Lower Eyelid Blepharoplasty

The transconjunctival approach places the incision inside the lower eyelid. It is often used when prominent fat is the main concern and there is little excess skin, avoiding an external incision beneath the lashes.

The transcutaneous approach uses an incision just below the lash line. It may be considered when skin tightening or muscle adjustment is needed alongside fat treatment, with careful planning to protect lower eyelid position.

Fat repositioning moves existing lower eyelid fat to soften the transition between the eyelid and cheek instead of only removing volume. It may be appropriate in selected cases, depending on facial anatomy and the risk of irregularity or prolonged swelling.

The skin pinch technique removes a small amount of excess skin with limited deeper dissection. It may be considered when mild skin redundancy is present and prominent fat is not the main concern or has been treated separately.

Canthopexy supports the lower eyelid by tightening structures at the outer corner of the eye. It may be included when eyelid tone is reduced or when additional support is needed to lower the risk of eyelid malposition.

The surgeon reviews medical history, eye symptoms and any previous eyelid or eye procedures. The examination considers eyelid tone, tear film, puffiness, hollowness and facial proportions before the treatment plan is confirmed.

Preoperative markings guide the planned adjustments and support balanced positioning. The anesthesia plan and routine safety checks are confirmed before surgery begins.

The surgeon adjusts fat, contour and skin according to the selected technique. Fat may be repositioned to smooth the eyelid to cheek transition and canthopexy may be added when further eyelid support is needed.

External incisions are closed when a transcutaneous approach is used and the treatment area is protected. Discharge takes place when clinically appropriate, with written aftercare instructions and a follow-up schedule.

Lower blepharoplasty is often performed with local anesthesia, sometimes combined with sedation. General anesthesia may be considered when several procedures are combined or when it is clinically appropriate.

Many people describe tightness, swelling and mild soreness rather than severe pain. Temporary dryness, watery eyes or sensitivity to light may occur during early healing, and the clinical team can advise appropriate comfort measures.

Provide a complete medical history and disclose allergies, medicines and supplements. Tell the surgeon about dry eye symptoms, contact lens use and existing eye conditions so these factors can be considered during planning.

Some medicines and supplements may increase bleeding risk and could require adjustment before surgery. Smoking and nicotine can interfere with healing, so stopping in advance is commonly recommended.

Arrange accommodation within practical reach of the clinic and allow time for quiet recovery. Bring sunglasses and any eye care items recommended by the clinic, then schedule early follow-up visits before the return flight.

Many patients arrive 1 to 2 days before surgery for examination, photography and confirmation of the lower eyelid treatment plan. This visit also provides an opportunity to discuss dry eye risk and postoperative eye care.

Lower eyelid blepharoplasty is usually followed by a period of observation. Before leaving the facility, patients should receive written aftercare guidance and clear contact instructions for concerns.

A review is often arranged during the first week to check healing, manage external sutures when present and assess eye comfort and eyelid position. Further checks may be advised after canthopexy or more extensive treatment.

Travel timing should be decided individually. The surgeon may consider swelling, wound condition, vision symptoms and eye comfort before advising whether flying is reasonable and which precautions may be needed.

Swelling and bruising are common, and the eyes may feel tight, watery or dry. Rest, head elevation and careful eye protection are usually emphasized during this stage.

Bruising may begin to fade and comfort can improve, although puffiness often remains. Follow-up focuses on wound care, suture management when applicable and confirmation of eyelid position.

Many people feel more comfortable returning to social activities as visible bruising settles. Mild swelling or firmness may remain while deeper tissues continue to heal.

The contour continues to refine as residual swelling decreases. When an external incision has been used, the scar usually softens and fades gradually as maturation continues.

Follow guidance on cold compresses when recommended, head elevation and gentle cleaning. Avoid rubbing the eyes and protect the area from direct sun exposure.

Dryness or irritation may occur during early recovery. Use lubricating drops or ointment only as directed and report increasing pain or new changes in vision promptly.

Avoid heavy lifting and strenuous activity until the surgical team confirms that it is safe. Ask when contact lenses, makeup and swimming can be resumed because the timing varies between patients.

Photo or video check-ins may support follow-up after returning home but do not replace in-person assessment when a concern requires examination. Increasing redness, discharge, fever or a change in eyelid position should be reviewed without delay.

• Swelling and bruising around the eyes
• Dryness, watering or irritation during early healing
• Temporary blurred vision related to ointment or swelling
• Temporary asymmetry while swelling settles
• Redness or firmness along an external incision during scar maturation

• Infection, bleeding or a collection of blood known as a hematoma
• Lower eyelid pulling, rounding or other changes in eyelid position
• Persistent dryness or discomfort affecting the eye surface
• Visible scarring or pigment changes after a transcutaneous approach
• Possible need for further treatment or revision surgery

Seek urgent medical attention for sudden vision changes, severe eye pain, rapidly increasing swelling on one side, heavy bleeding, fever, shortness of breath, chest pain, sudden swelling of one leg or signs of an allergic reaction. When abroad, use local emergency services when necessary and contact the clinic as soon as it is safe to do so.

Major cities in Turkey include plastic surgery and ophthalmology services that work with international patients. When comparing options, review surgeon credentials, facility standards, communication processes, anesthesia arrangements and the schedule for postoperative checks before flying home.

Iran has specialist training pathways in plastic surgery and ophthalmology, with lower eyelid procedures offered in larger medical centers. International patients should compare consultation quality, surgical planning, facility protocols, language support and the arrangements for follow-up and travel clearance.