Lower Eyelid Tightening


Bags under the eyes are generally formed because of a loss of elasticity resulting in protrusion of the infraorbital fat tissue that deposits beneath the eyes.

In younger patients they may occur due to genetic predisposition. To correct this, a lower eyelid (blepharoplasty) procedure is performed, in order to remove or to redistribute these small amounts of fatty tissue. With the fatty deposits removed, the skin maintains a much fresher and vibrant appearance. Actual elasticity of the skin is not restored by the removal of fatty deposits which is why, in general, the eye lid itself may require some tightening in order to achieve desired results. However, in order to avoid retraction on the lower lid, skin tissue has to be removed very conservatively and in a special location of the lower lid. Additionally this procedure can be combined with microfat grafting (Composite Blepharoplasty) to harmonize the transition to the facial contour and also to correct the so called tear trough deformity.

At a Glance

Medical Term: Lower Blepharoplasty

Type of Anesthesia: Local or light Anesthesia

Surgery time: 60-90 minutes

Length of hospital stay: outpatient

Aftercare: Suture removal after 1 week, special plasters

Back to public: After 1 week

Back to work: After 2-days

Time of recovery: 2 weeks

Fees: starting at 6.000 CHF


Lower lid blepharoplasty can be performed on an outpatient basis with light anesthesia, or under local anesthesia if preferred. Incision is made either along the edge or inside the edge of the bottom eyelid where we are then able to remove or reposition clearly visible excess fat. After closing the wound, we protect the incision with skin-friendly, skin-colored adhesive plasters in order to minimize discomfort and unwanted visual attention during your recovery.


Full range of vision is immediately restored and there should be no pain. Incidents and complications are extremely rare in blepharoplasty procedures. However, on occasion, a patient could experience “dry-eye symptom”, bleeding or rarely infection. These can be treated with the appropriate eye drops and care. In very rare cases postoperative retraction of the lower eyelid may occur (ectropion) which usually disappears as soon as the swelling is gone.

Post-Op Care

Any swelling and discoloration caused by bruising in the lower lid and cheek area will recede and diminish within 7 – 14 days. During recovery, cold packs will bring down any swelling and regular eye drops (3 x 1 per day) are prescribed and used to moisten and maintain the eyes. Skin tapes and stitches will be removed approximately 5-7 days post-surgery usually completely painless.


Lower lid blepharoplasty surgery costs can vary widely dependent upon the condition of the skin and degree of the operative procedure. Our fee is based on the type and extent of the surgical procedure performed and if done under general- or local anesthesia. Naturally, all surgical fees are discussed, agreed and paid in advance. In general, most health insurances do not cover cosmetic lower eye lid surgery.

Price for lower eyelid tightening: from 6.000 CHF

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