929 Gessner, Ste 2200
Houston, TX 77024


251 Cully Drive, Ste A
Kerrville, TX 78028

Lower Eyelid Surgery Houston

Lower Eyelid Lift

A Lower Eyelid Lift (Blepharoplasty) is more complex than an Upper Eyelid Lift because there are many more factors that contribute to the appearance of the lower eyelid. A Lower Eyelid Lift can treat:

  • Bags under the eyes
  • Droopiness of the lower eyelids, showing white within the eye
  • Excess skin and fine wrinkles of the lower eyelid
  • Dark circles or tear trough deformities
  • Sagging central cheek fat
  • Prominent naso-labial folds

These conditions typically appear as part of the natural aging process, or due to heredity. Where they are the result of heredity, individuals as young as 20 or 30 may achieve a marked improvement in the appearance of their eyes through surgery. Correcting a lower eyelid may involve lifting the mid-face or cheek fat; removing fat from the lower lid bags, placement of fat in the tear trough, removal of excess skin or suspension or tightening of the lower lid. One or a combination of these techniques is used to correct or rejuvenate the lower eyelids to a more youthful appearance.


When considering a Lower Eyelid Lift, you want to not only know your surgeon but trust that they understand how you want to look and feel, and that they can help you achieve the look you desire. The consultation gives you the opportunity to get to know Dr. Layton and discuss your goals, desires and expectations with him.

In a comfortable, low stress environment, you will have an examination by Dr. Layton where he will ask you to explain the specifics of what is bothering you about your face, and eyes in particular. Together with him, both of you will examine your face to point out concerns and possible solutions. You will be fully involved in the process, which will educate you and provide you with a detailed understanding of the proposed procedure, possible risks and expectations. You will also be able to review photos of other patients that have had a Lower Eyelid Lift by Dr. Layton.

You will be given information to read and will be provided ample time to have all your questions answered by Dr. Layton. Our desire is for each patient to be fully informed and educated so that they are comfortable with their decisions and we are able to understand and exceed their expectations.


A Lower Eyelid Lift is usually performed in an accredited surgery center usually under general anesthesia. You will be marked by Dr. Layton before surgery and given the opportunity to ask any questions. A Lower Eyelid Lift usually takes an hour to perform but if other procedures are performed at the same time, the operative time will increase accordingly. You can usually go home the day of surgery.

An incision is made just below the eyelashes so that when it heals, it is nearly invisible. The skin and muscle is elevated from the fat and the soft tissue is elevated from the cheekbone. The fat can either be removed or re-positioned. The check and lid are lifted and any excess skin is removed. The incision is closed with stitches, and the stitches are removed approximately five to seven days following surgery at your first post-operative appointment.


Prior to the day of surgery, you will be given prescriptions for antibiotics and pain medication to take after surgery. Before discharge following surgery, you will be given an instruction sheet that will explain incision care, activity detail, medication usage and follow-up appointment scheduling. Driving is not permitted while taking pain medication.

You should expect some swelling but with elevation of your head and ice, this dramatically improves over the first 48 hours. There may be bruising. Most patients experience minimal pain and it is easily controlled by pain medications.


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