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Lower Blepharoplasty Surgery

The under-eye area can be the first part of the face to give patients an aged or tired look. This can be the case even if you feel as alert and alive as ever! If you have concerns about under-eye bags or dark circles, lower eyelid surgery in Beverly Hills may be for you. Also called lower blepharoplasty, this procedure is quick, comfortable, and delivers impressive results. Contact us today to learn more and set up your consultation with Dr. Taban.

Under Eye Bag Surgery

Dark under-eye circles and “eyelid bags” are common complaints among our patients. They can make the face look tired and older even if you do not feel that way. Eyelid “bags” are caused by eyelid aging but can appear in many younger individuals due to genetics. “Dark circles” are caused by relative hollowness under the eyes, creating a shadow-like appearance.

The under-eye hollowness can be genetic or due to loss of upper cheek fat and fall of the cheeks. Another noticeable aging change is that the skin of the bottom eyelids loses elasticity and stretches. The result: ‘excess’ lower eyelid skin and wrinkles. But you can address these concerns easily with the right procedure. Lower eyelid surgery is quick but has results that last for years.

Actress Kristi McKamie Lower Blepharoplasty Testimonial -Dr. Mehryar Taban
Asian Lower Blepharoplasty -- Dr. Mehryar Taban

Who is a Candidate for Lower Blepharoplasty ?

  • If you have puffy fat pockets (bags) in the bottom eyelids that create a tired or aged appearance.
  • If you have wrinkled, saggy, loose lower eyelid skin.
  • Patients in overall good health
  • Non-smoking (to ensure better recovery)

Intended Results

  • Natural-looking, youthful, rested eyes
  • Refreshed appearance
  • Improved confidence in your appearance

Dr. Taban is a lower blepharoplasty specialist in Beverly Hills. He also performs corrective revision lower blepharoplasty in those patients who have had bad results or complications. This includes from prior eyelid surgery, such as post-blepharoplasty eyelid retraction, scleral show, rounding of eyes, poor eye closure (lagophthalmos) with dry eyes, etc. Please visit our website under Revision Eyelid Surgery for more details.

Lower Blepharoplasty Surgery & Eyelid Bags

There are various non-surgical and surgical cosmetic treatment options for lower eyelid concerns. Therefore, it is important for each person to have an individualized treatment plan. Dr. Taban works closely with each patient to find what is right for them. It might be one procedure or a combination to bring out your ideal results.

In lower eyelid bags surgery, fat in the lower eyelids can be removed or repositioned. Dr. Taban works through a scar-less incision hidden on the inner surface of the eyelid. The result creates a more smooth, natural, and rested appearance for the eyes. No scars, only a refreshed appearance!

Read Dr. Taban’s abstract about Lower Blepharoplasty with Previous HA Fillers.

Lower Blepharoplasty Surgery Before
Lower Blepharoplasty Surgery After

Read Dr. Taban’s manuscript Lower Blepharoplasty with Skin Pinch to learn more.

Lower Blepharoplasty with Skin Pinch Before

Dr. Taban’s Methods

Dr. Taban works as an expert cosmetic blepharoplasty surgeon. He uses a special technique to reposition or redistribute the fat under the eyes. This particular cosmetic eyelid procedure achieves two things at the same time:

  • Removes under eye fat pads
  • Fills in the hollow tear trough area (dark circles)

MOST IMPORTANTLY, this procedure avoids the hollow, sunken eye appearance if fat is merely removed. Our goal is to enhance your looks, not create more concerns! Feel free to ask any questions at any part of your process. We also have many before-and-after photos to demonstrate Dr. Taban’s work.

Benefits of a Hidden Incision

The hidden incision has additional advantages:

  • The scar is hidden
  • The incision is stitch-less with much quicker healing
  • Avoids potential damage to the muscle responsible for closing the eye and blinking)

This is especially important with patients with prominent eyes. Such eyes require additional techniques to avoid risk. With the right techniques, lower blepharoplasty can safely be done on any patient. This includes those with prominent bulging eyes or other unique aspects. Dr. Taban can fully go over your procedure plan to keep you informed.

