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Lower Eyelid Lift

Lower Blepharoplasty (Lower Eyelid Rejuvenation)

Lower blepharoplasty (also known as lower eyelid surgery or lower eyelift) is commonly performed for removal of eye bags and rejuvenation of the lower eyelids. Dr. Naficy has performed thousands of eyelid procedures and is experienced in all techniques of blepharoplasty, including a method of lower eyelid surgery that does not use external incisions (transconjunctival blepharoplasty) as well as laser procedures for rejuvenation of lower eyelid skin.  Dr. Naficy's practice has been 100% devoted to facial plastic surgery for the past 20 years. This is why Seattle doctors and patients have voted Dr. Naficy one of the top plastic surgeons for the face. Patients from the entire globe seek Dr. Naficy's expertise and he has many patients flying in for surgery both nationally and internationally.


Before & After Lower blepharoplasty (lower eyelid lift) and fat grafting by Sam Naficy, MD.  * Individual results may vary.

How do the lower eyelids age?

With age, the lower eyelids can also appear baggy, giving a tired, sometimes sad look to the face. Loss of fat in the the areas adjacent to the lower eyelids can result in dark shadows or dark circles, sometimes called a tear trough deformity.  Finally, because the skin of the lower eyelids is very thin, it is quite prone to developing many fine wrinkles.  At Naficy Plastic Surgery & Rejuvenation Center we have a comprehensive approach to eyelid rejuvenation and utilize both surgical and non-surgical treatments.  

What can blepharoplasty achieve?

After cosmetic eyelid surgery, the eyes appear more rested and vibrant. The results can be so natural that friends and co-workers will often comment on how great you look, but may not realize that surgery was performed. The incisions lie in natural creases of the eyelid and usually heal extremely fast. Like all cosmetic surgery procedures, a great result is both in what you see and what you don't see. Dr. Naficy uses state of the art laser technology that produces remarkable results with rapid healing and minimal down-time.


Before & After Lower blepharoplasty (lower eyelid lift) with laser resurfacing, fat grafting, and upper blepharoplasty by Sam Naficy, MD.  * Individual results may vary.

What creates lower eyelid bags?

Lower eyelid bags are the result of two different age related changes.  The first change is that with age the fat pads that are normally present under the eye tend to bulge out. The second change is that the upper cheeks (called the malar area) tend to lose fat with age.  Reduction of this upper cheek fat (this is good fat that we all want to keep) is actually a big reason why lower eyelid bags appear more prominent.  So in essence, we have a bulge where we don't need one, and we have a recess where we should have more fullness.  This is why the best treatment for lower eyelid bags is a combination of removal of the bulging lower eyelid fat and addition of fat to the upper cheeks where fat has been lost.


Before & After Lower blepharoplasty (lower eyelid lift) with fat grafting, and ptosis repair by Sam Naficy, MD.  * Individual results may vary.


Eyelid Lift Photo Gallery

You may wish to browse through the gallery of representative before and after eye lift pictures. Click on any of the thumbnails to enter the slide show. All procedures were performed by Dr. Sam Naficy and some patients may have had more than one surgical procedure performed. The text accompanying the photos describes the details of the procedures performed.


* Individual results may vary.

What other procedures can be combined with blepharoplasty?

A number of other cosmetic procedures may be safely performed at the same time as lower blepharoplasty. These include laser resurfacingfat grafting, upper eyelid liftbrow and forehead lift, and face and neck lift.


Before & After Lower blepharoplasty (lower eyelid lift), fat grafting, and face and neck lift by Sam Naficy, MD.  * Individual results may vary.

What type of anesthesia is used?

We use IV sedation anesthesia, which is a very safe and effective method of anesthesia for eyelid surgery. IV sedation anesthesia is extremely safe compared to the standard general anesthesia techniques used today. The main advantages of IV sedation anesthesia are: (i) it does not require putting a breathing tube in the throat, (ii) it does not require a breathing machine, (iii) the recovery is much faster, (iv) there is much less "hang-over" from anesthesia, (v) and there is much less nausea. All these elements translate into greater comfort and safety. Dr. Naficy has used this technique of anesthesia in several thousand plastic surgery procedures without any anesthetic complications.

During IV sedation anesthesia a small flexible IV (intravenous) needle is placed into one of the veins of the back of the hand. Through this IV line, relaxing medication is given to make you fall sleep. The amount of medication given is adjusted to the specific needs of each person. After you are sleeping, some numbing medicine is also placed in the skin to numb the area that is being operated on. The beauty of IV sedation anesthesia is that during the procedure you are unaware of anything going on and cannot hear anything, yet you are still breathing on your own.

When the procedure is finished, the relaxing medication is discontinued and you begin to wake up. Because the medications used in IV sedation anesthesia clear the system rather quickly, most of our patients are able to go home in less than 30 minutes after the procedure is completed.

Anesthesia guidelines [21kb PDF]

What is the recovery like?

There is minimal eye discomfort after the procedure, similar to having an irritated eye from allergies. Some swelling and discoloration may develop around the eyes for a few days. When laser resurfacing is performed at the same time as lower blepharoplasty, the recovery may be longer. With make-up, most of our patients can return to work or social activities in one week.

Post-operative care instructions [12kb PDF]

I am interested! What do I do next?

If you are considering this procedure we encourage you to complete this Surgical Consultation Intake Form. Dr. Naficy will tell you whether you are a suitable candidate for this procedure and inform you of the potential risks of the procedure. There is a great variety in eyelid shapes and features and each procedure must be custom tailored for the patient to get the best possible result. You will also have a chance to view before and after photo albums of his patients who have undergone procedures similar to what you are considering.

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