Lower Eyelid Surgery (Blepharoplasty)

Lower eyelid blepharoplasty at Infinity Clinic targets the under-eye area to reduce puffiness, fat herniation, and excess skin that create a tired or aged appearance. Performed by specialist surgeon MUDr. Markéta Debnarová under local anaesthesia, the procedure removes or repositions prolapsed orbital fat from the three lower-lid fat compartments and excises surplus skin where present. The result is a smoother, less puffy under-eye contour with a more refreshed periocular appearance. Surgery typically takes approximately 60 minutes and is performed on an outpatient basis — no overnight hospital stay required. At 17,000 Kč (approximately €680), the procedure offers access to specialist surgical expertise in a Central European setting at a fraction of Western European pricing.

Lower eyelid blepharoplasty (operace dolních víček) addresses the anatomical structures responsible for under-eye bags, puffiness, and skin laxity — issues that develop as the orbital septum weakens with age and allows fat pads to prolapse forward. MUDr. Markéta Debnarová, the operating surgeon at Infinity Clinic, has dedicated surgical experience in periocular procedures, ensuring a nuanced approach that respects lower eyelid margin position and avoids over-correction. **Surgical approaches:** Two main techniques are available depending on patient anatomy: 1. **Transcutaneous (external) approach:** An incision is made just below the lower lash line. This allows direct access to excess skin, orbicularis muscle, and fat compartments. Particularly appropriate when both skin excess and fat herniation are present. 2. **Transconjunctival approach:** The incision is hidden inside the lower lid (conjunctival surface), leaving no visible external scar. Suitable for younger patients with fat prolapse but minimal skin excess. The three lower-lid fat compartments (medial, central, lateral) are assessed individually — pockets are either excised to reduce volume or redistributed over the orbital rim to fill the tear trough, depending on the patient's infraorbital anatomy. **Recovering from lower blepharoplasty** is slightly longer than for the upper lids due to greater lymphatic drainage activity in the infraorbital area. Swelling and bruising typically peak at days 3–5 and resolve substantially by day 14. Cold compresses in the first 48 hours accelerate resolution. Sleeping elevated reduces morning swelling. Patients can generally return to desk work within 10 days; social activities around 14 days once bruising subsides. **Contraindications** include severe dry eye, lower lid laxity (which must be addressed simultaneously to avoid ectropion), active thyroid eye disease, and systemic anticoagulation. Patients are assessed pre-operatively for lid tone and tear film adequacy. Final results — including softening of the lower lid–cheek junction — are visible at 3–6 months as swelling fully resolves and the tissue remodels. The procedure is often combined with upper blepharoplasty for a comprehensive periocular rejuvenation.