Additional Treatment Options for Lower Eyelids

Additional eyelid bags treatment options are available to address wrinkled, loose skin on the lower eyelid. Laser resurfacing or a chemical peel can be performed at the same time as lower eyelid surgery to smooth and tighten the loose lower eyelid skin. Alternatively, an incision can be made below the eyelashes. We can then remove excess skin removed via the skin pinch technique. In this case, we still can keep any scarring almost invisible.

Lower eyelid surgery aims to create a NATURAL, smoother under-eye area for a rested appearance. But it must do so WITHOUT causing eyelid retraction or altering the eye shape. As such, we do not recommend transcutaneous lower eyelid surgery. This technique often results in a surgical, unnatural eye appearance. Patients could also develop dry eyes from poor eye closure and blinking.

Combining Treatments and Procedures

Lower eyelid surgery for eyelid bags can be combined with other cosmetic procedures, including:

Non-surgical Treatment of Under Eye Bags or Dark Circles

A non-surgical treatment for under-eye bags and dark circles requires filling in the hollowed area. Doing so can effectively hide the under-eye bags. But there is a limit to how much filler can or should be injected to give natural results without creating excessive swelling or puffiness from the filler.

In general, young patients don’t usually have under-eye fatty prominence. Instead, they have hollowness below the eyelids (tear trough deformity). As such, they are ideal candidates for injectable dermal fillers such as Restylane and Belotero instead of surgery. While temporary, these treatments can provide stunning results. They also allow for adapting your aesthetic without the commitment of surgery.

What to Expect During the Procedure

Cosmetic lower blepharoplasty is performed under local anesthesia with oral sedation in the office, similar to dental procedures. Alternatively, it can be done with local anesthesia with IV sedation. When done this way, we perform the surgery in an outpatient surgical center. General anesthesia is not necessary. And it is best avoided as it prolongs the recovery process.

With the patient relaxed, the eyelid is numbed. The patient can open and close their eyes during the procedure with comfort. In fact, this helps the surgeon achieve the best possible results. The incision is made inside the lower lids, avoiding any visible scarring. This works unless excess skin needs to be removed as well, in which case an incision just below the lashes is also made.

Alternatively, a chemical peel or laser resurfacing can tighten the skin. If there is significant “laxity” of the bottom eyelid, tightening procedures may also help. These treatments can help prevent drooping of lower eyelids after your procedure. Based on your situation, Dr. Taban can let you know if these may benefit you.
Recovery and Healing
The recovery process after cosmetic eye bags surgery is well tolerated. There can be bruising/swelling of the eyelids for about 1 week. The incision we use does not require any sutures. If an incision was made below the lashes for a skin pinch, we use absorbable sutures. The vision remains intact since no patch is necessary.

Eye makeup may be worn following incision healing. Normal activities, including contact lens wear, can be resumed about one week after the procedure with Dr. Taban’s approval. Dr. Taban will provide additional information to help ensure a speedy recovery. If you have any questions, call our office and we will gladly help.

Real Lower Blepharoplasty from Start to Finish

Planning for My Lower Eyelid Surgery | In the OR (Part 1 of 3)

Part 1

What Happened During My Lower Eyelid Surgery | In the OR (Part 2 of 3)

Part 2

Real Lower Blepharoplasty Recovery & Results | In the OR (Part 3 of 3)

Part 3

Photo showing healing 1 week after upper blepharoplasty and lower blepharoplasty in a beautiful woman.

Finding a Cosmetic Lower Blepharoplasty Surgeon

Natural results are key to any cosmetic procedure, especially for the eyes. In regards to lower eyelids, it is extremely crucial to achieve natural-looking results. But also, we need to avoid any complications of lower eyelid surgery. An ideal surgeon can avoid:

  • Pulling down of lower eyelid or eyelid retraction
  • Sclera showing
  • Inability to close the eyes
  • Scarring
  • And more

“Prevention is the best treatment,” therefore, avoiding these complications is critical. During your consultation, Dr. Taban can examine your medical history. Based on this, he can adapt the procedure to maintain safety. Our goal is to deliver stunning results with minimal risk. We are here to answer any questions or concerns you might have. By choosing the right surgeon, you receive better results and a safer process.

