Lower Eyelid Surgery

Time, heredity, and environmental factors can cause the skin and fat of the lower eyelid to become wrinkled and baggy, resulting in a tired, puffy, and aged appearance. Denver facial plastic surgeon Dr. Michael McCracken performs a range of surgical procedures to help reverse the signs of aging and help patients look and feel their best.

Lower eyelid surgery (blepharoplasty)

Dr. Michael McCracken can help you combat the signs of aging beneath the eyes with lower eyelid surgery, or lower blepharoplasty. During lower eyelid surgery, Dr. McCracken makes a small incision hidden either in the skin below the eyelashes or the inside of the eyelid. Through either approach, eyelid fat can be removed or repositioned to give a more youthful contour. If extra skin needs to be excised, this can be accomplished through an incision below the eyelid.

Denver / Boulder lower eyelid surgery may be combined with upper eyelid surgery or laser resurfacing to tighten the skin.

Lower Eyelid Surgery Recovery

During your initial consultation, Dr. McCracken and his team will provide you with detailed information about aftercare following your lower eyelid surgery. This information will include instructions about how to care for the surgical site and incisions, what pain medications may be used to handle discomfort, and when you may resume normal activity.

Discomfort following lower eyelid surgery is generally minimal, and most patients can expect to return to normal activities within a week. Stitches dissolve, usually about a week after the procedure, and most patients can resume wearing makeup and contacts at that time.

Lower eyelid surgery can help …

Lower eyelid surgery patients are generally pleased that surgery can drastically minimize the appearance of under-eye bags and puffiness to restore a younger, more rested appearance. Lower eyelid surgery can also:


  • Eliminate puffiness under the eyes
  • Improve the appearance of “bags” under the eyes
  • Remove and reshape fat to restore the eyes to a more youthful appearance
  • Improve the appearance of lines and wrinkles in the lower eyelids

How can I learn more about lower eyelid surgery?

Dr. McCracken will meet with you to assess your individual situation and discuss lower eyelid surgery (blepharoplasty). Request an appointment online or call the McCracken Eye and Face Institute’s Boulder, Colorado or Parker, Colorado office today at 720-851-6600 to schedule an appointment for a consultation with Dr. Michael McCracken.

FAQs About Lower Eyelid Surgery

What is a lower eyelid surgery?

Lower blepharoplasty is the removal of excess lower lid skin and/or fat in order to give the eyes a more youthful appearance. Sometimes, the lower lid fat can be repositioned into the hollow area between the eyelid and the cheek to provide a smooth, youthful contour.

What kind of anesthesia is used for lower blepharoplasty?

Dr. McCracken prefers to perform blepharoplasty surgery in a controlled setting in a surgery center. This allows an anesthesiologist to administer medication intravenously to keep you comfortable. General anesthesia is almost never necessary. On rare occasions and in select patients, lower eyelid surgery may be performed in the office with only local anesthetic injection.

Where are the incisions made?

Lower eyelid blepharoplasty incisions are placed either on the inside of the lower eyelid or in the skin just below the lashes of the lower eyelid.

What is laser blepharoplasty?

Laser blepharoplasty refers to the use of CO2 laser to make the incisions and perform the dissection. Dr. McCracken uses CO2 laser in some cases and uses electrocautery and conventional steel instruments in others. In experienced hands, there is no difference in the end result that these methods provide. If you prefer a given technique, please let Dr. McCracken know and he will make arrangements to honor your request.

What is the difference between blepharoplasty and Asian blepharoplasty?

Asian eyelid anatomy has a number of differences when compared to Caucasian eyelid anatomy. These differences must be taken into account in order to prevent giving an Asian eyelid the appearance of a Caucasian eyelid. At the time of your initial consult, Dr. McCracken will discuss these differences and your expectations with you.

What is the recovery period like?

Patients need to be prepared for one to two weeks of bruising and swelling following their lower eyelid blepharoplasty surgery. Using ice packs for the first few days can help decrease the amount of bruising and swelling. Dr. McCracken will prescribe antibiotic ointment for you to place in your eyes and on your sutures for the first week. Patients are asked to refrain from heavy lifting, exercise, and getting the eyes wet for the first week.

Will insurance pay for my surgery?

Lower eyelid surgery is a cosmetic procedure and is not covered by insurance.

Eyelid Rejuvenation – Blepharoplasty


Dr. McCracken describes the signs of aging and how a procedure such as blepharoplasty can rejuvenate the face.


Upper Eyelid Surgery Testimonial