Blepharoplasty Surgery of Lower Lids (eyelid tightening, eyelid lift)

The blepharoplasty operation on the lower eyelids by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

Bermant Blepharoplasty in Richmond Virginia. We see patients from Virginia, VA, Chesterfield, Washington, DC, Beach, Williamsburg, Richmond, Chester, Virginia, Chesterfield, Bon Air, Hanover, Henrico County, Washington, Fairfax, Alexandria, Fredericksburg, Williamsburg, Newport News, Hampton, Virginia Beach, Lynchburg,Roanoke, Charlottesville, Rockville,Richmond, Charlotte, and Raleigh.
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The surgery of the Lower Eyelids (External Approach)

There are many possible surgical approaches to the lower eyelid. Each has its own benefits and disadvantages. No one technique is suited for all problems. During your consultation and evaluation with Dr. Bermant, he will go over your problem and discuss various options for your eyes.

The lower eyelid external (or open) approach permits redraping and removal of excess skin. In the aging process skin, fat and muscles sag and lose their tone. Here you can see some of the problems of why the eyelids start looking older.

Blepharoplasty eyelid" surgery" on statue of President Adams.


The following material on this page is graphic in nature. Please skip if explicit surgical details bother you.

Bermant Plastic Cosmetic Aesthetic Surgery
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Bermant Plastic Cosmetic Aesthetic Plastic Surgery
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Blepharoplasty Eyelid Surgery Important Information and Site Map

Introduction to Eyelid Surgery

Pictures before and after Cosmetic Eyelid Surgery

Eyelid Protection on the Web

Eyelid Forum - Patient questions and answers bulletin board

before blepharoplasty eyelid surgery picturesPictures before eye lid blepharoplasty surgerypictures before eyelid blepharoplastyphotos before blepharoplasty eyelid surgery
after blepharoplasty eyelid surgery picturesPictures after eye lid blepharoplasty surgerypictures after eyelid blepharoplastyphotos after blepharoplasty eyelid surgery

Underlying fat, along with excess skin and muscle, can be removed during this operation.

Blepharoplasty lower eyelid tightening skin with excision skin under local anesthesia Skin excision under local anesthesia during blepharoplasty lower eyelid surgery

Lower eyelid skin dissection. The scissors open a pocket under the skin.

Bulging fat can be repositioned or trimmed.

The eyelid skin is separated from the underlying muscle with a scissors. An incision continues just under the eyelashes. The underlying muscle can then be opened to reach the orbital fat. This fat may be trimmed or relocated to fill adjacent depressed areas. Very little fat is removed during this operation. If too much fat is taken, a sunken hollowed out appearance results.

skin excision during blepharoplasty lower eyelid surgery under local anesthesia Suture after blepharoplasty eyelid surgery of the lower eyelids

Excess skin removed from the lower eyelid.

The skin is sewn with fine sutures.

Very little if any skin is removed during lower eyelid surgery.

If you have a pocket of fat beneath your lower eyelids but don't need to have any skin removed, Dr. Bermant may perform a transconjunctival blepharoplasty. In this procedure the incision is made inside your lower eyelid, leaving no visible scar. It is usually performed on younger patients with thicker, more elastic skin.

In a transconjunctival blepharoplasty, a tiny incision is made inside the lower eyelid and fat is removed with fine forceps. No skin is removed, and the incision is closed with dissolving sutures.

Bermant Plastic Cosmetic Aesthetic Surgery
(Warning graphic images.)

Bermant Plastic Cosmetic Aesthetic Plastic Surgery
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About Dr. Bermant who does eyelid tightening blepharoplasty surgery.
About Dr. Bermant

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Blepharoplasty Eyelid Surgery
Multimedia Lectures

Blepharoplasty of Eye Lids
Kid's view

Blepharoplasty Bulletin boards

Ptosis (drooping of upper eyelid)

Facelift / Neck lift (rhytidectomy)

Other blepharoplasty eyelid surgery pages

Facelift surgery (rhytidectomy)

Ptosis of the eyelid (drooping of the upper eyelid)

Ectropion (Drooping of the lower eyelid)

Recurrent ectropion after multiple cancer resections and then skin cancer excision with Mohs' chemosurgery and full thickness skin grafts.

Eyelid Reconstruction

Web eyelid surgery

Art of Blepharoplasty

The Aging Face

Home of Bermant Blepharoplasty




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This page last updated on: April 21, 2012

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