As we age, the fat pads beneath the eyes can shift forward and bulge, creating bags, while the underlying tear-trough hollow often deepens at the same time. The skin loses elasticity, and fine wrinkles develop. The combined effect is a tired, drawn appearance that makes patients look chronically exhausted, even when they are well rested.
Lower blepharoplasty addresses these issues by repositioning or conservatively removing excess fat, smoothing the lid-cheek transition, and tightening loose skin or muscle as needed. Modern techniques emphasize fat repositioning over removal, which preserves volume and helps avoid the hollow look that older procedures sometimes produced.
Good candidates are healthy adults with under-eye bags, hollows, dark circles caused by tissue contour rather than pigment, or loose lower-lid skin. Some younger patients are bothered primarily by inherited fat-pad bulging and benefit from a transconjunctival approach that leaves no external scar. Older patients with skin laxity may benefit from a more comprehensive approach. Patients with significant tear-trough hollows are often candidates for fat repositioning or fat grafting at the same time.
Patients in Bend, Redmond, Sisters, Sunriver, and across Central Oregon often tell Dr. Carboy that they look tired no matter how much they sleep. The active outdoor lifestyle of the Pacific Northwest can amplify the appearance of under-eye bags through sun exposure and skin thinning. Many patients also pursue lower blepharoplasty after years of trying concealers, eye creams, and filler treatments that did not produce the smooth, natural result they wanted.
Lower blepharoplasty is typically performed under local anesthesia with light sedation or under general anesthesia, depending on what other procedures are combined. Incisions are carefully placed either inside the lower eyelid (transconjunctival, with no external scar) or just below the lash line, where they heal as nearly invisible fine lines. Most patients experience bruising and swelling for one to two weeks. Most return to work in seven to fourteen days and to full activity by three to four weeks. Final results continue to refine over several months.
Dr. Carboy can help guide you to the right choice during your consultation.
Lower blepharoplasty is typically performed under local anesthesia with light sedation or under general anesthesia, depending on what other procedures are combined.
Most patients experience bruising and swelling for one to two weeks.
Final results continue to refine over several months.
The average procedure time varies based on your personalized treatment plan and the complexity of the procedure performed
Most patients are able to return to light daily activities within a short recovery period while healing continues gradually over time
Your follow-up appointments are designed to monitor healing, support, recovery, and ensure your results continue progressing naturally.
The location of your procedure is determined vary based on your personalized needs and the complexity of the procedure performed
We understand that choosing a procedure is a deeply personal decision. Here are answers to some of the most common questions about treatment, recovery, results, and the overall Alpenaura experience.
It depends on the cause. Dark circles caused by hollows and shadows typically improve significantly with surgery. Pigmented dark circles caused by skin coloration are better treated with skincare, lasers, or other modalities.
Most patients feel comfortable returning to work and social activities within ten to fourteen days, once the splint is removed and the bulk of bruising has resolved. Strenuous exercise is usually restricted for three to four weeks. Subtle swelling, particularly in the tip, can take up to a year or longer to fully resolve.
Most patients feel comfortable returning to work and social activities within ten to fourteen days, once the splint is removed and the bulk of bruising has resolved. Strenuous exercise is usually restricted for three to four weeks. Subtle swelling, particularly in the tip, can take up to a year or longer to fully resolve.
Most patients feel comfortable returning to work and social activities within ten to fourteen days, once the splint is removed and the bulk of bruising has resolved. Strenuous exercise is usually restricted for three to four weeks. Subtle swelling, particularly in the tip, can take up to a year or longer to fully resolve.
Most patients feel comfortable returning to work and social activities within ten to fourteen days, once the splint is removed and the bulk of bruising has resolved. Strenuous exercise is usually restricted for three to four weeks. Subtle swelling, particularly in the tip, can take up to a year or longer to fully resolve.
Most patients feel comfortable returning to work and social activities within ten to fourteen days, once the splint is removed and the bulk of bruising has resolved. Strenuous exercise is usually restricted for three to four weeks. Subtle swelling, particularly in the tip, can take up to a year or longer to fully resolve.
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