Lower Blepharoplasty
What is Lower Blepharoplasty?
Lower blepharoplasty is a surgical procedure designed to correct under-eye fat protrusion, commonly known as under-eye bags, which can create a tired or aged appearance. While this condition is often age-related, some younger patients experience it due to genetic or familial factors. This procedure removes excess fat and, when necessary, is combined with procedures to tighten the skin and improve lower eyelid support, resulting in a smoother, more youthful look.
Dr. Maleki is the most sought-after surgeon for lower blepharoplasty in Canada, performing more of these procedures than any other cosmetic surgeon. His expertise ensures that patients achieve natural, long-lasting results while preserving the delicate balance of eyelid function and facial harmony.
Am I a good candidate for Lower Blepharoplasty?
Lower Blepharoplasty is ideal for those who:
✔︎ Have persistent under-eye bags or puffiness that do not improve with skincare or lifestyle changes.
✔︎ Experience skin laxity or fine wrinkles beneath the eyes.
✔︎ Feel that their eyes make them look older or more tired than they actually are.
✔︎ Struggle with makeup settling into creases or emphasizing puffiness in the lower eyelid area.
Dr. Maleki carefully evaluates each patient’s anatomy, skin quality, and aesthetic goals to determine whether lower blepharoplasty alone or in combination with other procedures—such as laser resurfacing or fat transfer—is the best approach for optimal, long-lasting results.
If you’re thinking of having Lower Blepharoplasty, here’s what you need to know
Dr. Maleki is Canada’s leading expert in lower eyelid surgery, utilizing advanced techniques to customize each procedure based on the patient’s unique anatomy and concerns.
Dr. Maleki performs the following 2 types of Lower Blepharoplasties:
➊ Transconjunctival (Scarless) Lower Blepharoplasty
- The incision is made inside the lower eyelid, leaving no visible scar.
- Best for removing excess fat without the need for skin removal.
➋ External Transcutaneous Lower Blepharoplasty (Skin Pinch Technique)
- Involves an incision just below the lower lash line.
- Used when excess skin needs to be tightened or removed.
Dr. Maleki often further refines Lower Blepharoplasty by combining it with fat transfer and CO₂ laser resurfacing to achieve a more comprehensive under-eye rejuvenation. He has coined the term “Trinity Eye Rejuvenation” to describe this approach, which integrates Lower Blepharoplasty + Fat Transfer + Skin Tightening. Fat transfer restores natural volume by carefully injecting a patient’s own purified fat into the under-eye area, creating a smoother, more youthful contour. Additionally, CO₂ laser resurfacing improves fine lines, crepey skin, and overall skin texture by stimulating collagen production and tightening the skin. This strategic combination of techniques enhances both structure and skin quality, ensuring seamless transition between the lower eyelids and the cheek/midface. In Dr. Maleki’s practice, the Trinity Eye Rejuvenation, is the gold standard for achieving long-lasting, and natural-looking results in the under eye area.
Lower blepharoplasty is a highly delicate and complex procedure that requires a precise balance of functional and aesthetic considerations. The lower eyelid has a thin, intricate structure that plays a crucial role in eye protection and tear drainage. If not performed correctly, complications such as eyelid retraction, rounding of the eye shape, and scleral show (excess white showing beneath the iris) can occur, leading to both cosmetic dissatisfaction and functional issues like eye irritation and dryness. This is why a highly skilled oculoplastic surgeon should be performing this surgery, as they have specialized training in both the form and function of the eyelids.
Results and recovery
✔ Recovery from lower blepharoplasty is generally smooth, with most patients experiencing mild to moderate swelling and bruising for the first 7–14 days.
✔ Cold compresses and head elevation help reduce swelling in the initial days. Discomfort is typically minimal and well managed with over-the-counter pain relievers.
✔ If external incisions are made (such as in the skin pinch technique), fine sutures are removed around 7 days post-surgery, while internal incisions (transconjunctival approach) heal without stitches.
✔ Patients can usually return to light activities within a week, but strenuous exercise should be avoided for 2-3 weeks to ensure proper healing.
✔ The final results continue to refine over several months, with under-eye contour improvements becoming more natural and defined over time.
✔ Dr. Maleki provides detailed post-operative care instructions to optimize healing and ensure the best possible outcome.
BEFORE/AFTER LOWER BLEPHAROPLASTY
Why Choose Dr. Maleki for Your Lower Eyelid Surgery?
Dr. Maleki is Canada’s most experienced and sought-after surgeon for lower blepharoplasty, performing more of these procedures than any other cosmetic surgeon in the country. His expertise in avoiding and correcting complications, along with his meticulous surgical approach, ensures that patients achieve natural, long-lasting, and structurally sound results.