Lower Blepharoplasty

Lower Blepharoplasty

Inland Empire, CA

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Sometimes no amount of sleep, cucumber slices, or creams can get rid of puffy eyelids. No matter lively you feel and how spirited you might be, puffy eyelids will tell the world that you’re tired and exhausted. But that doesn’t mean you have to live with them. Enough is enough–if you’ve suffered from puffy eyelids, there are things you can do. With a procedure like the lower blepharoplasty in the Inland Empire’s Second to Creation, you can permanently eliminate puffy eyelids and turn back the hands of time.


By altering the excess skin and fat responsible for creating puffy eyelids, a lower blepharoplasty or “eye bag surgery” can help you attain a livelier look. Dr. Machida is renowned for his breathtaking work with the lower blepharoplasty (also referred to as lower eye surgery.) Having performed over 10,000 facial cosmetic procedures throughout his illustrious career, Dr. Machida has the expertise to create natural-looking, long-lasting results.


Dr. Machida understands that, when you finally look as vibrant as you feel, you gain a new lease on life. Knowing full well just what each patient entrusts in him, he carefully personalizes each procedure to ensure the results look right and natural for each patient. Moreover, he’s dedicated to ensuring that each patient feels safe and supported throughout their journey with Second to Creation.

Am I a Candidate for the Lower Blepharoplasty?

Any adult patient that wants to treat puffy lower lids can have a lower blepharoplasty. However, the ideal candidate for a lower blepharoplasty should:


  • Have no untreated eye conditions
  • Have no major untreated medical conditions
  • Have puffy lower eyelids that make them look constantly tired
  • Not smoke, although patients who do are required to quit for at least 1 week before the surgery and 2 weeks after the procedure
  • Have realistic expectations for what a lower blepharoplasty can do for them

Your Consultation for a Lower Blepharoplasty

Dr. Machida prides himself in creating a peaceful experience for his patients. Almost every aspect of his practice, from the consultation to the recovery, was made to nurture his patients. When you arrive at our private medical center, you’ll speak with a consultant about your procedure and then meet with the surgeon himself. The consultation is the perfect time for you to bring up questions and concerns, and you can rest assured that Dr. Machida will answer every question as clearly and honestly as possible. We want to empower our patients to make the right choices, and that begins by educating the patients as much as possible.


The next step in the consultation is an evaluation of your medical history. Dr. Machida will then analyze your eyelids to help him plan and customize your lower blepharoplasty. Once the evaluation is over, he’ll give you thorough instructions on how you can best prepare for the surgery and the recovery period.

How a Lower Blepharoplasty Is Performed

Your lower blepharoplasty will be performed in Dr. Machida’s private medical center. It’ll also be performed under local anesthesia, so patients can enjoy a quicker recovery immediately after the surgery.


There are two ways to perform a lower blepharoplasty: the transconjunctival blepharoplasty and transcutaneous blepharoplasty. In a transcutaneous blepharoplasty, Dr. Machida will make an incision along the lower lash line. Then, once Dr. Machida has access to the fat pads in the lower eyelid, he’ll remove or redistribute them to give the lower eyelids a smoother surface. Only a minimal amount of skin is removed in most cases. In a transconjunctival blepharoplasty, Dr. Machida will turn out the lower eyelid and create an incision inside its inner lining. Then, he’ll remove or reposition the lower eyelid’s fat pads. For both approaches, Dr. Machida will close the incisions with dissolvable sutures.

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Ready For Your Consultation?

If you have any questions or wish to meet with Dr. Machida for a facelift consultation, please call our Inland Empire office at (909) 476-2600 or fill out our contact form.

Before & After

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Recovery from Lower Blepharoplasty

Dr. Machida oversees every patient’s recovery from surgery. After their procedure, many of our patients are asked to return a week and a month after their surgery. Dr. Machida also gives out customized instructions for every patient to ensure their recovery is as successful as possible. Since every lower blepharoplasty is customized for every patient, Dr. Machida will create a personalized recovery schedule just for you.


Many of our patients recover from the lower blepharoplasty quite quickly. They’re usually able to return to work after seven days, and the residual side effects tend to dissipate after a few weeks. Patients do experience some swelling, bruising, dryness and tearing in eye, and sensitivity to light, but these side effects are quite tolerable. After a few weeks, a majority of the swelling should dissipate, and patients should be able to see their full results.

Why Choose Dr. Machida for Your Lower Blepharoplasty

Your eyelids are responsible for protecting your eyes; they allow you to focus your vision and give you a look that’s all your own. When it comes to changing your eyelids, you shouldn’t trust anything less than a board-certified, facial plastic surgery specialist like Dr. Machida. He has the keen insight into facial aesthetics and the experience to help you preserve your unique appearance. All of us at Second to Creation want to reveal the beauty inside every one of our patients, and that means protecting the very things that make you unique.


With Dr. Machida’s lower blepharoplasty, you can finally look as lively and vibrant as you really feel. If you’re tired of looking tired all the time, contact Second to Creation now or call (800) 303-9541 for a consultation.

Frequently Asked Questions About Lower Blepharoplasty

  • Can I Combine the Blepharoplasty with Other Procedures?

    The lower blepharoplasty can be easily combined with other procedures like the upper blepharoplasty, the facelift, and other facial procedures.

  • How Do I know if I Need a Lower Blepharoplasty

    Puffy eyelids can either develop due to aging or genetics. They’re really caused by pockets of fat that stick out from underneath the lower eyelids. As we get older, the tissues surrounding the fat deposits become too weak to hold the fat deposits down, and eventually, the fat pads start to protrude out.

  • How Do Puffy Eyelids Develop?

    Puffy eyelids can either develop due to aging or genetics. They’re really caused by pockets of fat that stick out from underneath the lower eyelids. As we get older, the tissues surrounding the fat deposits become too weak to hold the fat deposits down, and eventually, the fat pads start to protrude out.

    Dr. Machida will address the appropriate tissues and use the proper techniques to create a more youthful look in the upper eyelids.

  • Will I Have Visible Scars?

    Dr. Machida takes great pain to reduce the possibility of scarring for all his surgical procedures. It’s why each incision in the lower blepharoplasty is expertly hidden inside the eyelid or beside the lower lash line. Any scarring from a transconjunctival blepharoplasty won’t be visible at all, and any scarring from transcutaneous blepharoplasty will be obscured by the lash line.

  • How Long Will Results Last?

    The results from a lower blepharoplasty should be permanent, but of course you will continue to age after your procedure. The best way to maintain your results is by taking care of your skin. A good skin care regimen, avoiding excess sun exposure, and a healthy lifestyle can help you slow down the effects of aging.

  • Does Lower Eyelid Surgery Hurt?

    Eyelid surgery is one of the least painful surgeries Dr. Machida performs. It’s rare for patients to need painkillers after a lower blepharoplasty. However, since significant discomfort is so uncommon, pain may indicate a complication. Call our office immediately if you suspect anything is wrong.

  • What Will I Look Like Immediately After Surgery?

    Lower eyelid blepharoplasty typically causes bruising and swelling of the lower lids, which can spread into the cheeks. While bruising lasts approximately two weeks, the swelling may take up to six weeks to subside, depending on age and skin health. Before scheduling your surgery, make sure to clear your calendar of professional and social obligations, so you have plenty of time to rest comfortably at home.

  • What Can I Do to Promote Healing?

    The most crucial post-surgery instruction for lower eyelid blepharoplasty is to apply ice packs to your eyes in 20-minute intervals for the first 48 hours. Doing so will help reduce swelling and promote a quicker recovery. You’ll also apply an antibiotic ointment on the incisions three or four times daily for one week. Avoiding strenuous activity and not touching the incisions is critical to proper healing.

  • Why is lower blepharoplasty known as eye bag surgery?

    Lower blepharoplasty is known as eye bag surgery because it targets and removes the “bags” or puffiness under the eyes caused by excess fat and skin. This treatment smooths the under-eye area, giving it a refreshed appearance.

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Brian K. Machida, MD, FACS

Located in the Heart of Inland Empire

Restored Faces…Transformed Lives. Excellence, experience, caring, professionalism, and amazing results are all part of the experience you’ll receive as part of your incredible experience at STC Plastic Surgery

Call Us: (909) 476-2600 

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