Lower Eyelid Surgery (Dolní blefaroplastika)

Lower eyelid blepharoplasty targets under-eye bags, excess skin folds, and the sunken appearance caused by herniated orbital fat. The procedure is performed at Plastická chirurgie A-Z Olomouc by specialist microsurgeons using surgical loupes for fine-detail work. Depending on the anatomy, the surgeon approaches through a skin incision just below the lower lash line or, for fat-only cases, through a hidden incision on the inside of the lid (transconjunctival route). Both approaches leave minimal visible scarring. Lower blepharoplasty is commonly combined with upper eyelid surgery or laser skin resurfacing to achieve comprehensive periorbital rejuvenation.

Lower eyelid blepharoplasty at Plastická chirurgie A-Z corrects the trio of changes that create a tired appearance around the lower eye: skin laxity producing wrinkled folds, fat prolapse forming puffy 'bags', and the dark shadow formed by the groove between the bag and the cheek. The surgeon selects the approach based on individual anatomy. When skin removal is required, the incision runs just beneath the lower lash line, hidden in the natural crease; where only fat repositioning or removal is needed, a transconjunctival incision placed on the inner lining of the lid leaves no external scar at all. Both lead surgeons at the clinic work with surgical loupes throughout, a precision tool more commonly associated with microsurgical hand surgery than eyelid work. This habit — ingrained from their microsurgical training — allows suture placement with a degree of accuracy that produces finer, less conspicuous scars than standard loupe-free technique. Procedure time is typically 60–120 minutes. Most patients choose local anaesthesia with optional sedation; general anaesthesia is available for those who prefer it, billed separately. Bruising and swelling peak in the first 48 hours and resolve substantially within ten days; final result is visible at around six weeks. Lower blepharoplasty is best suited to adults who have developed under-eye bags that look persistent regardless of sleep quality, or who have noticed visible skin folds and wrinkling of the lower lid. It is often performed alongside upper eyelid surgery as a full periorbital package, or combined with facial resurfacing laser to address periorbital skin texture simultaneously. Post-operative instructions include sleeping with the head slightly elevated for the first week, applying cold compresses, avoiding rubbing the eyes, and limiting screen time. Sutures (where placed externally) are removed at seven to ten days. Strenuous activity and contact-lens wear should be avoided for two to three weeks.