Case #2002
Lower Blepharoplasty
This 73-year-old female had prominent lower eyelid bags that contributed to a fatigued and aged appearance. Dr. Azadgoli performed a lower blepharoplasty with fat repositioning to smooth her eyelid-check transition and reveal a more refreshed lower eyelid contour.
Compare side-by-side
Drag the handle to compare. Click anywhere to jump.
Pre-op preparation
What to do before surgery. Specific to this case.
- Discontinue blood thinners (NSAIDs, aspirin, fish oil, vitamin E) two weeks out. Acetaminophen remains safe; the full list is reviewed at pre-op.
- No nicotine for 6 weeks before through 6 weeks after surgery. The vascular impact directly affects skin healing.
- Set up an elevated sleeping arrangement — extra pillows or a wedge — to keep the head above the heart for the first week. Stock soft, low-sodium foods.
- Confirm a driver for surgery day and a companion who can stay through the first night.
- Pre-op medical clearance from the patient's primary physician is required. Cardiology clearance added when indicated by history.
Recovery timeline
Milestones specific to this case. Individual recovery varies.
- Day 1–7
Cold compresses, head elevated, low-talking the first 72 hours. Most bruising peaks at day 3 and starts to soften by day 5.
- Week 2
Stitches removed, residual bruising fading, social comfort returns. No lifting, no straining, no exercise yet.
- Week 4
Residual swelling continues to refine. Most patients return to normal social and work life; light cardio begins.
- Week 6
Most physical restrictions lift. Return to strength training, full-impact cardio, and overhead lifting.
- Month 3
Tissue settles into final position. Subtle technique details (jawline definition, tip refinement) become visible now.
Continued care
Recommended aftercare, skincare, and MedSpa services for Lower Blepharoplasty.
- Cold compresses for the first 48–72 hours
- Head elevated for sleeping for 1 week
- No strenuous activity or heavy lifting for 2–3 weeks
- Lubricating drops as directed
- Avoid rubbing or pressure on the lower lids
- Gentle lower-lid skincare as directed
- SkinCeuticals C E Ferulic for scar healing
- SPF 50+ around the eyes once healed
- LED light therapy weekly for the first 8 weeks
- Lymphatic drainage if swelling persists
- Fractional laser to lower-lid skin after full healing if texture needs addressing
- Aftercare
Activity progression coordinated with PT — formal check-in scheduled for week 4.
Older patients benefit from a guided return-to-activity plan.
- Skincare
Skincare ramp-up: vitamin C and barrier repair at week 3, retinoids reintroduced at week 6.
Active skincare resumes on a healing-friendly ramp after facial surgery.
