Lower Eyelid Surgery (Lower Blepharoplasty)

Surgery to correct under-eye bags caused by herniated fat pads and to smooth loose lower-eyelid skin that can give a tired, aged look. At the Aleksandra clinic Dr Sidorowicz tailors the approach to the patient, repositioning or removing the fat that creates puffiness and tightening lax skin where needed, working through discreet incisions. The fee covers aftercare dressings and follow-up visits.

Lower blepharoplasty targets the puffiness, shadowing and crêpey skin of the lower eyelids that develop as the fat pads beneath the eye bulge forward and the overlying skin loses tone. Depending on the individual, the surgeon either repositions or removes the herniated fat to flatten the bags and, when there is excess skin, trims and tightens it. The incision may be placed just below the lash line or, when only fat needs addressing, on the inner surface of the lid so there is no visible external scar. At the Aleksandra clinic the procedure typically takes a little over an hour and can be performed under local anaesthesia or with intravenous sedation. Bruising and swelling around the lower lids are expected for one to two weeks and occasionally longer, and patients are advised to rest with the head elevated and use cool compresses; sutures, where used externally, are removed after several days. The result is a smoother, less tired-looking lower eye area, and the effect is generally long-lasting. The treatment suits adults troubled by persistent under-eye bags or loose lower-lid skin that does not respond to non-surgical measures. Because the lower lid is delicate, careful assessment of skin tone, lid support and general eye health is important, and Dr Sidorowicz discusses suitability, the chosen technique and realistic outcomes before proceeding.