About the Surgeon

Dr. Taban, Oculoplastic surgeon, focuses on reconstructive and cosmetic eyelid plastic surgery. He has full expertise in both cosmetic eyelid surgery and revision eyelid surgery. With Dr. Taban’s years of experience, you are in good hands.

His achievements include:

  • Board-certified by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS)
  • Board-certified by the American Board of Ophthalmology (ABO/AAO)
  • Being a diplomat of the American Board of Cosmetic Surgery (ABCS)

Schedule Your Consultation Today

Schedule your consultation for lower blepharoplasty in Beverly Hills, Los Angeles, or Santa Barbara today! During your meeting with Dr. Taban, he will evaluate your eyes and face. He then will come up with a detailed surgical plan, customized to each individual patient. 

Each unique plan focuses on the patient’s individual anatomy, concerns, and desired goals. Dr. Taban will discuss any other complimentary cosmetic eyelid procedures that may help you achieve the best NATURAL looking, youthful results. We look forward to helping you achieve a rested and impressive new look. Call our office or use our online form to get your consultation scheduled.

Video: Talented guitarist from Las Vegas talks about her experience with lower blepharoplasty after unsuccessful under eye filler injection.
Video: Talented guitarist from Las Vegas talks about her experience with lower blepharoplasty after unsuccessful under eye filler injection.
Video: Young man, with genetic under eye fat bags, underwent scarless lower blepharoplasty. Note more youthful eye appearance in his after selfie photo. Note change from double roll to single roll under eyes.
young woman with puffy under eyes (fat bags) underwent transconjunctival lower blepharoplasty with partial fat removal and fat repositioning to fill the hollow area below it (dark circles). The procedure was done under local anesthesia with oral sedation.
Video: young woman with puffy under eyes (fat bags) underwent transconjunctival lower blepharoplasty with partial fat removal and fat repositioning to fill the hollow area below it (dark circles). The procedure was done under local anesthesia with oral sedation.
19 year old young woman, with genetic under eye fat bags with dark circles, underwent cosmetic scarless transconjunctival lower blepharoplasty with fat repositioning.
Video: 19 year old young woman, with genetic under eye fat bags with dark circles, underwent cosmetic scarless transconjunctival lower blepharoplasty with fat repositioning.
Young woman, complained of looking tired due to under eye puffiness and dark circles. She underwent scarless transconjunctival lower blepharoplasty with eye fat repositioning. Her preop, surgery, and 1 month postop are shown.
Young woman, complained of looking tired due to under eye puffiness and dark circles. She underwent scarless transconjunctival lower blepharoplasty with eye fat repositioning. Her preop, surgery, and 1 month postop are shown.
Video showing removal of hyaluronic acid gel filler clumps during transconjunctival lower blepharoplasty. Although usually possible to remove under eye filler using hyaluronidaze, sometimes filler clumps can remain.
Video showing removal of hyaluronic acid gel filler clumps during transconjunctival lower blepharoplasty. Although usually possible to remove under eye filler using hyaluronidaze, sometimes filler clumps can remain.
42 year old African American woman, underwent scarless lower blepharoplasty (transconjunctival technique with under eye fat bags repositioning) plus lacrimal gland repositioning.
42 year old African American woman, underwent scarless lower blepharoplasty (transconjunctival technique with under eye fat bags repositioning) plus lacrimal gland repositioning.
Young beautiful woman underwent scarless lower blepharoplasty (transconjunctival technique with fat repositioning) to improve genetic under eye fat bags.
Young beautiful woman underwent scarless lower blepharoplasty (transconjunctival technique with fat repositioning) to improve genetic under eye fat bags.
Famous athlete from Ninja Warrior TV show underwent scarless lower blepharoplasty to address genetic under eye fat bags. Here whole surgical video can be found on the website.
Famous athlete from Ninja Warrior TV show underwent scarless lower blepharoplasty to address genetic under eye fat bags. Here whole surgical video can be found on the website.
50+ year old ophthalmologist (Dr DeBry) with under eye fat bags, flew from Las Vegas to Los Angeles. He underwent lower blepharoplasty to improve under eye appearance. Note more youthful eye appearance.
50+ year old ophthalmologist (Dr DeBry) with under eye fat bags, flew from Las Vegas to Los Angeles. He underwent lower blepharoplasty to improve under eye appearance. Note more youthful eye appearance.
Beautiful woman with obvious under eye fat bags causing tired eyes, underwent scarless lower blepharoplasty (transconjunctival technique with eye fat bags repositioning).

