Lower Eyelid Surgery

As with the upper eyelids, many men and women find that their lower eyelids become puffy or droopy over time. Some develop bags under the eyes, while others find their lower eyelids becoming wrinkly or darker in color. Lower eyelids with these characteristics often give a tired or worn appearance to the entire face.

Drs. Cohen and Swartz perform surgical and non-surgical procedures that correct all of these problems and restore the youthful appearance of your eyes. However, lower eyelid surgery (also known as lower blepharoplasty) is specifically designed to address puffiness, drooping and, in many cases, bags in the lower eyelids (bags may be treated with surgical or non-surgical techniques; learn more from our "Removing Eye Bags With and Without Surgery" blog post). Wrinkles and dark circles are typically treated by laser skin resurfacing, Swan Skin Care or other non-surgical treatments.

Dr. Marc Cohen and Dr. Nancy Swartz are both oculoplastic surgeons. An oculoplastic surgeon is a board-certified eye doctor who has done additional training in plastic surgery relating to the eyes and face. In over 20 years of practice, they have taught their eyelid surgery techniques to doctors around the globe and helped thousands of patients rejuvenate their appearance with lower eyelid surgery in Philadelphia, on the Main Line, and in South Jersey.

Dr. Cohen and Dr. Swartz are a team, and they work together on every surgery. Because of this, you will have two doctors at your surgery; Dr. Swartz will be your surgeon, and Dr. Cohen will assist. This unique team approach is something very special in our practice, and we feel it assures the best results.

What To Expect When You Have Lower Eyelid Surgery with Us

The first step to treating your lower eyelids and restoring a youthful and well-rested appearance is a consultation with Dr. Swartz. During your consultation, Dr. Swartz will take time to hear your concerns, evaluate your eyes and face, and create a treatment plan that is customized just for you. Drs. Cohen and Swartz know that you want to look like your best self, and with their experience and artistry, they will make sure that you get the best results.

Your surgery will take place at an accredited surgical center in Bala Cynwyd, PA or Voorhees, NJ (whichever is closest to you), and a board certified anesthesiologist will oversee “twilight sleep” anesthesia so that you are comfortable during the procedure.

For all eyelid surgeries, Dr. Cohen and Dr. Swartz use a CO2 laser to contour the eyelids. They feel that the laser offers the most precise results with the fastest recuperation for cosmetic eyelid surgery.

Most people resume normal activities one week after lower eyelid surgery. Full recovery usually takes four to six weeks and varies from person to person. Every patient’s body heals at a different rate, but carefully following your doctor’s instructions will always help you heal more quickly. Throughout the course of your recovery, the doctors and staff will work with you to make sure you are on track with your progress.

Lower Eyelid Surgery Before And After Photos

lower and upper eyelid surgery before and after

Lower eyelid surgery and upper eyelid surgery

This patient achieved a younger, more refreshed appearance with lower eyelid surgery that removed under-eye bags, and upper eyelid surgery to treat drooping eyelids.

lower and upper blepharoplasty before and after

Lower and upper eyelid surgery with lower eyelid dermal fillers

In this procedure, lower blepharoplasty and lower eyelid fillers removed under-eye bags, and upper eyelid surgery reduced upper eyelid fullness, achieving a more youthful, rested appearance for the patient.

Bilateral Blepharoplasty before and after

Bilateral Upper and Lower Blepharoplasty

In this procedure, this patient had an upper blepharoplasty for her hooded eyes and a lower blepharoplasty for her eye bags. The result is a more youthful and energized appearance for the patient.

lower eyelid surgery before and after

Bilateral Upper and Lower Blepharoplasty

This patient had an upper and lower blepharoplasty. This reduced her upper lid puffiness and improved under eye dark circles, achieving a more youthful, contoured appearance for the patient.

Frequently Asked Questions

How much does cosmetic lower eyelid surgery cost?

In our practice, eyelid surgery is a highly customized procedure. Dr. Cohen or Dr. Swartz will examine your eyes, evaluate your face and listen to your goals and concerns during your consultation. They will discuss various options with you, and you will have a clear answer about the price of different options by the time you leave the office.

Generally, a lower blepharoplasty costs $4,000. Combined upper and lower blepharoplasty usually costs $6,000. These prices include the doctor’s fee, the surgical center fee, and anesthesiologist fees. There are never any surprise or hidden costs.

What is the recovery time for lower eyelid surgery?

We consider the doctor-patient relationship to be like a team sport. It is important to work together for the best results. How carefully you follow your doctor’s instructions will directly affect how quickly you heal.

We ask our patients to take it easy and use cold compresses on their eyelids for the first four days after surgery. You need to wait a full week before resuming exercise and lifting heavy objects.

The type of surgery you have, your skin type, and the way that your body heals all affect healing times. We recommend that you plan your surgery at least six weeks before you have a big event.

To learn more about recovering from blepharoplasty, read our "Healing After Eyelid Surgery" blog post.