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Say Goodbye to Tired Eyes

It doesn’t matter how much sleep you get. If you have puffy lower lids or hollow under-eyes, people may assume you’re tired, sad, or older than you feel. These changes are often due to fat displacement, skin laxity, or weakened muscles, not aging or lifestyle alone. At Accents Cosmetic Surgery, lower eyelid surgery (lower blepharoplasty) is highly customized to restore a smooth, youthful contour beneath the eyes. Whether you're struggling with puffiness, loose skin, or deep tear troughs, Dr. Mark Berkowitz uses his expertise as a board-certified oculofacial surgeon to deliver natural-looking results with minimal downtime.

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What Is Lower Eyelid Surgery?

Lower eyelid surgery is a procedure that removes or repositions excess fat, tightens loose skin, and corrects muscle laxity beneath the eyes. It can address:

  • Under-eye bags
  • Wrinkled or crepey skin
  • Hollowness or tear trough deformities
  • Drooping lower eyelids

Depending on your needs, Dr. Berkowitz may perform the procedure using a transconjunctival approach (incision inside the lower eyelid, no visible scar) or a subciliary approach (just below the lash line), often in combination with laser technology for enhanced tightening and healing.

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The Benefits of Lower Eyelid Surgery

  • Smoother Under-Eyes: It removes or redistributes fat for a more even, youthful contour beneath the eyes.
  • Reduced Puffiness: This surgery eliminates the bulging appearance caused by fat pads that have shifted with age.
  • Tighter Skin: It lifts and firms delicate under-eye skin for a refreshed appearance.
  • Brighter Expression: It addresses shadows, sagging, and under-eye bags, making you look less tired or aged.
  • Invisible Scarring: Incisions can be hidden inside the eyelid or along the lash line, healing with virtually no trace.
  • Long-Lasting Results: With proper care, results can last 10+ years.
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Eyelid Surgery Before & After

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Is Lower Eyelid Surgery Right for Me?

You may be a great candidate for lower eyelid surgery if you:

  • Have puffiness, bags, or sagging under the eyes
  • Are bothered by a hollow or tired appearance
  • Are in good general health and are non-smoker
  • Don’t have active eye conditions or uncontrolled dry eye
  • Want natural-looking improvement rather than dramatic change

During your consultation, Dr. Berkowitz will examine your facial structure, skin elasticity, and fat distribution to determine the most effective technique for your goals.

What to Expect Your Lower Eyelid Surgery

Personalized Consultation

Dr. To create a customized surgical plan, Berkowitz will assess your eye anatomy, skin, and goals.

Pre-Op Planning

You’ll receive detailed instructions and safety information before your surgery date.

Surgery Day

The procedure is typically done under local anesthesia with sedation or general anesthesia, depending on complexity.

Precision Technique

Incisions are made inside the eyelid (transconjunctival) or just beneath the lashes, and fat is removed or repositioned. Skin may be tightened as needed.

Immediate Recovery

You’ll rest in our surgical recovery suite before going home the same day with post-op care instructions.

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Lower Eyelid Surgery Recovery & Results

Expect mild swelling, bruising, and tightness for the first 7–10 days. Most patients return to social activities or work within 10–14 days, with continued improvement in swelling over the following weeks.

Final results can be seen in about 4–6 weeks, revealing smoother, brighter, more youthful under-eyes. These results are long-lasting, often maintained for a decade or more with proper skincare and healthy habits.

Why Choose Accents Cosmetic Surgery?

Dr. Mark Berkowitz is a board-certified oculofacial surgeon, meaning he specializes in eyelid and periorbital surgery. He has performed thousands of eyelid procedures, including advanced laser-assisted and scarless techniques, ensuring surgical skill and artistic precision.

At Accents, we combine state-of-the-art technology with a deeply personalized approach. Every lower eyelid surgery is tailored to enhance your unique features, not change them, so you always look naturally refreshed, not "done."

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Revitalize Your Tired Eyes

Schedule your consultation today and discover how lower eyelid surgery can brighten your face.

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Frequently Asked Questions Lower Eyelid Surgery

Is lower eyelid surgery painful?

Most patients report only mild discomfort, which is well managed with prescribed medication during the first few days.

Will I have visible scars?

In many cases, incisions are made inside the eyelid (transconjunctival), so there are no visible scars. If skin needs to be removed, a small incision may be made under the lashes, and it fades well.

Can this be combined with other procedures?

Yes. Lower blepharoplasty is often combined with upper eyelid surgery, fat transfer, or laser skin resurfacing for a more comprehensive rejuvenation.

How long do results last?

Results typically last 10 years or more, depending on genetics, sun exposure, and lifestyle habits.

Will I still look like myself?

Absolutely. Dr. Berkowitz prioritizes subtle, natural-looking enhancement so that you still look like yourself, just more awake and refreshed.

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