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Lower Eyelid Surgery
Plastic Surgery and Medspa Practice Serving Maryland, Washington DC & Virginia

Is Lower Eyelid Surgery Right For You?

Restore a bright, refreshed appearance with lower eyelid surgery at Cosmetic Surgery Associates in Bethesda, MD. Also known as lower blepharoplasty, this transformative procedure is designed to reduce under-eye bags, improve puffiness, and smooth fine lines beneath the eyes. Our skilled, board-certified plastic surgeons are dedicated to achieving natural, youthful results that enhance your unique beauty in a safe and supportive environment.

What is Lower Eyelid Surgery?

Lower eyelid surgery is a specialized cosmetic procedure that rejuvenates the area beneath the eyes. Over time, the skin loses elasticity due to natural aging, sun exposure, and other factors. This causes the delicate skin on the lower eyelids to sag or wrinkle, creating the appearance of dark circles and heavy under-eye bags. Puffiness and excess fat below the eyes can also be addressed with this procedure. Lower eyelid surgery removes or repositions excess fat, tightens loose skin, and improves under-eye contours for a smoother and more youthful look. This procedure is tailored to each patient’s anatomy and aesthetic goals, ensuring balanced and beautiful results.

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Recovery:

10-14 Days

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Cost:

$7K

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Results:

3 Months

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Good Candidates for Lower Eyelid Surgery

Ideal candidates for lower eyelid surgery are healthy adults who notice persistent bags, dark circles, or sagging under the eyes that do not improve with creams or non-surgical treatments. Candidates should have good skin elasticity and realistic expectations about what can or cannot be achieved with lower eyelid surgery. Many patients seek this surgery to correct signs of aging, achieve a brighter appearance, or complement other facial procedures. During your consultation, your surgeon will help you determine if lower eyelid surgery is best for your unique needs.

The lower eyelid lift involves a small incision hidden in the natural crease just beneath the lower lash line or inside the lower lids, where the scars can be easily concealed.

Lower Eyelid Surgery Technique

Through this incision, excess fat and tissues are removed or repositioned to eliminate puffiness. The remaining tissues and muscles are tightened and loose skin is trimmed to smooth the area, creating a seamless transition between the cheeks and the under-eye area. Our experienced board-certified plastic surgeons ensure minimal visible scarring and harmonious results.

Consultation

A consultation at Cosmetic Surgery Associates is the first step to receiving facial plastic surgery. During this visit, Dr. Richards, Dr. Jabs, or Dr. Magge will review your medical history, examine your eyelid anatomy, and listen to your concerns and goals. You will have the opportunity to ask questions, view before-and-after photos, and discuss potential outcomes so that you feel confident about each step of the procedure and the results you can expect.

Preparation

Preparation for lower eyelid surgery includes several important steps. Patients may be asked to adjust medications, stop taking blood-thinning medications or herbal supplements, and avoid tobacco use for several weeks before their procedure. We recommend that patients make arrangements for transportation on the day of surgery and help at home during the first few days of recovery. Maintaining a healthy lifestyle and following all preoperative instructions will promote an easy healing process and optimal results.

Lower Eyelid Surgery Procedure

Lower eyelid surgery can be performed under local or general anesthesia, depending on the extent of the procedure and each patient’s level of comfort. Once the patient is ready, an incision will be carefully made in the lower lid. Through this incision, your surgeon will remove sagging skin and excess fat, tighten underlying tissues, and reposition the remaining skin. Fine sutures are used to close the incision to create minimal scarring and avoid damaging the thin skin around the eyes. Eyelid surgery usually takes one to two hours, and most patients can return home the same day after a short monitoring period in our recovery room.

Lower Eyelid Surgery Recovery

Recovery after lower eyelid surgery is generally well-tolerated. Mild swelling, bruising, and soreness are expected in the first few days and can be managed with cold compresses and prescription medication. Some patients are able to manage their discomfort with over-the-counter medication alone. Temporary dry eyes and blurry vision may occur on the first day.

We recommend that patients keep their heads elevated to minimize swelling and promote a smooth recovery. Most patients return to work and light activities within one week, after most of the swelling and bruising has reduced. However, it will take several weeks for the body to fully heal, and patients must avoid strenuous exercise for at least four weeks. Post-operative appointments at Cosmetic Surgery Associates may be scheduled to monitor your healing progress.

Results from Lower Eyelid Surgery

Patients will notice significant improvements in the under-eye area that will continue to improve as bruising and swelling subside. Patients can enjoy a smoother contour without the look of heavy bags, fewer wrinkles, and a more youthful, well-rested appearance. Proper sun protection, skincare, and a healthy lifestyle will help you maintain your refreshed look for many years.

Schedule a Lower Eyelid Surgery Consultation

If you want to refresh your appearance and combat signs of aging, schedule a consultation today for a lower eyelid surgery in Bethesda, MD, with our award-winning team at Cosmetic Surgery Associates. Our office is conveniently located 10 minutes from North Bethesda, Potomac, and Rockville.

Experts at Patient Care

Top-Rated Doctors

Keshav Magge, MD, FACS

Keshav Magge, MD, FACS

Board-Certified Plastic Surgeon

Honored as a Top Doctor by Bethesda Magazine and Washingtonian in both 2024 and 2025, Dr. Magge is recognized for his exceptional surgical skill, artistic precision, and patient-centered approach. A leading plastic surgeon in Bethesda, Maryland, he completed a fellowship in Craniofacial and Pediatric Plastic Surgery at Children’s National Medical Center in Washington, D.C., where he gained advanced expertise in facial rejuvenation and aesthetic surgery innovations.

