Lower Eyelid Surgery

Lower blepharoplasty

Located near Los Angeles and Beverly Hills

Lower blepharoplasty restores a youthful contour to the lower eyelid region. When the fat pads beneath the eyes begin to bulge forward, under-eye bags develop. This makes the under-eye region appear puffy or swollen and creates a tired-looking appearance. Laxity of the lower eyelid skin and surrounding muscle may also occur producing bags and wrinkles over time. Lower eyelid surgery can greatly improve the look of the under-eye area by removing these bags and wrinkles.

Lower Eyelid Surgery

Lower blepharoplasty

Conveniently located to serve Los Angeles and Beverly Hills
Lower blepharoplasty restores a youthful contour to the lower eyelid region. When the fat pads beneath the eyes begin to bulge forward, under-eye bags develop. This makes the under-eye region appear puffy or swollen and creates a tired-looking appearance. Laxity of the lower eyelid skin and surrounding muscle may also occur producing bags and wrinkles over time. Lower eyelid surgery can greatly improve the look of the under-eye area by removing these bags and wrinkles.

Candidates for Lower Eyelid Surgery

Candidates for lower blepharoplasty are those who have bags caused by eyelid fat pads and/or excess lower eyelid skin, puffiness, or wrinkles around the lower eyelids. They must be in good health with realistic expectations. Patients with dark circles around the eyes or have a tired appearance often benefit from this procedure. Some may call this as an “eye bag surgery.”

It’s crucial to have a consultation with a qualified plastic surgeon to assess candidacy and address specific concerns, ensuring personalized and optimal results for a refreshed and rejuvenated eye appearance.

Your Consultation

To determine your eligibility for upper eyelid surgery, Dr. Foulad will perform a physical examination during your consultation. Skin laxity and amount of excess tissue will be assessed to ensure you are a good candidate for upper blepharoplasty.

Dr. Foulad will also review your medical history to evaluate your risk factors. Finally, he will develop your personalized surgical plan. Dr. Foulad will be happy to answer any questions you may have regarding the procedure.

How Lower Eyelid Surgery is Performed

Treatment of lower eyelid fat bags
Dr. Foulad uses a transconjunctival approach to treat the fat bags of the lower eyelid. This approach involves making an incision from inside the eyelid. Dr. Foulad prefers this approach because it hides the incision and avoids cutting the lower eyelid muscle. The fat can then be reduced or repositioned. Dr. Foulad typically prefers to reposition the fat over the cheek. 

Treatment of lower eyelid skin excess
An incision is made under the lower eyelid lash line and the excess skin is excised. If there is only minimal excess skin, a laser procedure might be able to be performed instead.


How to Prepare for Lower Eyelid Surgery

It is important to avoid Botox (or other neuromodulator treatments) at the region near the eyelids for at least several months prior to undergoing eyelid surgery. It is also important to notify Dr. Foulad if you have had any filler treatment around the eye. If so, the filler may need to be dissolved before undergoing surgery.

In preparation for undergoing lower eyelid surgery, we need to ensure that you are healthy and optimized for the procedure. Certain medications and supplements (such as those that increase the risk of bleeding) might have to be stopped a specific time period prior to the procedure. You will be provided more comprehensive pre-operative instructions specific to your individual case.

We are conveniently located to serve Beverly Hills, West Hollywood, & Los Angeles. However, we are available to help with coordinating your stay if you are an Out-of-Town Patient.

What to Expect After Lower Eyelid Surgery

It is recommended to keep your head elevated during sleep for at least 1 week after your procedure to help reduce swelling. If there are any visible sutures, these are usually be removed around 5 to 7 days after your procedure.
Bruising and swelling usually peaks at around 3 to 4 days after the procedure. Any bruising and obvious swelling typically resolves within 1-3 weeks after the procedure, but healing times can vary from patient to patient. It will take at least several months for the majority of healing to occur and swelling to resolve.

Cost of Lower Eyelid Blepharoplasty

The cost of lower eyelid blepharoplasty varies based on factors like surgeon expertise, geographic location, and specific patient needs. Similarly, upper eyelid blepharoplasty costs can be influenced by these variables.

During a consultation, the surgeon can provide a personalized estimate, considering the extent of the procedure and any additional factors affecting the overall cost.

FAQ Section

1. How long do the results last?

Results are long-lasting, but aging and lifestyle factors can impact the duration. Proper skincare and sun protection contribute to maintaining results.

2. Can lower eyelid blepharoplasty be combined with other procedures?

Yes, it can be combined with other facial rejuvenation procedures for comprehensive results, such as a facelift or brow lift.

3. Will there be visible scars?

Surgeons aim for inconspicuous incisions, often within the natural lower eyelid crease, minimizing visible scarring.

4. When can I resume normal activities?

Most patients can return to normal activities within a week, although strenuous exercise should be avoided for a few weeks to promote optimal healing. Take note of this if you want to maximize your lower eyelid blepharoplasty recovery.

5. Is the surgery painful?

Local anesthesia is used, ensuring minimal discomfort during the procedure. Postoperative pain is usually manageable with prescribed medications.

6. Can I wear makeup after the eye bag surgery?

Makeup should be avoided initially to allow for proper healing. The surgeon will provide guidance on when it is safe to resume using makeup.

7. How soon will I see the final results?

While initial improvements are noticeable within weeks, final results may take a few months as swelling subsides and tissues fully settle.

8. Can lower eyelid blepharoplasty correct sagging eyebrows?

While primarily focused on the lower eyelids, the procedure can be complemented with other surgeries, like a brow lift, to address sagging eyebrows.

Contact Us to Learn More

Ready to enhance your look with lower eyelid blepharoplasty? Take the first step toward that goal by booking a consultation with Dr. Foulad, who is highly specialized in performing surgeries on the face and neck. Contact us today to explore the possibilities and get the refreshed appearance you desire.


