Lower Eyelid Reduction

Why would I consider lower eyelid reduction?

Lower eyelid reduction is an operation to decrease the excess skin and fat of the lower eyelid.

Who benefits?

You would consider this procedure if you feel that you see a person older and more tired than the person you feel you are when looking in your mirror.

The surgery results in a reduction of the bags of the lower eyelid, removing the tired and lethargic appearance that some people have as a result of these – corresponding to a more youthful and attractive appearance.

How is it done?

Several methods can be undertaken, dependent on the patient's specific issues:

  • Open Method
    The open method is used when there is very significant excess skin and fat and involves an incision just under the eyelashes.
  • Transconjunctival method
    The transconjunctival method is an incision made inside the lower eyelid and can be performed in combination with laser resurfacing to achieve results in more moderate cases.

What can I expect?

You are typically admitted on the day of surgery fasted from the night before.

This surgery can be performed as day surgery or, depending on your medical condition and any other procedures being performed at the same time, may require an overnight stay.

Cold packs are often applied immediately following the surgery and sleeping on 2 pillows helps to reduce swelling.

How long does it take to recover?

Recovery time is in the order of a week to two weeks for all bruising to subside.

What complications can occur?

Although every endeavour is made to avoid complications, sometimes they do occur and it does not necessarily imply an error has occured. Complications can be related to the anaesthetic or the surgery.

Scars usually settle extremely well.

Surgical complications can include excessive scar tissue inside the lower eyelid which can cause the eyelid to be pulled down – your risk for this can be assessed before the operation, techniques are used to reduce the risk.

Although this list indicates some examples of complications, surgery should not be undertaken until this has been discussed fully with the surgeon.

What other procedures are often performed at the same time?

One of my aims in surgery is to keep your face balanced. Although most patients point out other areas of concern, sometimes I will suggest another area may need attention to maintain balance.

Tightening of the outside corner of the eye is sometimes needed (lateral canthopexy) if the lower eyelid is lax. This can avoid the pulled down look, or functional problems (ectropion).

What does it cost and will private insurance help?

Exact costing is highly variable depending on your history and circumstances, the hospital used and specifics of the procedure.

Some private health insurance companies in Australia will assist with bed and theatre fees even on purely cosmetic procedures.

If functional problems exist, then an item number can be given and then rebates may apply.

A cost guide can be requested from my office on +61 8 9485 1333, some of the individual cost factors can be estimated with more information. Alternatively, we can be emailed at info@cosmetic-surgery.com.au

Where can I get more information?

If you have specific questions, or wish more information on specific procedures, please don"t hesitate to contact my office for a complimentary appointment with my nurse / patient liaison officer.

Clinical Photographs

Lower eyelid reduction – open

Pre-operative and Post-operative
Other procedures performed
Upper eyelid reduction and lateral canthopexy


Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

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