A lower blepharoplasty is a specialized cosmetic procedure designed to

refresh and rejuvenate the delicate area underneath your eyes.

Double board-certified facial plastic surgeon Dr. Nicholas Karter performs lower blepharoplasty at our Wethersfield, Connecticut, practice to awaken your appearance by treating the lower eyelids.

Lower Blepharoplasty
Before & After Photos

Before & After Brow Lift Case 166 Left Side View in Wethersfield, Hartford, Nebraska
Before & After

Lower Blepharoplasty
Before & After Photos

Lower Blepharoplasty Case #166

This patient, a teacher with a busy schedule, first contacted us out of interest in Deep CO2 laser resurfacing. After careful review of our before and after photos, she chose to discuss both a deep plane facelift and eyelid surgery during her consultation. Coordinating her elective procedures around a school break and family events was an imp... Read More
Before & After Upper Blepharoplasty Case 177 Left Side View in Wethersfield, Hartford, Nebraska
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Lower Blepharoplasty
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Lower Blepharoplasty Case #177

This patient visited us seeking improvement in the appearance of her neck and jawline. She shared concerns about visible laxity and a loss of youthful definition in these areas. After a thorough consultation, we determined that a Deep Plane Facelift, deep neck sculpting, upper and lower blepharoplasty, and fat grafting would address her goals... Read More
Before & After Brow Lift Case 202 Left Side View in Wethersfield, Hartford, Nebraska
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Lower Blepharoplasty
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Lower Blepharoplasty Case #202

This patient came to us seeking a solution for sagging at the outer brow and persistent bags beneath the eyes. Together, we discussed several options to address his goals while restoring balance and volume to the upper and lower eyelid area.We proceeded with a targeted approach using a lateral brow lift, complemented by lower blepharop... Read More
Before & After Upper Blepharoplasty Case 176 Left Side View in Wethersfield, Hartford, Nebraska
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Lower Blepharoplasty
Before & After Photos

Lower Blepharoplasty Case #176

Many patients seek improvement in the appearance of their eyes for personal and practical reasons. In this case, our patient noticed a family tendency toward hooded eyes and felt her upper eyelids appeared heavy, especially when tired. She also wanted to make it easier to wear makeup with less interference from excess upper eyelid skin. In in... Read More
Before & After Lower Blepharoplasty Case 157 Left Side View in Wethersfield, Hartford, Nebraska
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Lower Blepharoplasty
Before & After Photos

Lower Blepharoplasty Case #157

Many patients come to us after having prior cosmetic procedures that did not address all their concerns. This patient had previous upper eyelid surgeries and noticed little change in the jawline and neck from earlier treatments performed elsewhere. In her consultation, she expressed that her main priority had shifted to her eyes, particularly... Read More
Before & After Lower Blepharoplasty Case 175 Left Side View in Wethersfield, Hartford, Nebraska
Before & After

Lower Blepharoplasty
Before & After Photos

Lower Blepharoplasty Case #175

This patient came to us concerned about puffiness and excess skin beneath her eyes. She also noted that her tear troughs had not been treated with filler, as no provider had recommended that approach for her anatomy.We discussed her options for lower eyelid rejuvenation in detail. While a deep CO2 laser segmental procedure could have p... Read More
Before & After Lower Blepharoplasty Case 174 Left Side View in Wethersfield, Hartford, Nebraska
Before & After

Lower Blepharoplasty
Before & After Photos

Lower Blepharoplasty Case #174

Many individuals consider a lower blepharoplasty to address concerns about under-eye bags and puffiness. This patient described feeling self-conscious about persistent bagginess under her eyes since childhood. During her consultation, she expressed a desire for a more rested and youthful appearance. On examination, we noted visible lower eyel... Read More
Before & After Upper Blepharoplasty Case 198 Left Side View in Wethersfield, Hartford, Nebraska
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Lower Blepharoplasty
Before & After Photos

Lower Blepharoplasty Case #198

This patient came to us with concerns about early signs of aging in her neck and lower face, as well as visible changes in her eyelids. She noted heaviness in her upper eyelids and mild bags forming under her eyes. These changes led to some aesthetic discomfort, particularly with upper eyelid hooding. After a thorough evaluation and discussio... Read More
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Keep in mind that each patient is unique and your results may vary.

