A patient undergoing upper and lower eyelid blepharoplasty surgery by Dr. Paul Denton at Refine Cosmetic Surgery located in Vancouver, BC

Lower Eyelid Blepharoplasty

Lower Eyelid Blepharoplasty in Vancouver, BC

Lower eyelid blepharoplasty is designed to improve under-eye bags, puffiness and hollowing for a smoother, more refreshed appearance. Dr. Paul Denton often repositions existing fat to preserve volume and create a more natural transition between the lower eyelid and cheek.

The First Step
Procedure at a Glance
The Recovery

01. The First Step

Your lower eyelid blepharoplasty journey begins with a consultation with Dr. Paul Denton, where he will assess under-eye fat pads, skin laxity, hollowing, lower eyelid support and the transition between the eyelids and cheeks. Depending on your anatomy, he may recommend a transconjunctival approach, where the incision is made inside the lower eyelid with no visible external scar, or a transcutaneous approach, where a discreet incision is placed just beneath the lower lash line to allow excess skin and deeper tissues to be addressed.

02. Procedure at a Glance

Rather than simply removing lower eyelid fat, Dr. Denton often repositions or transposes the patient's existing fat into areas of hollowing beneath the eyes. This helps preserve natural volume and creates a more cohesive transition between the under-eye area and the upper cheek, reducing the risk of an overly hollow appearance as the face continues to age.

Depending on your anatomy, the procedure may be performed through an internal transconjunctival incision or an external transcutaneous incision beneath the lashes. Lower eyelid blepharoplasty can be performed under oral sedation or general anesthesia depending on your comfort level and surgical plan. If external sutures are used, they are typically removed approximately one week after surgery.

03. The Recovery

Swelling and bruising are typically most noticeable during the first several days following lower eyelid blepharoplasty and begin to improve throughout the first one to two weeks. Temporary tightness, dryness, sensitivity or mild changes in sensation around the lower eyelids can occur during the early healing period.

If sutures or tapes are present, they are generally removed at approximately one week, and many patients begin feeling comfortable returning to work and social activities within about 10 to 14 days. Residual swelling can persist for several weeks, particularly beneath the eyes and through the upper cheeks. The under-eye contour continues to soften and refine over the following weeks and months as swelling resolves and repositioned tissues settle. Final results are best appreciated once healing is complete and the lower eyelid-to-cheek transition has fully matured.

Concerns

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Treatment Time

Downtime

How It Works

Consultation & Planning

― frequently Asked Questions

Discover More About

Lower Eyelid Blepharoplasty

Find clear, professional answers to common questions about our procedures and services.

How do I know if I need lower blepharoplasty or under-eye filler?

What is the difference between transconjunctival and transcutaneous lower blepharoplasty?

When will I look presentable after lower eyelid surgery?

How long do lower blepharoplasty results last?

Will lower blepharoplasty get rid of all my under-eye wrinkles?

Will my under-eyes look hollow after lower eyelid surgery?

Am I too young for lower eyelid blepharoplasty?

Commonly Combined With

Lower Eyelid Blepharoplasty

Upper Eyelid Blepharoplasty

Upper eyelid blepharoplasty removes excess eyelid skin to create a more refreshed, defined and natural-looking appearance.

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Fat Grafting

Fat grafting, also known as fat transfer, offers a natural, long-lasting solution to restore youthful fullness using your own body’s fat.

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Fractional CO₂

Target fine lines, wrinkles, scarring, and sun damage by stimulating deep collagen renewal for smoother, firmer, more youthful-looking skin.

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― contact us
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  • Clinic Address
    1366 W Pender St
    Vancouver, BC
  • Office Hours
    Mon–Fri
    9AM–5PM
  • Phone Number
    +1 604 681 6399
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