Beautiful woman with obvious under eye fat bags causing tired eyes, underwent scarless lower blepharoplasty (transconjunctival technique with eye fat bags repositioning).

Before & After Eye Plastic Surgery Photos

*See disclaimer below
Before/After lower blepharoplasty of mix of patients with different ages, sex, and ethnicity, depicting the benefit of lower blepharoplasty irrespective of those factors.
Before/After lower blepharoplasty of mix of patients with different ages, sex, and ethnicity, depicting the benefit of lower blepharoplasty irrespective of those factors.
29-year-old female, with under eye bags (fat prolapse) and dark circles (tear trough deformity hollowness), underwent transconjunctival lower blepharoplasty (scar-less, no stitch incision inside lower eyelid) with fat repositioning to get of the bags and fill in the hollow under area at the same time. The procedure was done under local anesthesia with oral sedation in the office. You can find her story and surgical video on this page.

Before (left) and 2 months after (right) cosmetic upper blepharoplasty (to remove extra skin hanging on lashes) and lower blepharoplasty (transconjunctival approach with fat redraping).

Young African American male underwent scarless lower blepharoplasty to improve under eye fat bags.
Before (left) and 2 months after (right) transconjunctival lower blepharoplasty with fat repositioning
Before (left) and 2 months after (right) cosmetic transconjunctival lower blepharoplasty with fat repositioning (using hidden stitch-less incision inside the lower eyelid, the fat pocket were redistributed to fill the hollow tear trough area) plus conservative skin removal using skin pinch method.
Before (left) and 2 months after (right) transconjunctival lower blepharoplasty with fat removal using hidden inside eyelid incision that did not require stitches.
73 year old female, with eyelid aging, underwent droopy upper eyelid ptosis surgery, upper blepharoplasty, lower blepharoplasty (transconjunctival with fat repositioning and skin pinch) and lateral pretrichial brow lift, under conscious sedation. Before and 3 months after eyelid surgery photos are shown.
Before (left) and after (right) 27-year-old male actor who complained of looking tired on camera due to under eye bags and dark circles (hollowness). He underwent cosmetic lower blepharoplasty (transconjunctival with fat bags repositioning).
47 year old female, c/o under eye bags and saggy upper lids, looking tired. She underwent transconjunctival lower blepharoplasty with fat bags repositioning and skin pinch plus upper blepharoplasty, under local anesthesia with oral sedation in the office. Before and 6 weeks after cosmetic Quad-blepharoplasty photos are shown.
Before (left) and 3 months after (right) cosmetic quad-blepharoplasty, meaning bilateral upper blepharoplasty (with skin removed from upper eyelids) and bilateral lower blepharoplasty (transconjunctival incision with fat redraping).
Before (left) and 2 months after (right) cosmetic eyelid surgery including upper blepharoplasty (“eyelid lift” to remove excess skin and tighten muscle) along with lower blepharoplasty (transconjunctival with fat repositioning and skin pinch).
38 year old Asian female, with under eye fat bags and tear trough hollowness, underwent scarless transconjunctival lower blepharoplasty with repositioning of the eye fat bags to the surrounding hollow area, creating more smooth under eyes with natural results. Before and 1 month after lower blepharoplasty photos are shown.
Lower 60+ year old female, looking tired and older, underwent droopy upper eyelid ptosis surgery, upper blepharoplasty (eyelid lift), lower blepharoplasty, and lateral brow lift. Before and 2 months after cosmetic eyelid surgery photos are shown. Note more youthful natural results.
53 year old male, looking tired, underwent scarless transconjunctival lower blepharoplasty with eye fat repositioning to the hollow tear trough area (as depicted by dotted area). Before and 1 month after eyelid surgery photos are shown.
44 year old female, looking tired due to under-eye fat bags and dark circles, underwent transconjunctival lower blepharoplasty with eye fat bags repositioning plus skin pinch. Before and 6 weeks postop photos are shown.
Before (left) and 2 months after (right) cosmetic eyelid surgery including upper blepharoplasty, lower blepharoplasty, and lateral brow lift.