Before and after Lower Eyelid Surgery, on patient.

“A Picture Paints A Thousand Words”

Our Results Speak For Themselves.

LOWER Eyelid Surgery faq

Can I undergo filler treatment instead of lower blepharoplasty?

Filler injections at the under eye region may be a great treatment if hollowing is present. However, if there is significant bulging of lower eyelid fat, then surgical treatment would be most ideal.

Case samples

Lower Eyelid Blepharoplasty

Skin Excision & Fat Repositioning

View case Details ▼

The case presented in this section involves a lovely woman who had developed progressively worsening bags and wrinkles under her eyes. Dr. Foulad performed a lower blepharoplasty, which included repositioning the bulging fat from the lower eyelid to the cheek. In addition, a small amount of lower eyelid skin was excised in order to treat the wrinkles at that region. She now looks much more youthful, while maintaining a natural appearance. The incisions are imperceptible and she has a smooth contour at the under eyes.


Terry Moler
Terry Moler
Dr.Foulad and his staff are amazing. The results speak for themselves. Dr. Foulad is meticulous. The experience was beyond great. I had a neck lift, a mid face lift and an upper eye lift. Dr. Foulad was very attentive. Chelsea, the practice manager, took care of every detail. I felt at ease and very taken care of. I had prepared myself for a painful surgery and recovery period but it was not like that at all. There was no pain and very little discomfort. It felt more like a well needed vacation. I had all my surgery on a Friday and I saw Dr. Foulad and Chelsea through the weekend. By the following Saturday I was at an important social function and with a little make up, no one could tell I was a week out from surgery. Some people would call this vanity. I disagree. I don’t feel 63. Why should I have to look 63.(or older!) It’s the best thing I ever did for myself. I can't thank Dr. Foulad enough. If you are considering doing this, I beg you to pull the rip cord, take the plunge, whatever you want to call it, but do it! It’s worth it. You’re worth it!
carol cusson
carol cusson
There aren't enough stars for this review to tell you how pleased I am with Dr Foulad, Chelsea and the staff. It was so worth the miles traveled to have my facelift, neck and brow lift. Their attentiveness from the consult all the way through to the aftercare has been amazing. He continues to check in with me 2 months later. His attention to detail and his warm and caring personality made this such an enjoyable experience. I could not believe there was minimal pain and you cannot even see where the stitches were. I feel AND look like a new woman. Judge for yourself with my pictures! Highly recommend Dr Foulad and his staff
Kristy Franklin
Kristy Franklin
Dr. Foulad performed my facelift and neck lift a few months ago and my results are phenomenal! He is kind, talented, and did beautiful work on my face and neck. He is very honest and takes a lot into consideration when giving his recommendations. He takes so much time to answer your questions and explain everything to you. Everything about my experience was top notch. I have seen other doctors in my past and none of them followed up with me or spent the amount of time with me the way Dr. Foulad has. His staff was also incredibly pleasant and accommodating with me. I can’t recommend Dr. Foulad enough. He genuinely cares deeply about his patients and does excellent work!
Miriam Vernia
Miriam Vernia
Dr. Foulad loves what he does and it shows. He is professional, knowledgeable, skilled, and dedicated to his patients. His "bed manners" are without equal. He follows up on his patients for weeks after surgery, providing timely advice and encouragement. He is honest and upfront about what benefits surgery can provide and he refers to other surgeons procedures that he does not feel comfortable performing.
Victoria Lampley
Victoria Lampley
Dr Foulad is absolutely amazing! He is super patient, takes the time to thoroughly explain all your issues, thoughts, and goals and maps out all of your options without pushing anything whatsoever (if anything he does the opposite and explains everything in depth). He was completely attentive and super eloquent and smart when describing all of the ways he can help heal and preserve my skin and shared a wealth of knowledge. The practice manager Chelsea is patient, kind and super sweet and helpful. I'll definitely be telling my family and friends to become patients of Dr Foulad's practice. He is a perfectionist in the best way possible.
Kyrra White
Kyrra White
I went to Dr Foulad for Jowl liposuction. Dr Foulad is a very informed facial artist and a master of his craft. I appreciate how delicate he was with my face during the procedure. He paid close attention to every detail of my face, and his effort shows in my results! I highly recommend Dr Foulad for any facial procedure. It’s important to have someone who is invested in your vision as you are, and that is Dr Foulad.
Aiko Fujimoto
Aiko Fujimoto
Dr Foulad and his team are the definition of white glove service. They will take the time to explain everything in thorough detail and take all extra precautions to ensure your procedure is done as effectively and safely as possible. I'm incredibly happy with my results and will only be trusting my facial needs with Dr Foulad for all procedures going forward!
Sydney Skinner
Sydney Skinner
Wow, I am so impressed! From the minute I walked into his office I was warmly greeted by his staff and ushered off for my consult with Dr. Foulad. He was extremely through (I ask a lot of questions) and he was very patient and did not rush me. I followed up the next week for my procedure which I’m thrilled with the outcome and feel so much confident! I’m looking forward to a long relationship with his office and it’s nice because he offers the entire package of treatments, products and procedures to cover all the bases! So no more running around to different offices!
Katia Rodriguez
Katia Rodriguez
My experience at Dr. Foulad’s office has been nothing but great! From my very first consult, he made me feel comfortable and explained everything with detail. Him and his staff are so kind and were there to help guide me along the process. The results of my surgery were everything and more! I am so happy with the results and would recommend him to all my friends and family.
I am so happy with my results after going to Dr. Foulad. He is a complete perfectionist and explains everything to you before go through with any injections or procedures. He makes everything look natural and seamless. I am definitely recommending him to all of my friends and family.