Lower Blepharoplasty in Boston

Smooth under-eye bags and rejuvenate the appearance of eye hollowing with a lower blepharoplasty in Boston. Dr. Lonergan takes an individualized approach to every procedure, refreshing your gaze while preserving your unique features and expression.

Restoring a Rested Under-Eye

If puffiness or hollowing beneath your eyes makes you look more tired than you feel, a lower blepharoplasty in Boston can help close that gap. In her work at the Boston Center for Plastic Surgery, Dr. Ashley Lonergan performs this procedure for patients who want their under-eye area to look smooth and rested, without changing the natural shape of their eyes.

What Is a Lower Transconjunctival Blepharoplasty?

A lower transconjunctival blepharoplasty is a surgical procedure that addresses under-eye bags and hollows through an incision made within the lower eyelid, leaving no visible scar on the skin. It's a precise option for patients whose main concern is fat displacement rather than excess skin, allowing for targeted, strategic treatment plans. Many patients choose lower eyelid surgery in Boston to achieve the following benefits:

Reduced puffiness and under-eye bags
Smoother transitions between the lower lid and cheek
A more rested appearance without a pulled-back look
No external, visible scarring
A more alert look in photos and everyday light

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The Dr. Lonergan Difference

When you choose Dr. Lonergan for your lower eyelid surgery in Boston, you choose an experience rooted in clinical excellence and natural-looking, balanced results. Dr. Lonergan earned her medical degree from Tufts University before completing her residency in Otolaryngology, Head and Neck Surgery, at the University of California, Irvine. Her fellowship training at The Williams Center for Plastic Surgery allowed her to study under some of the industry’s top doctors, honing the skills needed to perform a transconjunctival eyelid surgery.

As the only female facial plastic surgery specialist practicing at the Boston Center for Plastic Surgery, she understands the immense trust you place in her to alter an area you feel self-conscious about. Her consultations include an honest look at whether your concern is fat-related, skin-related, or both.

What to Expect From Your Lower Blepharoplasty in Boston

Assessing Your Under-Eye Concerns

Your one-on-one consultation with Dr. Lonergan will include a close look at your under-eye fat distribution, skin quality, and cheek volume, as these factors determine whether a transconjunctival approach can address your concerns. Dr. Lonergan will use this evaluation to confirm your candidacy before recommending surgery and developing your customized treatment plan.

A Scarless, Internal Technique

During your procedure, Dr. Lonergan will access the lower eyelid through an incision made inside it, avoiding any cuts through the outer skin. This approach allows her to reposition or remove excess fat while keeping your results completely free of visible scarring.

Comfort During Your Procedure

Most patients in Boston receive local anesthesia with sedation for their lower blepharoplasties, making it a comfortable, lower-intensity experience compared to more extensive facial surgeries. Dr. Lonergan will walk you through exactly what to expect on the day of your procedure well beforehand, so you’re comfortable and confident going into surgery.

Precise Fat Repositioning

Dr. Lonergan will remove the individual fat pads contributing to the puffy look of your under eye s. She will often perform targeted fat grafting to the under eye region to restore volume to areas that have hollowed to create a more youthful look.

Patient-First Recovery

Recovery from a lower blepharoplasty in Boston typically involves mild swelling and bruising for the first one to two weeks, without the visible external incision that comes with other eyelid procedures. Your eyes may feel slightly tight or dry during the first several days, which is a normal, temporary part of healing. Depending on your needs, Dr. Lonergan may provide you with specialized lenses, eyedrops, or ointments to relieve discomfort. Dr. Lonergan’s Boston patients usually feel comfortable returning to light activity, including screen use, desk work, and social gatherings, within about a week. You should avoid strenuous exercise for roughly two weeks to allow your body to recover.

Your Post-Op Process

After your procedure, Dr. Lonergan will provide you with a recovery plan built around your specific needs. This plan typically covers the following:

Pain and swelling management strategies
Hygiene recommendations
Eye drop or ointment instructions to manage dryness
Sleep position restrictions
Activity limitations during the first two weeks
Sun protection and exposure guidance, including the use of sunglasses
Side effects to monitor as you heal

You'll return to Dr. Lonergan's Boston office shortly after surgery for a follow-up visit to confirm that your healing is on track. Over the coming weeks, you’ll return for short check-ins to assess your progress, answer your questions, and address any complications.

Unlocking a More Confident You

The results from your lower eyelid surgery in Boston will continue to refine over the following weeks as swelling fully resolves. Over the coming weeks, you’ll notice an under-eye area that looks smooth and rested, with a full range of movement and expression that’s still entirely your own.

Lower Transconjunctival Blepharoplasty Frequently Asked Questions

Will a lower blepharoplasty leave a visible scar?

No. The transconjunctival blepharoplasty approach places the incision inside your lower eyelid, so there’s no visible external scarring. This makes it a discreet option for patients concerned about under-eye marks post-op.

How is this different from a traditional lower eyelid surgery?

A traditional approach uses an external incision just below the lash line, while a transconjunctival technique works entirely from inside the eyelid. Dr. Lonergan specializes in transconjunctival blepharoplasties, and she’ll recommend the approach that best suits your specific anatomy and concerns.

Can a lower blepharoplasty address dark circles?

A lower blepharoplasty can improve dark circles caused by fat displacement or shadowing, but pigment-related discoloration requires a different treatment. Dr. Lonergan will evaluate the cause of your dark circles during your consultation and recommend an appropriate intervention.

Is a lower blepharoplasty often combined with other procedures?

Yes. Many patients in Boston and beyond combine their lower blepharoplasty with upper eyelid surgery or a mid-face treatment to achieve more complete rejuvenation around the eyes. Dr. Lonergan will discuss whether combining procedures fits your goals and anatomy during your private consultation.