Lower Eyelid Lift

Lower blepharoplasty is designed to improve a tired, puffy look under the eyelids to restore a smooth, rested look.

Quick Facts

  • 113,229 patients had eyelid lift surgery in 2019.*
  • Most patients are worried about under-eye bags, but eyelid hollowing can happen too! Dr. Parker uses targeted fat grafting to create a smooth contour.
  • Your custom lower eyelid lift may include a combination of fat removal, repositioning of skin, and post-surgery chemical peel.

* Statistical information listed here is drawn from 2019 The Aesthetic Society data.

Eyelid Lift
 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

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Facelift Case 14 Before & After View #1 | Paramus, NJ | Parker Center for Plastic Surgery
Before & After
Case: 1 of 8

Case #14

This 56 year old dentist expressed concern about facial aging. Specifically, he was bothered by the puffiness of his lower eyelids, heaviness of his upper eyelids, increasingly prominent nasolabial folds and lax skin in his neck. He had undergone an upper and lower lid blepharoplasty elsewhere 30 years ago. Dr. Parker employed the following techniques... Read More
Facelift Case 13 Before & After View #1 | Paramus, NJ | Parker Center for Plastic Surgery
Before & After
Case: 2 of 8

Case #13

This 68 year old was bothered by the tired appearance of his eyes as well as the aged appearance of his face and neck. He was very concerned that the improvements be conservative and that he not look dramatically different following surgery. Dr. Parker performed an upper and lower blepharoplasty in addition to a facelift. Postoperatively, the patient... Read More
Eyelid Lift Case 1027 Before & After Front | Paramus, NJ | Parker Center for Plastic Surgery
Before & After
Case: 3 of 8

Case #1027

This 76 year old patient was referred to Dr. Parker by another blepharoplasty patient with concerns about the excess skin on her upper eyelids, puffiness of her lower lids and upper lip wrinkle lines.  Dr. Parker performed an upper and  lower lid blepharoplasty, removing "herniated" fat and excess skin from both her upper and lower eyelids.... Read More
Facelift Case 12 Before & After View #1 | Paramus, NJ | Parker Center for Plastic Surgery
Before & After
Case: 4 of 8

Case #12

This 61 year old presented with concerns about the aged appearance of his eyes and face. Dr. Parker performed an endoscopic brow lift, upper and lower blepharoplasty and facelift. The patient was very pleased with the very natural and more youthful look following this facial rejuvenation. Read More
Facelift Case 16 Before & After View #1 | Paramus, NJ | Parker Center for Plastic Surgery
Before & After
Case: 5 of 8

Case #16

This 61 year old male, referred to Dr. Parker by his personal physician, expressed concern about the aging which had occurred in his face and neck. After reviewing several options to address these concerns, Dr. Parker performed a face and neck lift along with an upper lid blepharoplasty. Through the upper lid incision, he removed the corrugator muscles... Read More
Facelift Case 41 Before & After View #1 | Paramus, NJ | Parker Center for Plastic Surgery
Before & After
Case: 6 of 8

Case #41

This 61 year old was referred to Dr Parker by another patient and requested improvement in the appearance of her face and neck. She asked to have the hanging skin from her upper eyelids removed, sagging skin on her face tightened and fullness in her neck improved. The patient is 5’3″ tall and weighs 150 pounds. Dr Parker performed an... Read More
Eyelid Lift Case 77 Before & After View #1 | Paramus, NJ | Parker Center for Plastic Surgery
Before & After
Case: 7 of 8

Case #77

This 43 year old was referred to Dr. Parker by another patient. She was bothered by the redundant skin which had developed in her upper eyelids. Dr. Parker discussed with the patient, then subsequently performed an upper lid blepharoplasty. He removed skin and a small amount of fat along the inner aspect of the upper eyelids. The patient recovered... Read More
Eyelid Lift Case 72 Before & After View #1 | Paramus, NJ | Parker Center for Plastic Surgery
Before & After
Case: 8 of 8

Case #72

This 42 year old patient was referred to Dr. Parker by another patient with concerns about her drooping upper eyelids and fine wrinkling of her lower eyelids. Dr. Parker spent quite a while reviewing options with the patient and supplemented this by having the patient undergo Computer Imaging with his Professional Photographer to give her an idea... Read More

Keep in mind that each patient is unique and your results may vary.

Dr. Parker’s approach to lower lid blepharoplasty is highly individualized, as no one patient’s face and eyelids age in the same way. He will evaluate your facial features and recommend a course of treatment based on the condition of your skin, fat, and muscle as well as the contour of your eyelid/cheek junction. He will fully discuss your options with you during your initial consultation.

