

Because of the delicate nature of the thin, fragile skin around the lower eyelid region, this area is often the first region of the body to display the visible signs of aging, or to become damaged as a result of environmental factors (i.e. smoking, pollution, sun damage). Lower eyelid surgery, or lower lid blepharoplasty, is designed to serve as a countermeasure to the detrimental effects of aging and the environment and can improve the aesthetics of the under-eye region by:
The procedure is performed from within the eyelid, which leaves no external scarring. Dr. V is a dual board-certified facial plastic surgeon providing this procedure to patients in Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and surrounding locations.

See stunning before and after transformations of real patients who have trusted Dr. V with lower lid blepharoplasty procedures. Compare photographs and get a better sense of lower eyelid surgery results.


Any surgery involving the eyes is an intricate procedure and should only be performed by a fully qualified and specially trained facial plastic surgeon, like Dr. V. It is important that the right pre- and post-procedure prep to the delicate skin in the lower eyelid area be supported, and that the shape of the eye should be maintained.
Lower eyelid surgery has two goals: to correct under-eye defects and to aesthetically restore and improve the lower eyelid region of your face. Every under-eye rejuvenation surgery performed by Dr. V is highly attuned to your existing features, with procedure steps, details, and appropriate expectations qualified from day one.
Consultations with Dr. V center patient education and empowerment. During your visit, Dr. V will give an overview of available lower eyelid surgery techniques while listening to your main goals and aesthetic concerns.
Under eye surgery consultations will then conduct a health assessment reviewing your eye anatomy, skin health, and elasticity, and reviewing prescription medications. Finally, you’ll receive your individualized recommendations and possible treatment options from Dr. V, including prep instructions leading up to the procedure.
Preparing for lower eyelid surgery involves a combination of skincare, lifestyle adjustments, and functional preparation to ensure proper healing. Patients should follow a gentle skincare routine with hydrating and antioxidant-rich products while avoiding harsh exfoliants or retinoids in the weeks leading up to lower eyelid surgery.
Lifestyle-wise, it’s essential to stop smoking, limit alcohol, and maintain a healthy diet rich in vitamins that support healing, such as vitamin C. Functionally, arranging for time off work, securing transportation on surgery day, and preparing cold compresses or eye drops in advance can help with a smooth recovery.
Dr. V deploys one of two primary techniques during lower blepharoplasty. Most procedures will approach the lower eyelid from the inside (transconjunctival), creating a tiny internal incision to sculpt fat pockets and reduce excess fat.
As the eyelid is not approached from the front or the side, the surgeon can gauge the effect of fat sculpting more precisely as the procedure progresses. Experienced surgeons like Dr. V can therefore assess the results throughout the lower eyelid surgery to ensure that the contour and shape of the eyes is created in a desirable manner.
Once the fat is removed, the surgeon may also tighten any loose skin if required. The procedure is usually performed using local anesthesia and typically lasts around two to three hours.
Follow-up appointments are scheduled in advance. These check-ins are used to monitor your healing and see results, plus give you a place to discuss concerns directly with Dr. V. She and the care team at the Virginia Institute for Surgical Arts track your progress and make any necessary adjustments to your lower lid blepharoplasty healing plan.
Lower eyelid surgery is an outpatient procedure with a recovery period duration of approximately one week. After your eyelid surgery, you will need to wear darkly tinted sunglasses and practice proper skin protection in order to ensure a successful healing process. Cold compresses, pain medication, and eye ointments can be utilized to reduce any post-surgical bruising, irritation, swelling, and dry eyes.
Individuals above the age of 18, who are in good general health, and bothered by the appearance of puffy under-eye bags may be good candidates for this procedure. The candidate should have a fair amount of skin elasticity intact in the lower eyelids for blepharoplasty.
Recovering from lower eyelid surgery requires a safe, comfortable healing process to ensure the best possible results. While initial swelling and bruising are normal, following Dr. V’s post-operative care guidelines will help minimize discomfort and support a smooth recovery. Healing plans are always tailored patient-by-patient at our offices serving Chantilly, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and surrounding locations.
By understanding the typical healing timeline, patients can set realistic expectations and feel confident throughout the process.
While under-eye surgery is generally safe, all cosmetic procedures come with potential risks. Dr. V is here to address any questions or concerns you may have, ensuring you feel confident and informed before your procedure.
By following post-operative care guidelines, you can help minimize these risks.
Transconjunctival lower eyelid surgery can rejuvenate the eyes with sustainable results. The procedure must be customized according to the unique situation of a patient in order to achieve optimal benefits. As compared to traditional lower blepharoplasty, the advantages of a transconjunctival incision are:
While under-eye surgery is generally safe, all cosmetic procedures come with potential risks. Dr. V is here to address any questions or concerns you may have, ensuring you feel confident and informed before your procedure.
By following post-operative care guidelines, you can help minimize these risks.
Transconjunctival lower eyelid surgery can rejuvenate the eyes with sustainable results. The procedure must be customized according to the unique situation of a patient in order to achieve optimal benefits. As compared to traditional lower blepharoplasty, the advantages of a transconjunctival incision are:
While under-eye surgery is generally safe, all cosmetic procedures come with potential risks. Dr. V is here to address any questions or concerns you may have, ensuring you feel confident and informed before your procedure.
By following post-operative care guidelines, you can help minimize these risks.
Transconjunctival lower eyelid surgery can rejuvenate the eyes with sustainable results. The procedure must be customized according to the unique situation of a patient in order to achieve optimal benefits. As compared to traditional lower blepharoplasty, the advantages of a transconjunctival incision are:
