Patients dealing with a puffy under eye area can benefit from the remarkable results of a lower blepharoplasty in NYC. The under eye region is often the first area of the face where patients start to notice aging. Even in patients who get proper sleep and are full of energy, under-eye bags and dark circles are prominent issues. For patients that are struggling with these problems, a lower blepharoplasty, or lower eyelid surgery, can help. It is a simple, quick, and effective procedure that garners incredible results.
What is lower blepharoplasty?
- Under eye bags
- Sagging of the lower eyelids
- Excess, bunching skin
- Fine lines and wrinkles
- Hollow areas under the eyes
A lower eyelid blepharoplasty in NYC is a treatment option for both men and women and gives them a younger, more revitalized appearance that brightens up the entire face.
Who is an ideal candidate for lower blepharoplasty?
- Are in good physical and mental health
- Are non-smokers
- Are not suffering from any medical eye conditions
- Have healthy facial skin and muscle in the surrounding areas
Patients that are suffering from loose, sagging skin or puffy under eye bags can find relief in this treatment, as it mitigates and corrects these unwanted conditions. Patients walk away with a more youthful, refreshed aesthetic.
As with any cosmetic procedure, it is vital that patients have realistic expectations for the outcome of the treatment. While it is effective at addressing concerns in the lower eyelid, it will not completely transform the face.
What does the procedure entail?
The first step in a lower blepharoplasty procedure is to make an incision behind the lower eyelid. Fat pads of the lower eyelid can be reached through this incision, allowing them to be sculpted into shape to reduce puffiness of the lower eyelid. Once the necessary changes have been made, the incisions are sealed shut with sutures and the patient is able to rest.

I had an amazing experience with Dr. Mesa. He and his staff are simply great. He did a lower blepharoplasty and I could not be happier with the result. Thanks Dr. Mesa. You are the best.
Leovilda C.
What are the benefits of a lower blepharoplasty?
- A short and easy recovery period
- Rejuvenation of the face
- A reduction in eye strain and eye fatigue
- Gives patients a boost in self-confidence
- Reduces the appearance of wrinkles and fine lines
- Applying makeup around the eyes becomes easier
- The patient’s entire appearance is revitalized
What is the recovery process like?
In the first few days following the procedure, it is normal for patients to experience slight swelling and redness around the treatment area. These effects will fade away within the first week. An ointment will be prescribed in order to prevent the eyes from becoming overly dry.
It typically takes several weeks for patients to fully recover from the procedure. The stitches will be removed within two days to a week. Patients should refrain from reading and watching television in the early phase of recovery, as the eyes are still weak and healing at this point.

Why choose Dr. Mesa?
Dr. Mesa is a Harvard-trained, triple fellowship-trained plastic surgeon who has been proudly serving the greater New York City area for years. A specialist in cosmetic procedures for the face, neck, and breasts, he has become a favorite among cosmetic patients who are looking to achieve outstanding results. His commitment to cosmetic transformation and patient satisfaction are what helped him establish long-lasting connections with his clientele.
An alumnus of top-rated educational institutions, such as Harvard, Dr. Mesa has a wealth of knowledge that has enabled him to attain high renown in his craft. Born and raised in Colombia, he prides himself on treating his patients with the same respect and care of the South American culture that he grew up with. His dedication to excellence in his cosmetology is what makes him stand out from the rest.
Lower Blepharoplasty Frequently Asked Questions
Lower blepharoplasty is a surgical procedure that addresses under-eye bags, sagging lower eyelids, and excess skin around the lower eye area. The procedure involves making an incision behind the lower eyelid to access and reshape the fat pads that cause puffiness. This lower eyelid surgery creates a more youthful, refreshed appearance by eliminating the tired look caused by under-eye bags and dark circles.
Ideal candidates for lower blepharoplasty are men and women in good physical and mental health who are non-smokers and don't have medical eye conditions. Good candidates typically have puffy under-eye bags, sagging lower eyelids, excess bunching skin, or fine lines and wrinkles around the lower eye area. During your consultation, Dr. Mesa will evaluate your eye anatomy and discuss whether this procedure is right for you.
