Address under-eye bags, skin laxity, and tear trough transitions with a plan that respects eyelid support and a natural lower lid shape.
Lower blepharoplasty targets the lower eyelid complex: redundant skin, orbicularis changes, and fat herniation that contribute to bags and shadowing. Depending on anatomy, surgery may use a subciliary approach, a transconjunctival route, fat repositioning, or canthal support when indicated.
The priority is eyelid function and shape — avoiding retraction and preserving a smooth interface with the cheek.
Patients with under-eye bags, skin laxity, or a tired appearance attributable to lower lid anatomy may be candidates. Those with significant midface descent may benefit from combined or staged strategies discussed at consultation.
Medical factors affecting healing (smoking, autoimmune conditions) must be reviewed candidly to ensure safety.
More rested lower eyelid appearance when bags or laxity are the issue
Options tailored to fat, skin, and support needs
Attention to preserving natural lid position and function
Photography-based planning for symmetry
Assessment
Evaluation of lid tone, fat compartments, tear trough, and cheek interface.
Surgical approach selection
Choice of access and support manoeuvres matched to your findings.
Refinement & support
Fat handling, skin adjustment, and canthal support when required.
Aftercare
Head elevation, activity limits, and wound care with close follow-up.
Expect swelling and sometimes temporary dryness or tearing changes. Sleep elevated, use cold compresses as advised, and avoid heavy straining.
Sun protection and gentle skin care help incision lines mature. Report persistent redness of the eyes, worsening swelling, or vision symptoms immediately.
Next step
Arrange a confidential consultation to review options, alternatives, and a personalised plan with Dr. Manandhar.
