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.
This patient was bothered by her neck and jawline. She received a deep plane facelift, deep neck sculpting, upper and lower blepharoplasty, and fat grafting.
We were able to sculpt the deeper structures in the neck and support the muscle along the jawline. We also opened up the area around the eyes and balanced with a little bit... Read More
This patient is one year out from her revision deep plane facelift, lower blepharoplasty, and browlift. She had had a non-deep plane lift in the past by another provider, but felt like it never gave her the change along the jawline and neck that she was looking for. By doing a deep plane revision we were able to fully release all of... Read More
This patient was bothered by the heaviness to the lower eye area and the change in the facial shape that happened after her cheeks and jawline sank over time. We did a deep plane facelift, lower blepharoplasty, and browlift to help restore her natural, youthful facial shape. Read More
This patient is only 2 months our from her deep plane facelift, deep neck sculpting, browlift, and lower blepharoplasty. She is an absolutely beautiful example of how these procedures turn back the clock, but do so in such a natural and authentic way. She look exactly like herself, but we were able to restore all of her youthful conto... Read More
This patient is three months out from her deep plane facelift, deep neck sculpting, and upper and lower blepharoplasty.
She is a beautiful example of early intervention in facelifting. When to proceed with surgery is a personal choice, but for some patients they feel like they've never had the neck and jawline that fits them. Th... Read More
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.
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:
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
Dr. Karter is very personable, knowledgeable, friendly, and professional. Great experience with great results!
I had a great experience with Dr. Karter for my Botox treatment. I was very nervous but he made me feel completely at ease. He explained everything to me in great detail and even offered multiple products...
I don't even know where to begin. Dr. Karter along with Erin, the Patient Care Coordinator have changed my life. I have always been self conscious of my eyelids and under eyes for as long as I can remember....
Incredible Surgeon and Wonderful Experience
I highly recommend Dr. Karter. Not only is he an incredible surgeon but my experience with all his office staff has been wonderful.
I am just under 3 months...
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.
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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