Lower blepharoplasty typically takes 1-2 hours to complete, depending on the complexity of your case and whether it's combined with other procedures. The surgery is performed on an outpatient basis, meaning you can return home the same day after a brief recovery period in our office.
Recovery from lower blepharoplasty involves initial swelling and redness that typically subsides within the first week. Sutures are usually removed within 2-7 days after surgery. Most patients can return to work and normal activities within 7-10 days, though complete healing takes several weeks. During early recovery, patients should avoid reading and watching television to allow proper healing.
Scarring is minimal with lower blepharoplasty because the incision is made behind the lower eyelid, making it virtually invisible. Dr. Mesa uses advanced surgical techniques to ensure incisions are placed in inconspicuous areas, and any residual scarring typically fades over time and becomes barely noticeable.
Lower blepharoplasty provides long-lasting results, often lasting 10-15 years or more. While the procedure cannot stop the natural aging process, it creates a more youthful starting point. Many patients find that their eyes continue to look refreshed and rejuvenated for many years after surgery, with the aging process continuing from a much-improved baseline.
Yes, lower blepharoplasty is frequently combined with other facial rejuvenation procedures such as upper blepharoplasty, facelift, or brow lift for comprehensive facial enhancement. Dr. Mesa can discuss combination procedures that may help you achieve your aesthetic goals more effectively and efficiently.
During the first few days after lower blepharoplasty, expect slight swelling and redness around the treatment area. An ointment will be prescribed to prevent dry eyes. You should avoid reading and watching television during early recovery to allow your eyes to heal properly. Most patients see significant improvement within the first week, with continued refinement over several weeks.
Lower blepharoplasty is typically considered a cosmetic procedure and is not covered by insurance. However, if the procedure addresses functional issues such as vision impairment caused by sagging lower eyelids, insurance may provide coverage. Dr. Mesa's office can help determine if your case qualifies for insurance coverage.
You can typically resume wearing makeup around the eyes about 7-10 days after lower blepharoplasty, once initial healing has occurred and any sutures have been removed. Dr. Mesa will provide specific guidelines about when it's safe to apply makeup during your recovery process
The cost of lower blepharoplasty varies based on individual factors such as the extent of correction needed and whether additional procedures are performed. Dr. Mesa's office provides transparent pricing during your consultation and offers financing options to make the procedure more accessible. The investment in lower eyelid surgery often provides excellent long-term value given the lasting results.
Dr. Mesa is a Harvard-trained, triple fellowship-trained plastic surgeon who specializes in facial cosmetic procedures. His extensive training and experience in eyelid surgery ensure natural-looking results with minimal scarring. Located in NYC, Dr. Mesa combines technical excellence with personalized care, helping patients achieve their aesthetic goals safely and effectively while maintaining the highest standards of patient satisfaction.
Verified Customer Reviews
Two years ago, I had buccal fat removal done in the UK, but the surgeon was only able to treat one side and told me there was no buccal fat on my right side. Ever since, I’ve been dealing with noticeable facial asymmetry, which really started to bug me.
After doing a lot of research, I came across Dr. Mesa and saw the countless buccal fat removal procedures he’s done and immediately felt confident he was the right choice. I ended up flying from London to New Jersey specifically to see him, and it was 100% worth it.
From the moment I arrived, everything was handled professionally and smoothly. Dr. Mesa was incredibly reassuring, and within minutes he was able to locate the buccal fat that my previous surgeon couldn’t find. The procedure itself was completely painless, which honestly surprised me, because my initial one in the uk I felt pain.
Now, after two years of dealing with asymmetry, it’s such a relief to finally have it resolved. I couldn’t be happier with the outcome.
I also want to mention Cristina and the rest of the staff, they were absolutely fantastic and guided me through every step of the process, making the whole experience stress-free.
Overall, this was a wonderful experience, and I would highly recommend Dr. Mesa to anyone considering this procedure.
After years trying to trust my face with someone I finally found Dr Mesa.
Dr Mesa make me feel amazing and finally look at the mirror and love my self with this amazing jaw line
Since the first time I came to the office the staff was very friendly and helpful.
Cristina and Alex responded all the questions right away.
The massage after the surgery is very important and they have Diana with amazing hands.
Thank you Dr Mesa and all the staff,
I’m 100% satisfied with my results.











