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Lower Eyelid Lift city, state

Lower Eyelid Lift Lower eyelid fullness and dark circles around the eyes make you look tired or even ill in some cases – no matter how good you feel or how much sleep you get! This is a common problem as we age, and is related to a number of changes in the face. First, the thin, “crepey” skin in the lower eyelid is stretched and dragged down by the relatively heavy cheek tissues. This exposes the underlying bone of the eye socket (orbital rim), and can give a hollow appearance. Second, the fat pads that surround the eyeball begin to bulge forward as their connective tissue capsule (orbital septum) weakens. This gives a “double contour” or “double bubble” effect – where there are two curves in the lower eyelid and upper cheek, rather than the more youthful, smooth, single contour. Aesthetic issues with the lower eyelids are not always related to age, however, and actually can be hereditary in some patients. Some people have fullness (malar bags) or obvious lines in the under eye area even in their youth, and others may suffer from recurrent swelling without an identifiable cause (blepharochalasis).

When there is too much skin or bulging fat in the lower eyelids, Dr. Ransom can treat this complex area with a surgical procedure called a lower blepharoplasty (lower eyelid lift). There are multiple approaches to lower eyelid rejuvenation, and different patients require specific techniques. Dr. Ransom performs a careful examination of each patient to determine the laxity (looseness) of the eyelids, presence and amount of excess skin, and distribution of adipose tissue (fat pads) around the eye and in the upper cheek (sometimes called the sub-orbicularis oculi fat, or SOOF). For younger patients or those without any loose skin, the fat pads can be treated without making an incision in the eyelid skin. This minimizes the risk of lower eyelid malposition and speeds up recovery. For patients that have loose eyelids, excess skin, or a hollow-appearance, Dr. Ransom performs the latest technique in lower blepharoplasty, which uses your own fat pads to fill in the hollow areas and removes hanging or “crepey” skin.

These procedures can be performed with local anesthesia only or with mild sedation, depending on patient preference, and may be combined with other aesthetic procedures such as rhytidectomy (facelift), upper blepharoplasty (upper eyelid lift), and browlift, or non-surgical treatments such as chemical peels or laser resurfacing for fine wrinkles around the eyes (crow’s feet).

Who is a candidate?

Anyone with lower eyelid bags, extra or loose skin and muscle, tired-appearing eyes, or hollow eyes with dark circles is a candidate for an lower eyelid lift. During your consultation, Dr. Ransom will closely examine your upper eyelid area, including skin laxity, position at rest, movement, eye closure, and tear film (lacrimal status, or dry eyes). In some cases, the unaesthetic appearance of the lower eyelids is related to a lifelong problem with soft tissue edema (blepharochalasis) or thyroid disease (myxedema). These cases require special attention, and Dr. Ransom would be happy to discuss this in your consultation. Dr. Ransom uses a variety of techniques to rejuvenate the lower eyelid and upper cheek complex, and believes that a youthful midface and lower eyelid contour is the hallmark of natural beauty. During your confidential consultation, Dr. Ransom can review different approaches to the lower eyelid lift and help you decide on the best treatment for your unique situation.

Frequently Asked Questions

Question: What can I expect after my lower eyelid lift?
Answer: Immediately following the surgery, the lower eyelids will have some bruising and swelling. In most cases, this is relatively mild. Swelling generally reaches a maximum by the second day after the surgery, and then begins to recede rapidly. This process typically takes about a week. Patients are encourage to keep the head elevated and use around the clock cold compresses during this time, and strenuous activity is avoided. Pain is very minimal, and any sudden increase in pain should be reported to the doctor immediately. Most patients are more than comfortable with one week away from work. After the sutures are removed on the fourth day, incisions are well-camouflaged by the eyelashes. Eye makeup can be worn after the first week, and the incisions are nearly imperceptible within a couple weeks of the procedure.
Question: Will a lower eyelid lift change the shape of my eyes?
Answer: Having a lower eyelid lift will not change the shape of the eyes. In the first few days after surgery, when the area is still swollen and the sutures are in place, the eyes will look puffy and it may be difficult to see their exact shape. However, after healing, the desired effect of the lower eyelid lift is seen – a smoother and more youthful contour of the lower eyelid and upper cheek area, without bags or hollows and dark circles that made you look tired. You will appreciate the increased brightness of the eyes. Dr. Ransom would be happy to review the procedure in detail and patient photos with you during your consultation.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

Our Patient Reviews

San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

5 / 5.0

Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.