What Is Lower Blepharoplasty?

Lower blepharoplasty, also commonly called lower bleph or lower eyelid surgery, is a facial plastic surgery procedure that reshapes the lower eyelids. It addresses concerns such as under eye bags, excess skin, and wrinkles for a smoother, more youthful appearance. Dr. Karter’s advanced transconjunctival blepharoplasty approach seamlessly rejuvenates the eyes without altering their unique shape or character.

Why Choose Lower Blepharoplasty?

  • Youthful, rejuvenated appearance – Lower blepharoplasty eliminates under eye bags and wrinkles, creating a more youthful appearance that better reflects your inner vitality.
  • Minimally invasive – The transconjunctival approach reduces the need for external incisions, resulting in minimal scarring and a quicker recovery.
  • Subtle, seamless transformation – Precise surgical techniques preserve the contours of the lower eyelids, ensuring natural-looking rejuvenation.
  • Improved self-confidence – A youthful and energetic appearance helps you feel your best in social and professional settings.
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Aging and Your Lower Eyelids

As we age, the delicate skin under the eyes and underlying eyelid structures gradually change, leading to a fatigued appearance that may not reflect how you truly feel. Many of these changes are caused by fat displacement, volume loss, and weakening support structures in the lower eyelids.

Some of the ways aging impacts the lower eyelids include:

  • Under eye bags and puffiness – Fat that once supported the eye can shift or bulge forward, creating a tired, swollen appearance.
  • Hollowing and dark circles – Volume loss beneath the eyes can create a sunken look and emphasize shadows, making the face appear older or more fatigued.
  • Fine lines and skin laxity – The thinning of delicate lower eyelid skin contributes to wrinkles, crepey texture, and a loss of youthful smoothness.

Because these changes involve the skin and deeper structural support, nonsurgical treatments only offer a temporary fix. Patients desiring long-lasting under eye rejuvenation must address the root causes of lower eyelid aging, which is best accomplished through lower blepharoplasty.

Dr. Nicholas Karter

Meet Dr. Nicholas Karter

Dr. Karter is fellowship-trained, double board-certified facial plastic surgeon known for his exceptional results and patient-first philosophy. Learn what sets him apart below:

  • Voted "Best Plastic Surgeon in Hartford"
  • 15 Years of Facial Plastic Surgeon Experience
  • Certified by 2 Prestigious Medical Boards
  • Completed an Elite AAFPRS Fellowship
  • 4.8 Average Rating on Google
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Dr. Nicholas Karter credentials logos including Facial Plastic Surgery, Facial Plastic Surgeon Board Certified, ABOHNS, American Academy of Otolaryngology-Head and Neck Surgery and The Aesthetic Society
Facial Plastic Surgery logo Facial Plastic Surgeon Board Certified logo ABOHNS logo American Academy of Otolaryngology-Head and Neck Surgery logo UConn School of Medicine Facial Plastic Surgery logo Facial Plastic Surgeon Board Certified logo ABOHNS logo American Academy of Otolaryngology-Head and Neck Surgery logo UConn School of Medicine

Your Lower Blepharoplasty Procedure

Dr. Karter uses a specialized approach called transconjunctival lower blepharoplasty to refresh the lower eyelids without visible scarring. Unlike traditional lower bleph techniques, this method uses a small incision inside the lower eyelid, allowing for precise fat removal and repositioning while preserving a natural look. Since there are no external incisions, healing is faster, and there is minimal downtime.

During your personalized consultation, Dr. Karter will assess your candidacy for the transconjunctival approach, provide detailed lower blepharoplasty procedure steps, and share realistic expectations for your surgical outcome.

From Consultation to Confidence: Your Personalized Surgical Experience

From your first conversation with our team to your one-on-one time with Dr. Karter, we provide a concierge-level experience tailored to your needs.

Complimentary Phone Consultation

Start with a free one-on-one call with Erin, our patient care coordinator. She’ll listen to your concerns, discuss treatment options, and go over important details like technique, recovery, and cost considerations. If we feel like the right fit for you, she will schedule your in-person consultation with Dr. Karter.

Comprehensive In-Person Consultation

During your visit, Dr. Karter will examine your facial anatomy and explore your surgical options in-depth. He will walk you through the details of a deep plane facelift, discuss what to expect after surgery, and create a customized plan based on your goals.

