Refresh tired eyes, remove “bags,” and widen your visual field with one precision procedure.
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Real Patient Experience

Hear our doctors, staff, and patients share what makes our care special.

What Is Lower Eyelid Rejuvenation (Transconjunctival Lower Blepharoplasty with Fat Grafting)?

Lower blepharoplasty removes or re-positions bulging fat pads from inside the lower lid (transconjunctival approach) and transfers a trace of purified fat to the tear-trough hollows. The result: a smooth lid-cheek junction and brighter, bag-free eyes—with zero external scars.

The surgery typically takes 60–90 minutes and is performed in our accredited in-office suite.

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Ideal for: Adults whose under-eye bags, dark circles, or hollows make them look tired or older than they feel.

How Transconjunctival Lower Blepharoplasty Works: A Closer Look

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Prep & anesthesia

 Gentle IV sedation with local numbing administered by our board-certified anesthesiologist for calm, pain-free comfort.

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Core steps

Through a hidden transconjunctival incision, we remove or re-distribute excess fat, then perform micro-fat grafting to fill tear-trough hollows—no skin cuts, no visible scars.

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Duration & immediate care

 ~1–1.5 hrs. Apply cool compresses, preservative-free tears, and keep head elevated for 48 hrs; no drains or compression garments required.

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Long-term healing

Desk work in 5–7 days, exercise at 2 weeks. Follow-ups at 1 week, 1 month, 6 months, and 1 year—part of our 12-month doctor-guided follow-up program.

Benefits of Lower Eyelid Rejuvenation
(Transconjunctival approach + fat grafting—no external scars)

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Bag-free, brighter eye

Smooths puffiness and dark circles by reshaping or removing bulging fat and filling tear-trough hollows.

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Seamless lid-cheek contour

Micro-fat grafting blends the lower lid into the cheek for a youthful, rested appearance.

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Invisible scar

Incision is inside the eyelid; nothing on the skin surface to give your secret away.

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Long-lasting refresh

Results frequently endure 7–10 years or more with healthy lifestyle and good sun care.

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Why Leva Medical?

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Board-certified physicians at every step
Your surgery is performed by a board-certified surgeon, with non-surgical enhancements managed by our aesthetic specialist.

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Family-run since 1986
Warm, transparent care in English or Spanish.

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Tailored plans & natural-looking results
We craft a hand-in-glove treatment that fits your unique anatomy—never a one-size-fits-all template.

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12-month doctor-guided follow-up
Complimentary visits keep healing on track.

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Transparent, easy-to-understand pricing
Clear quotes upfront with zero surprise fees.

Is This the Right Treatment for Me?

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Ideal candidate
Healthy non-smoker (or willing to pause 6 weeks) with realistic goals for natural rejuvenation.
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Downtime
Plan one workweek off; avoid heavy lifting, contacts, and sauna use during week 1.
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Health prerequisites
Well-controlled dry eye, and no untreated thyroid eye disease.
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Before and After Gallery

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FAQs – Ear Surgery

What’s the starting price?
Transconjunctival lower-lid blepharoplasty with fat transfer starts at $9,500. Price covers light IV sedation, facility fees, and 12-month doctor-guided follow-up. With approved credit, payments begin around $290 per month after a typical deposit. Exact quote after exam.
Can I combine it with upper-lid surgery?

Yes—doing both lids in one session starts at $12,500, saving a second visit and anesthesia fee. The upper lids alone can be done under local anesthesia; the combined approach uses the same light IV sedation detailed above for maximum comfort. 

Why add fat grafting, and what are the benefits?
A teaspoon-sized transfer of your own fat replenishes lost volume, erases the “hollow” tear-trough shadow, softens dark circles, and blends the lid-cheek junction. Because it’s living tissue, the improvement is natural-looking and long-lasting, often outliving synthetic fillers.
What type of anesthesia is used?
Lower lids: light IV sedation administered by our board-certified anesthesiologist—you’ll nap comfortably while breathing on your own.
Will I go home the same day?
Absolutely. After about an hour in recovery you’ll head home with a responsible adult and rest with cool compresses
What post-op care will I need?
Cool compresses, prescription ointment, preservative-free tears, and head elevation for 48 hours—no drains, massages, or compression garments needed.
Will it hurt?
Most patients report little to no pain—just a feeling of tightness on day 1, easily managed with acetaminophen.
Where are the scars?
All work is done through a tiny incision inside the eyelid (transconjunctival), so there’s no visible scar—just smooth skin once swelling subsides.
When can I wear makeup or contact lenses again?
Eye makeup is usually fine by day 10; contact lenses around week 2 once cleared by your surgeon.
How soon can I return to work, driving, and exercise?
Desk work & driving: 5–7 days. Light cardio: 2 weeks. Strenuous workouts & heavy lifting: 3–4 weeks.
How long do results last?
Brighter, smoother eyes typically last 10 years or more before a touch-up is even considered.
Are there alternative or add-on treatments?
Fractional CO₂ laser for fine lines, dermal fillers for residual shadowing, or a brow-lift for heavy brows are popular complements.
What if I have dry eyes or eye disease?
We coordinate with your ophthalmologist to ensure conditions like dry-eye syndrome or glaucoma are well-managed before surgery.

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Disclaimer: Individual results may vary. Patient testimonials and before-and-after images are provided for illustrative purposes only and do not constitute a guarantee of any particular outcome or experience.