Restore a refreshed, youthful look by addressing under-eye bags, puffiness, dark circles, wrinkles, and hollowing with lower blepharoplasty. As a dual-fellowship trained oculofacial plastic surgeon, Dr. David Isaacs combines his surgical precision with artistic finesse to rejuvenate the lower eyelids. If you’re bothered by signs of aging around your eyes, this specialized procedure can help you look more rested and vibrant.
Restore Youthfulness to Tired Lower Eyelids
Patients seeking lower eyelid surgery often mention concerns such as wrinkles, lower eyelid bags, and dark circles. Many feel that “extra fat” in this area contributes to an older, more tired appearance. The aging face is a result of changes not only in the skin but also in the deeper tissues, including the fat compartments. Fat changes over the years, leading to a change in facial volume. This shift can create a contrast between the under-eye “bags” and the hollow areas below them, which further accentuates the aged look.
Lower blepharoplasty is a procedure that corrects these age-related changes. Rather than simply removing excess tissue as done in traditional methods, Dr. Isaacs uses preservation techniques. He performs most procedures through the transconjunctival approach, accessing the fat from inside the eyelid, which leaves no visible scar and reduces trauma to surrounding structures. This allows him to reposition fat to fill hollow areas, achieving a smoother, more youthful contour without compromising eyelid function.
Lower Blepharoplasty Treats:
- Puffiness or bags under the eyes
- Dark circles caused by shadowing or hollowing
- Wrinkled or crepey lower eyelid skin
- Sagging or laxity of the lower eyelid
- Bulging fat pads that create a tired look
- Loss of smooth transition between the lower lid and cheek
Dr. Isaacs’ Approach to a Lower Blepharoplasty
If you’re considering lower eyelid surgery, it’s important to choose a surgeon who prioritizes both function and aesthetics. Blepharoplasty was once a reductive procedure, focused mainly on removing large amounts of skin, fat, and muscle. However, Dr. Isaacs uses a modern method that emphasizes preservation and repositioning over removal. This enables him to achieve natural, refined results without overcorrecting or leaving the eyes looking hollow or pulled.
Rather than using the more invasive transcutaneous method, where an external incision is made through the skin, Dr. Isaacs performs lower blepharoplasties through the transconjunctival approach. This means the incision is hidden inside your lower eyelid, leaving no visible scar and minimizing trauma to surrounding muscles. His technique preserves critical structures, reduces recovery time, and enables fat to be repositioned instead of removed, helping you look more rested without appearing as though you’ve had surgery.
Advantages of Transconjunctival Blepharoplasty:
- Leaves no visible external scar
- Typically does not require sutures
- Preserves the eyelid’s natural shape and function
- Reduces trauma to the orbicularis oculi muscle
- Lowers the risk of lower eyelid malposition or retraction
- Allows for precise fat repositioning instead of removal
- Provides a smoother transition from eyelid to cheek
- Leads to a shorter and more comfortable recovery
- Produces natural-looking, long-lasting results
Your Lower Blepharoplasty Surgery
Dr. Isaacs typically performs your lower blepharoplasty using the transconjunctival approach, which means the incision is made on the inside of your lower eyelid. Through this access point, he carefully exposes the fat pads contributing to puffiness and bulging. Instead of removing this fat, he artistically repositions it to fill in hollow areas, restoring a more youthful contour to the under-eye region. This avoids external scarring and minimizes trauma to the eyelid muscles.
Throughout the procedure, Dr. Isaacs uses his detailed anatomical knowledge and surgical finesse to preserve important tissues and reduce the risk of complications, such as eyelid retraction. In many cases, your skin remains untouched, allowing it to naturally re-drape over the corrected anatomy. The surgery is typically performed under twilight sedation or local anesthesia.
Lower Blepharoplasty FAQs
Will There Be Visible Scars After Surgery?
No. Dr. Isaacs performs most lower blepharoplasty procedures using the transconjunctival technique, which places the incision inside your eyelid. This leaves no visible external scar and greatly reduces the risk of complications like eyelid retraction or malposition.
What Is Recovery Like After Lower Blepharoplasty?
You can expect some bruising, swelling, and mild discomfort for a few days. Most patients feel comfortable returning to social activities within 7 to 10 days. Because the approach avoids external incisions and sutures, healing is typically faster and more comfortable.
Will the Results Look Natural?
Absolutely. Dr. Isaacs is known for his conservative, artistic approach. Instead of removing too much fat or skin, he preserves and repositions tissue to maintain a youthful, balanced appearance. His goal is to help you look refreshed, not overdone.
Schedule Your Consultation
David Isaacs, MD, is a dual-fellowship trained oculofacial plastic surgeon with advanced training in both cosmetic and reconstructive eyelid surgery. Known for his meticulous technique, artistic eye, and conservative approach, Dr. Isaacs prioritizes natural, refined results that preserve your facial harmony. He spends extra time during your consultation and surgery to ensure your concerns are fully addressed. If you’re considering a lower blepharoplasty in Beverly Hills, schedule your private consultation with Dr. Isaacs today.