Meet Dr. Magge
A. Dean Jabs, MD, PhD, FACS

A. Dean Jabs, MD, PhD, FACS

Board-Certified Plastic Surgeon

Dr. Jabs is an award-winning, board-certified plastic surgeon recognized nationally for his expertise in creating natural-looking results and his warm, compassionate approach to patient care. Trained in NY at Columbia University, he served in the US Army and has special expertise in facial rejuvenation. He has over 35 years of experience and has consistently been voted a top plastic surgeon by Washingtonian and Bethesda magazine.

 

Meet Dr. Jabs
Franklin D. Richards, MD, FACS

Franklin D. Richards, MD, FACS

Board-Certified Plastic Surgeon

Dr. Richards has been recognized as a Top Doctor by several prestigious organizations, including Castle Connolly, Consumers’ Research Council of America, and Washingtonian magazine. A leading plastic surgeon in Bethesda, Maryland, Dr. Richards is the past Chief of Plastic Surgery at Johns Hopkins Suburban Hospital. His expertise is in achieving natural results in facelift and eyelid surgery, with additional interests in cosmetic surgery of the breast and abdomen.

Meet Dr. Richards

Complementary Procedures

Brow Lift

A brow lift is a surgical procedure that addresses skin laxity and wrinkles on the forehead. Combining a lower eyelid lift with a brow lift can help rejuvenate the entire upper face, creating a more balanced and harmonious result.

Upper Eyelid Surgery

Upper eyelid surgery or upper blepharoplasty removes excess skin and fat from the upper eyelids, brightening the eyes and correcting drooping that may impair vision or aesthetics. Treating the upper and lower eyelids in a combined procedure creates a comprehensive lift and refreshes the entire eye area for striking improvements.

Facelift

The facelift can be performed with various techniques, but typically involves the removal of excess skin and tightening of remaining tissues in the mid and lower face to achieve a more lifted, youthful appearance. Combining a lower eyelid surgery with this procedure creates a smooth contour between the eyes and cheeks.

before-qoutation

The staff was amazing and made me feel comfortable every step of the way.

after-qoutation

Get it DONE! The staff was amazing and made me feel comfortable every step of the way. My results are amazing, and I conquered the biggest hurdle in this journey - picking the correct Doctor and team. No regrets. Thank you, CSA.

– verified patient
before-qoutation

I have been going to CSA for over a year, and it’s always such a nice visit.

after-qoutation

I have been going to CSA for over a year, and it's always such a nice visit. Super professional, and I always feel taken care of.

– verified patient
before-qoutation

I AM SO HAPPY I FOUND COSMETIC SURGERY ASSOCIATES.

after-qoutation

I had such an amazing overall experience at Cosmetic Surgery Associates. The staff is very pleasant. I had my first invasive cosmetic procedure done back in September, and the final results are amazing. I LOVE IT. I'm so much happier with my body now. HIGHLY RECOMMEND. Prior to my surgery, I had been thinking about this for a while, and I'm so happy I made the decision to go through with it. I AM SO HAPPY I FOUND COSMETIC SURGERY ASSOCIATES. HIGHLY HIGHLY RECOMMEND!!

– verified patient
before-qoutation

Their equipment, skill level, and expertise are superb.

after-qoutation

This practice is truly outstanding! Their equipment, skill level, and expertise are superb. The staff is extremely friendly, kind, and professional; they make you feel comfortable as soon as you walk in the door.

– verified patient
before-qoutation

Every single person in their office makes you feel so welcomed and comfortable the moment you step into the office.

after-qoutation

Every single person in their office makes you feel so welcomed and comfortable the moment you step into the office. The day of my surgery, the staff took amazing care of me and went above and beyond to calm my nerves, talk me through it, and made it such a great experience. I highly recommend this office. I can't thank them enough for all that they did for me!

– verified patient
before-qoutation

My experience there was beyond 5 stars.

after-qoutation

My experience there was beyond 5 stars. From taking the appointment to post surgery. Even now after 10 months, the follow ups are outstanding. The whole staff took great care of me and the results are what I expected. Thank you for everything. Don't think twice and use this clinic if you want best in class service and the best result.

– verified patient
before-qoutation

All of the staff were highly knowledgeable, and I received consistent direction and guidance from all of the staff.

after-qoutation

Literally every staff member I interacted with from the front desk down to the surgical team gave stellar customer service and truly made me feel comfortable. My sister even felt the warm energy from the staff after meeting them the morning of surgery. All of the staff were highly knowledgeable, and I received consistent direction and guidance from all of the staff. I would highly recommend Cosmetic Surgery Associates to anyone seeking a cosmetic procedure!

– verified patient
before-qoutation

I can’t stress enough how great this whole experience has been.

after-qoutation

I can't stress enough how great this whole experience has been. Not only did he make me feel comfortable in my body, but 10x more confident. His work is truly beautiful. 100% recommend!!

– verified patient
before-qoutation

I feel very comfortable and look better in my clothes.

after-qoutation

The staff are professional, caring, and pay attention to detail. Almost 10 months post op. The results exceeded my expectations. I feel very comfortable and look better in my clothes. I'm so grateful. I highly recommend this practice.

– verified patient
before-qoutation

The staff was wonderful, respectful, accommodating, and very knowledgeable!

after-qoutation

The staff was wonderful, respectful, accommodating, and very knowledgeable! The facility was very clean and one of the staff members helped me work the coffee machine for a fresh cup of coffee!

– verified patient

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