Simple & Seamless Scheduling

When you are ready to move forward, we will coordinate every detail with the surgical center and anesthesia team. We recommend bringing your calendar to your appointment so you can choose your ideal date. A fully refundable 20% deposit is all that is needed to secure your surgery.

Presurgical Preparation & Support

We make sure that you are 100% prepared for your procedure. You will receive a comprehensive recovery kit with everything you need for postoperative care, have presurgical photos taken, and review all necessary consent forms and instructions.

Comprehensive Postoperative Care

We see patients several times throughout the recovery process to ensure optimal healing and results. As part of our commitment to exceptional postsurgical care, we also provide laser resurfacing treatments to refine incision lines and support smoother scar healing.

Direct Access to Dr. Karter

Dr. Karter is personally invested in your experience and results. As part of his commitment to your comfort and well-being, he provides you with his personal cell phone number so you always have a direct line to your surgeon when you need it.

Your Lower Blepharoplasty Recovery

Our compassionate team provides ongoing, personalized care and follow-up throughout your healing journey.

Minimal downtime – Most patients resume light activities within a few days and return to social engagements in about 2 weeks once swelling and bruising significantly subside.

Comfortable healing – Lower bleph is a well-tolerated procedure. Most patients manage discomfort using Tylenol or ibuprofen alone. Any mild side effects typically resolve within the first week.

Comprehensive follow-up care – Dr. Karter closely monitors your healing to ensure your recovery stays on track and promptly addresses any concerns.

Concealed scarring – Incisions are carefully placed inside the eyelids so there are no visible external scars.

While you’ll notice a brighter, refreshed look early on, full results become gradually visible as residual swelling diminishes, revealing your bright-eyed look.

A Reputation Built on Results

I am very happy that I selected Dr. Karter of Karter Advanced Facial Plastic Surgery for my scar revision. He was great to work with and did exactly what I wanted to have done. Dr. Karter and his staff...
I’m one year post op from my rhinoplasty and absolutely love my results. Best decision ever 10/10 experience.
Great experience fantastic I look 15 yeas younger Thank Dr. Karter
A Fabulous Experience! I have been seeing Dr Karter for a few years now. I initially went to him to get fillers and was very impressed by his expertise as well as his manner. I was really nervous about...

Complementary Procedures

Changes in the forehead, brows, and eyelids contribute to an overly aged appearance, which is why combining facial rejuvenation procedures is commonplace among patients seeking comprehensive rejuvenation.

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Lower Blepharoplasty FAQ

How much does lower blepharoplasty cost in CT?

At Karter Advanced Facial Plastic Surgery, procedure costs are always tailored to the individual. Once we understand your needs better, we can provide an initial quote during your free phone consultation. We also accept financing through CareCredit® and can help you plan for your investment in long-term facial rejuvenation.


Who’s a good candidate for lower blepharoplasty?

The best candidates for lower eyelid surgery typically have aging symptoms such as loose skin, eyelid wrinkles, crepey skin, under eye bags, and puffiness. Ideal candidates are also nonsmokers in good overall health with realistic expectations about the procedure and recovery requirements. While lower bleph is popular among patients over 40, the procedure also benefits younger patients concerned about under eye bags and bulges.


Is the procedure painful?

No, lower blepharoplasty is a well-tolerated procedure. It’s common to experience bruising and swelling in the first few days, but icing the area helps with discomfort. Patients can also alternate Tylenol and ibuprofen as needed. We also provide eye drops as part of our curated postoperative package to minimize dry eye following surgery.


Can lower and upper blepharoplasty be performed at the same time?

Yes! This approach, called a quad blepharoplasty, is common for patients who wish to address upper eyelid sagging and drooping, along with puffiness or bags under the eyes. Combining lower and upper eyelid surgery typically doesn’t lengthen your recovery time.


Does a lower blepharoplasty leave scars?

Dr. Karter’s advanced approach to lower blepharoplasty leaves no visible scars as he expertly places the incisions behind the lower eyelid.

Request Your Complimentary Consultation

If you’re ready to explore your facial rejuvenation options with a top facial plastic surgeon in Connecticut, we invite you to request a consultation online or call Karter Advanced Facial Plastic Surgery at (860) 775-5595 to get started today.

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