What is the Location of the Scars for a Lower Blepharoplasty and How Noticeable are They?

I'm having a lot of trouble locating pictures of the scars that come from a lower blepharoplasty surgery - both post-op and long-term. Where can I find these? What is the location of the scars, and how noticeable are they?

Doctor Answers 22

Lower blepharoplasty is a tricky operation, but the scars should not be visible.

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1)  So now you know not to worry about the scars, but there are things to worry about.  If lower blepharoplasty is not very skilfully done, the shape of the eyes can be affected.  Common poor results include outer corners of the eyes pulled down, lower lids rounded and pulled down, and lower lids hollowed out from too much fat removal.

2)  Ask to see a lot of before and after pictures  when you go for a consultation.

Manhattan Plastic Surgeon

Incisions for a lower Blepharoplasty...

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The placement of incisions is a common concern with most patients, but fortunately the lower eyelid is an area that usually heals wonderfully so that a scar cannot be seen.  For many lower lid procedures, the incision lies inside the lower lid, and is usually held together by one suture that dissolves.  When the incision is outside the eyelid, it is placed just below the lash line, and if it is performed correctly, that incision virtually disappears over time.  If you have any other questions or concerns be sure to see a board certified facial plastic or plastic surgeon

Andrew Miller, MD
Edison Facial Plastic Surgeon
4.8 out of 5 stars 222 reviews

Location and visibility of lower blepharoplasty scars

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A transconjunctival approach for lower blepharoplasty does not involve external incisions and is performed for all fat removal from the lower lids.  When needed, as is common for patients over age 50, a small pinch of skin is removed below the lash line through a subciliary incision.  This incision is closed with tissue glue, not sutures, which allow it to heal imperceptibly.  The eyelashes themselves camouflage the incision.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Bleph scars fade fast!

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One of the reason you might be having difficulty locating the scars from the lower blepharoplasty is because they tend to heal inconspicuously!  The incision for a lower lid blepharoplasty is made just below the lash line. 


Lower Eyelid Blepharoplasty

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There is no simple answer. There are various techniques for lower eyelid blepharoplasty and a good plastic surgeon whould be trained in all techniques since there is a correct surgery for each person. If you have a large amount of excess skin in the lower lid, a subciliary (below the lash) should be performed to remove excessive skin. If there is minimal excessive skin, a transconjuctival blepharoplasty will help with bulging fat. If there is ectropion, other incisions will be necessary.

Lower Eyelid Incisions For Cosmetic Surgery

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Blepharoplasty incisions are usually placed right below the lash line.  They typically heal very well and seldom are perceptable long term.  Sometimes, the incision can be placed in them pink portion of the lower eyelid to remove excess fat when excess skin is not the issue.  These incisions heal very well also.

Dr. ES

Blepharoplasty, eyelid surgery uses hidden internal and/or a barely visible external incision

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There are a number of ways to make incisions for the lower eyelids. It really depends on what is being treated. If you have good skin and only bags, I prefer a completely hidden incision inside the eyelid called transconjunctival. An alternative that adresses extra skin can be added or substituted that is made right below the lower eyelashes. This incision heals quite well and should be barely visible once it heals, and then only to the trained eye.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 141 reviews

Lower Blepharoplasty Scars

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The scars can be inside the eyelid, in which case they cannot be seen, or just below the eyelashes, in which case they are very hard to see after a few weeks.

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 76 reviews

Incision placement for lower eyelid surgery

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The incision for lower eyelid surgery is placed either along the lower lid lashes and/or inside the lid (tran-conjunctival). Generally, the scar heals very nicely and it is hardly noticeable after the healing process. Sometimes, there may be a small incisional scar placed along the lateral upper lid region. This is due to whether or not the eye muscle is involved in the tightening/resuspension as part of your lower eyelid surgery.


Kim-Chi Vu, MD
Portland Plastic Surgeon

Lower Blepharoplasty Scars?

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Thank you for the question.

The scars associated with lower blepharoplasty surgery tend to heal very well ( whether  just below the eyelashes or within the conjunctiva).

Best wishes.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.