Choosing the Right Procedure for You

The main cause of a tired, or puffy appearance to the lower eyelids is herniated “transconjunctival fat,” or fat underneath the eyelids. Lower eyelid rejuvenation almost always involves the removal or repositioning of this transconjunctival fat. Dr. Parker will adjust his technique depending on your age, the condition of the surrounding skin, and your desired results.

Page Contents

Transconjunctival Fat Removal Only

Before & After: Lower Eyelid Fat Removal Only*

New Jersey Upper & Lower Eyelid Lift
Before and After
This 34 year old patient underwent fat removal alone through a transconjunctival approach.

This procedure is typically performed on younger patients who have good skin quality but have herniated fat causing puffiness of the lower lid. Dr. Parker makes an incision on the inner aspect of the lower eyelid to avoid an external scar. He then removes the herniated fat through this incision.

A transconjunctival blepharoplasty will correct the puffiness under your eyes and make you look well-rested and younger without any visible scarring. The procedure takes approximately 45 minutes to perform, most commonly using intravenous sedation to make you comfortable. You will be monitored in our recovery room for about one hour and then discharged home.  The eyes are not bandaged and there are no sutures to remove.

Dr. Paul Parker

Paul M. Parker, M.D., FACS

Board-Certified Plastic Surgeon

Known for his surgical talent and caring personality, Dr. Parker has been serving the community for over 25 years. He has dedicated his practice to the education, safety, and comfort of his patients—making each one feel as important as family.

The Aesthetic Society; American Society of Plastic Surgeons; International Society of Aesthetic Plastic Surgery; The Rhinoplasty Society
The Aesthetic Society; American Society of Plastic Surgeons; International Society of Aesthetic Plastic Surgery; The Rhinoplasty Society

Transconjunctival Fat Repositioning to Improve the Tear Trough

Before & After: Lower Lid Fat Repositioning*

New Jersey Eyelid Surgery
Before and After
This 34 year old patient had her herniated fat repositioned into the tear troughs only.

This procedure is typically performed on younger patients who have puffiness of the lower lid due to herniated fat and a depression in their tear trough area, but good skin quality. Dr. Parker makes an incision on the inner aspect of the lower eyelid to avoid an external scar. Instead of removing the herniated fat, he repositions it from its original location to fill the depression in the tear trough. If Dr. Parker points out that you have a tear trough depression, he will likely recommend this procedure to give you a more natural look in your lower eyelids than fat removal alone can accomplish.

A transconjunctival blepharoplasty with fat repositioning will correct the puffiness under your eyes and fill the tear trough depression. This will make you look well-rested and younger without any visible scarring. This procedure takes approximately one hour to perform, most commonly using either intravenous sedation or general anesthesia to make you comfortable. You will be monitored in our recovery room for about one hour, and then discharged home.  The eyes are not bandaged, and there are no sutures to remove.

Transconjunctival Fat Repositioning & TCA Peel

Before & After: Lower Eyelid Lift & TCA Peel*

New Jersey Eyelid Surgery
Before and After
This 40 year old patient had herniated fat repositioned into her “tear troughs” as well as a TCA peel to help tighten up her skin wrinkling.

This procedure is typically performed if you have puffiness of the lower eyelids due to herniated fat, crepiness, fine wrinkling and/or discoloration (surgeons call it “hyperpigmentation”) of your skin, with or without a depression in the tear trough area. Dr. Parker will make an incision on the inner aspect of the lower eyelid to avoid an external scar. If there is a tear trough depression present, he will reposition the herniated fat from its original location to fill in this depression. If there is no tear trough depression, Dr. Parker will remove the fat. He will then treat the crepiness, fine wrinkling and/or discoloration of your lower eyelid skin by applying a trichloroacetic acid (TCA) peel to it. This will tighten up the skin as well as improve any discoloration present.

This procedure will correct the puffiness under your eyes, fill any tear trough depression, and improve the appearance of your lower eyelid skin. This will make you look well rested and younger without any visible scars. This procedure takes approximately 75 minutes to perform, most commonly using intravenous sedation or general anesthesia to make you comfortable. You will be monitored in our recovery room for about one hour, and then discharged home. The eyes are not bandaged, and there aren’t any sutures to remove.

Transconjunctival Fat Repositioning & Skin Removal

Before & After: Lower Eyelid Fat & Skin Removal*

New Jersey Upper & Lower Eyelid Lift
Before and After
This 53 year old patient had her herniated fat repositioned into her “tear troughs” as well as excess skin removed. In addition, a lateral canthopexy was performed for lower lid support.

Dr. Parker typically performs this procedure if you have both puffiness of the lower lids due to herniated fat and excess skin that requires removal, with or without a depression in the tear trough area. He makes an incision on the inner aspect of the lower eyelid, providing direct and safe access to the herniated fat. If there is a tear trough depression present, he will reposition the herniated fat from its original location to fill the depression in the tear trough. If there is no tear trough depression, Dr. Parker will remove the fat and then suspend the lateral canthal tendon (on the outer aspect of the eyelid) upward with sutures to minimize the risk of lower lid retraction during the healing process. Finally, Dr. Parker will make an incision just beneath the lash line and conservatively remove excess skin.

