs show a patient in her upper 40s with severe ptosis of her upper eyelids along with excess fat and "sagging" of her lower eyelids. Note the more youthful, awake appearance after surgery. In addition to removal of skin and fat from the upper lids, one of the muscles in the eyelid was adjusted to raise the overall eyelid position.

In the lower eyelids, fat and a small amount of skin was removed and the sagging corrected with a procedure known as canthoplasty. This procedure involves detaching the lower eyelid from one of its supporting tendons, reducing eyelid laxity, and reforming the tendon in a slightly different location. This brings the lower eyelids into a more normal anatomic position. The white that is visible under her eyes before surgery is eliminated as the lower eyelids are brought into a slightly higher position after surgery. There is a mild amount of asymetry after surgery, which could be corrected with an additional procedure if the patient desired..

Patient 3 - Before and after photos, upper and lower blepharoplasty and ptosis repair

Discussion: Eyelid surgery can also make a big difference for older patients. These photographs show a woman in her 70s who underwent upper and lower blepharoplasty as well as ptosis repair. Prior to surgery she has an aged, tired appearance. She looks younger and more awake after surgery.

Patient 4 - Before and after photos, upper and lower blepharoplasty and internal browpexy

Discussion: These photographs show a man in his 40s who underwent upper and lower blepharoplasty and internal browpexy. Excess skin on the upper eyelids was concentrated in the outer aspects of the upper eyelids, so removal of skin was performed predominantly in this location. A subtle elevation to the brow was achieved by placing sutures to support the brow through the upper blepharoplasty incision. Excess fat was removed from the lower eyelids and a canthoplasty performed to raise the position of the sagging lower eyelids. Again, note the natural appearance in the postoperative photograph. The patient does not look like he has had any surgery even though the before and after photos show otherwise.