Our own office surgical coordinator (Tasha) underwent, complained of looking tired due to under eye fat bags and dark circles, needing to apply a lot of cover up makeup. She underwent transconjunctival lower blepharoplasty with fat repositioning and skin pinch. Before and 2 months after eyelid surgery photos are shown.
37 year old female, with history of unsuccessful under eye filler (to camouflage under eye fat bags) underwent initial hyaluronidaze to dissolve the filler followed later by transconjunctival lower blepharoplasty with fat bags repositioning and skin pinch. Before and 3 months after eyelid surgery photos are shown.
Young man, with genetic under eye fat bags, underwent scarless lower blepharoplasty. Note more youthful eye appearance in his after selfie photo. Note change from double roll to single roll under eyes.
32 year old female, with previous indequate under eye filler injection to tear trough area, underwent first hyaluronidase to remove the filler and then lower blepharoplasty (transconjunctival with fat repositioning with skin pinch). Note youthful natural results with much more improved under eye appearance.
40 year old Asian woman underwent scarless lower blepharoplasty (transconjunctival technique with eye fat repositioning) to correct under eye fat bags and dark circles. Her complete surgery video can be viewed on our lower blepharoplasty page.
40 year old Asian woman underwent scarless lower blepharoplasty (transconjunctival technique with eye fat repositioning) to correct under eye fat bags and dark circles. Her complete surgery video can be viewed on our lower blepharoplasty page.
42 year old African American woman, underwent scarless lower blepharoplasty (transconjunctival technique with under eye fat bags repositioning) plus lacrimal gland repositioning. Before and 2 months after eyelid surgery photos are shown. Note more youthful eye appearance with natural results.
42 year old African American woman, underwent scarless lower blepharoplasty (transconjunctival technique with under eye fat bags repositioning) plus lacrimal gland repositioning. Before and 2 months after eyelid surgery photos are shown. Note more youthful eye appearance with natural results.
66 year old female, underwent scarless lower blepharoplasty (transconjunctival technique with fat repositioning) to improve under eye fat bags. Note more rested, youthful, natural eye appearance after cosmetic eyelid surgery.
66 year old female, underwent scarless lower blepharoplasty (transconjunctival technique with fat repositioning) to improve under eye fat bags. Note more rested, youthful, natural eye appearance after cosmetic eyelid surgery.
Beautiful young Asian woman, appearing tired due to under eye bags and dark circles, underwent scarless transconjunctival lower blepharoplasty with eye fat repositioning. Note more youthful eye appearance.
50 year old woman, with history of under eye filler, underwent lower blepharoplasty (after dissolving the filler with hyaluronidase). Note long-term results with natural youthful eye appearance.
Beautiful young lady underwent scarless lower blepharoplasty. Note the change from double lower eyelid roll (due to under eye fat bags) to single lower eyelid roll with overall more rested eye appearance.
70 year old gentleman, with tired older eye appearance, underwent male upper blepharoplasty, lower blepharoplasty, and asymmetric droopy upper eyelid ptosis surgery. Note more youthful eyes with natural appearance.
Famous athlete from Ninja Warrior TV show underwent scarless lower blepharoplasty to address genetic under eye fat bags. Here whole surgical video can be found on the website.

Contact the Los Angeles Oculoplastic Specialists!

Dr. Taban is one of the leading oculoplastic surgeons in the Los Angeles region. Please use our online contact form to schedule an appointment for your next eyelid or eye treatment.

Next, read about Sunken Eye Treatment.

*Disclaimer: Results vary from patient to patient. Results are not guaranteed.

Five star service! Why you ask? Dr. Taban is an oculoplastic surgeon (eye plastic surgeon). He saw my mom and performed surgery to remove the bags under her eyes. ... You really get a feel for their compassionate care. ... Thank you so much for taking care of my mom. With her new confidence, she's even more beautiful!

Kristine D.

Kristine D. Location Reviewed November 2, 2016

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