This procedure will correct the puffiness under your eyes and fill the tear trough depression if it is present. It will also improve the appearance of your lower eyelid skin. This will make you look both younger and well-rested. Though a lower lid scar is present, you will have a difficult time finding it.

This procedure takes approximately 90 minutes to perform. Either intravenous sedation or general anesthesia is most commonly used for your comfort. You will be monitored in our recovery room for about one hour and then discharged home. There are no bandages on the eyes, and sutures are removed within four to five days.

Fat Injections to Lower Eyelid Hollowing

Woman before and after lower eyelid surgery
This 73 year old presented to Dr Parker with concerns about the worsening crepiness of her lower eyelid skin. She had undergone a blepharoplasty many years ago as well as laser resurfacing. Dr. Parker discussed the crepiness of her skin and pointed out the hollowing of her lower eyelids as well. He reviewed options with the patient and recommended the following: fat injections to help improve the hollowing of her lower eyelids and nanofat microneedling to help build up collagen in the skin to improve its crepiness.

Fat grafting to the lower eyelid area, which plastic surgeons refer to as the nasojugal groove and tear trough areas, “shortens” the apparent length of the lower eyelid. This results in a youthful, attractive smooth transition from the lower eyelid to the cheek.

After fat is harvested by Dr. Parker, it is purified and very carefully injected deep in a sub-muscular/pre-periosteal plane. He then carefully massages the fat to help create a smooth contour.

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Fat Repositioning, Skin Removal & TCA peel

Before & After: Lower Eyelid Lift & TCA Peel*

New Jersey Upper & Lower Eyelid Lift
Before and After
This 63 year old patient had fat transferred to her “tear troughs” and excess skin removed, as well as a TCA peel to help improve fine wrinkling and hyperpigmentation. Dr. Parker also performed a lateral canthopexy for eyelid support.

This procedure is typically performed if you have:

  • puffiness of the lower lids due to herniated fat
  • excess skin which requires removal
  • crepiness, fine wrinkling and/or discoloration (surgeons call it “hyperpigmentation”) of your skin and,
  • the above with or without a depression in the tear trough area.

Dr. Parker makes an incision on the inner aspect of the lower eyelid, providing direct and safe access to the herniated fat. If there is a tear trough depression present, he will reposition the herniated fat from its original location to fill the depression in the tear trough. If there isn’t any tear trough depression, Dr. Parker will remove the fat. He will then suspend the lateral canthal tendon, on the outer aspect of the eyelid, upward with sutures to minimize the risk of lower eyelid retraction during the healing process. Dr. Parker will make an incision just beneath the lash line and conservatively remove excess skin. Finally, to treat the fine wrinkling and/or discoloration of the skin, he will carefully apply a trichloroacetic acid (TCA) peel to the area. This will tighten up the fine wrinkling of the skin as well as improve any discoloration present.

This procedure will correct the puffiness under your eyes and fill the tear trough depression if it is present. It will also improve the appearance of your lower eyelid skin. This will make you look well rested and younger. Though a lower lid scar is present, you will have difficulty finding it.

This procedure takes approximately 90 minutes to perform, and Dr. Parker employs intravenous sedation or general anesthesia to make you comfortable. You will be monitored in our recovery room for about one hour, and then discharged home. The eyes are not bandaged, and sutures are removed within four to five days.

How Will Lower Eyelid Surgery Results Look Over Time?

Lower Eyelid Surgery Results Age Naturally with You*

Lower Eyelid Surgery Results Age Naturally with You
Before, 2 Years After, and 9 Years After
This patient is shown before and after her lower eyelid blepharoplasty with Dr. Parker. Even 9 years after her procedure, her eyes look youthful and refreshed.

When performed by an experienced, skilled plastic surgeon, eyelid surgery results last for years and age naturally with you. You can keep your rejuvenated eyes looking their best by practicing good skincare habits, wearing sunscreen daily, and maintaining a healthy lifestyle.

What Is Recovery Like After Lower Eyelid Surgery?

While everyone heals differently, there is little, if any, postoperative pain following any of these lower eyelid procedures. Swelling is usually moderate and discoloration minimal. Both typically subside within 10 to 14 days. Camouflage make-up may be applied after 10 days. Patients may return to normal activities in 10 days and exercise in 2 weeks.

During both your consultation with Dr. Parker and in your pre-op education visit with our Nurse Educator, your anticipated recovery will be discussed in detail.

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Our surgical procedures, anesthesia, medications, and aftercare are tailored to minimize post-operative discomfort and accelerate recuperation.

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