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Queens Northport Staten Island

Leva Medical
929-531-7078 Schedule My Meeting

Face & Neck

Lower Blepharoplasty

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

Schedule My Meeting 929-531-7078
Illustrative image of a close-up of a rested under-eye area beneath an open eye; not a Leva patient
AI-generated illustrative image; not a Leva Medical patient
Dr. Jean-Paul Leva
Dr. Jean-Paul Leva Board-Certified Cosmetic & General Surgeon, FACS

Lower Blepharoplasty

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.

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

Lower Blepharoplasty

How Transconjunctival Lower Blepharoplasty Works: A Closer Look

  1. Prep & anesthesia

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

  2. 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.

  3. 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.

  4. 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.

Leva Medical physician group

Physician-led care

Why Leva Medical?

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

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

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

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

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

Lower Blepharoplasty

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

  1. Bag-free, brighter eye

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

  2. Seamless lid-cheek contour

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

  3. Invisible scar

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

  4. Long-lasting refresh

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

Lower Blepharoplasty

Is This the Right Treatment for Me?

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

Ready to Book?

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Lower Blepharoplasty

FAQs - Lower Blepharoplasty

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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Dr. Jean-Paul Leva & Dr. Jacquelline Leva Board-Certified Care

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You can request a meeting by emailing us at drleva@drleva.com

929-531-7078 drleva@drleva.com