Lower Eyelid Surgery NYC, Greenwich, & Westchester County

Name: Lower Eyelid Surgery
Brand: Dr. Tommaso Addona
Rating: 4.9 (225 reviews)

Under-eye bags, hollowing, and fine wrinkling can make the eyes look perpetually tired, even when nothing else about your health or sleep has changed.

Rested Eyes That Still Look Like Yours

Dr. Tommaso Addona brings nearly two decades of reconstructive and aesthetic surgical experience to every procedure he performs, including lower eyelid surgery. The lower lids are prone to puffiness, hollowing, and loose skin as the deeper fat pads shift and skin elasticity declines with age. Lower blepharoplasty addresses these changes directly, smoothing the under-eye area to reveal a more rested, youthful look. Reach out to Dr. Addona's team to discuss whether lower eyelid surgery is the right way to soften those tired, under-eye shadows for good.

What Is Lower Eyelid Surgery?

Lower eyelid surgery, or lower blepharoplasty, is a procedure that addresses puffiness, bagginess, or loose skin beneath the eyes. Unlike the upper lids, where excess skin is often the primary concern, the lower lids are more commonly affected by fat that has shifted forward, creating a persistent, tired appearance. Dr. Addona typically performs this procedure through an incision placed either just inside the lower lid or along the natural lash line, depending on the specific correction needed.

Fat may be removed, redistributed, or repositioned to smooth the transition between the lower lid and the cheek, a technique that requires the same precise anatomical judgment he applies in reconstructive surgery.

The goal is always a natural, well-rested lower eye area, never an overly tight or pulled appearance.

Benefits of Lower Eyelid Surgery

Patients pursue lower eyelid surgery for a variety of aesthetic reasons, including:

Reduction of persistent under-eye bags or puffiness
Smoother transition between the lower lid and cheek
Softening of fine wrinkles and looseness in the lower lid skin
A more rested, less fatigued appearance, even after a full night's sleep
Natural-looking, long-lasting results
Incisions that are well concealed within the lid or lash line

Are You a Candidate for Lower Eyelid Surgery?

Good candidates are healthy adults bothered by under-eye bags, hollowing, or loose skin that makes them appear more tired than they feel. This concern is often hereditary, which is why some patients notice it as early as their 30s, while others develop it later in life.

During your consultation, Dr. Addona will evaluate your lower lid structure, skin quality, and the position of the underlying fat pads to recommend the most appropriate technique for your anatomy.

Patients with significant midface volume loss may benefit from combining lower eyelid surgery with fat grafting or another complementary procedure. As with all surgical planning, a personal consultation is the only way to confirm candidacy with confidence.

Schedule A Consultation

(917) 477-1633 Contact Us

What to Expect During Your Lower Eyelid Surgery Procedure

Dr. Addona manages every stage of your care personally, beginning with an in-depth consultation to review your anatomy, aesthetic goals, and medical history.

The Procedure

Lower eyelid surgery is typically performed using local anesthesia with sedation and generally takes one to two hours. Depending on your specific anatomy, Dr. Addona may reposition fat to smooth hollowing, remove a small amount of excess fat to reduce bagginess, or address loose skin, sometimes using a combination of these techniques.

Incisions are placed discreetly, either inside the lower lid or along the lash line, and closed with fine sutures to minimize any visible trace of surgery.

After Surgery

Most patients return home the same day. Dr. Addona remains personally accessible throughout recovery, communicating directly with patients rather than routing questions through a larger care team.

This is the second time I chose Dr. Addona and Long Island Plastic Surgical Group to take care of my plastic surgery needs. Each time, I have been thrilled with the results of the procedure. Additionally, Dr. Addona and his staff are attentive, professional, and knowledgeable.

Maureen Feasler

Recovery & Results After Lower Eyelid Surgery

Recovery timelines vary slightly depending on the specific technique used, but most patients follow a similar general path.

The First Week

Swelling and bruising around the lower lids are expected initially and generally begin to improve within the first several days. Cold compresses and keeping the head elevated can help speed this process along.

The Weeks That Follow

Residual swelling continues to fade over the following two to three weeks. Many patients feel comfortable in social settings well before this point, particularly with the help of light makeup.

Long-Term Results

As final swelling resolves, typically within a few months, the smoother, more rested lower eye contour becomes fully apparent. Results tend to hold up well over time, especially with consistent sun protection and skincare.

Lower Blepharoplasty for Under-Eye Bags: Incisions, Recovery & Results

Why Choose Dr. Addona?

Dr. Addona pairs nearly 20 years of reconstructive and aesthetic surgical experience, spanning more than 10,000 procedures, with a genuinely personal approach to patient care. He manages each patient directly from consultation through recovery, without handing patients off to a broader team.

Board certified by the American Board of Plastic Surgery and a Fellow of the American College of Surgeons, he brings the same anatomical precision to delicate eyelid work that defines his reconstructive expertise.

Lower Eyelid Surgery Frequently Asked Questions

Will lower eyelid surgery remove my dark circles?

Not entirely. Lower blepharoplasty addresses bagginess, hollowing, and loose skin, which can significantly soften the appearance of dark circles, but true pigment-related discoloration may benefit from additional treatments discussed during your consultation.

How long do the results of lower eyelid surgery last?

Results are generally long-lasting, since the fat and skin addressed during surgery do not return in the same way. Continued natural aging still occurs, but most patients enjoy their results for many years.

Is there visible scarring after lower eyelid surgery?

In most cases, no. Incisions are placed either inside the lower lid or along the natural lash line, allowing any resulting scar to remain well concealed once healed.

Can lower eyelid surgery be combined with other facial procedures?

Yes. It is often performed alongside upper eyelid surgery, a facelift, or facial fat grafting, depending on your goals and the recommendations made during your consultation.

Is lower eyelid surgery painful?

Most patients describe mild discomfort rather than significant pain, which is generally well managed with the recovery guidance Dr. Addona provides.

Will I need to take time off work after lower eyelid surgery?

Many patients take about a week off to allow initial swelling and bruising to subside before returning to work, though individual timelines vary.