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At Narasimhan Plastic Surgery in Tampa, Dr. Narasimhan performs this precise procedure in-office or in our surgical center, drawing on deep facial plastic expertise to ensure natural, balanced results and minimal complications. His meticulous technique preserves eyelid function, resulting in a youthful yet understated appearance.
Seeing puffiness or bags under your eyes? Schedule your lower blepharoplasty consultation today.


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Lower blepharoplasty, also known as lower eyelid surgery, smooths the transition from the eyelid to the cheek. The procedure removes or repositions excess orbital fat, tightens sagging skin, and recontours the connective tissue under the lower eyelids. Often combined with skin resurfacing or a midface lift, it's designed to reduce puffiness, dark circles, and fine wrinkles, achieving a well-rested appearance.

Performed in our accredited surgical center, the surgery begins with local anesthesia, often with mild sedation. Dr. Narasimhan makes a hidden incision just below the lashes or a transconjunctival incision inside the eyelid. He then removes or redistributes excess fat, tightens loose tissue, and trims sagging skin as needed. Sutures are fine and discreet. The entire process takes 1–2 hours, and you’ll go home the same day with cold compresses and aftercare guidance
Lower blepharoplasty is ideal for treating:
This procedure focuses on smoothing and refining the lower eyelid region, treating fat pads, loose skin, and under-eye creases to achieve a refreshed appearance of the lower face.
With under-eye bags and excess skin removed, your lower eyelids look refreshed and alert.
Smooths fine wrinkles and tightens the skin, enhancing the natural contour of the eyes.
Restored lid-cheek junction prevents hollowing and a tired expression.

You may be a candidate if you:
Candidates should be free of uncontrolled eye conditions or circulatory issues. Dr. Narasimhan will evaluate your eyelid structure and discuss appropriate incision options.

You will receive detailed instructions on using cold compresses, applying ointment, and managing prescribed eye drops.
Days 1–3: Swelling and bruising peak; cold compresses help reduce inflammation.
Days 4–7: Most swelling subsides; light activity possible, avoid strenuous exercises and contact lens use.
Weeks 2–4: Residual swelling and tenderness improve; makeup may be used. Protect treated areas from sun exposure.
Weeks 4–8: Incision lines mature and fade; final contour continues settling.
Results begin to show after the bruising and puffiness have diminished, usually within 1 to 2 weeks. Final results, such as smoother lower eyelid contours and reduced under-eye bags, typically take 3 to 6 months to settle. With a healthy lifestyle and skincare, results often last 7 years or more.

Dr. Narasimhan holds dual board certifications in facial plastic surgery and ENT. His refined approach prioritizes eyelid function, symmetry, and natural outcomes.
Using hidden incision techniques and precise fat management, he minimizes the risk of complications, such as lid malposition or dry eye. Each patient receives personalized care—from evaluation to recovery—ensuring a confident, comfortable experience.
Dr. Narasimhan’s passion for plastic surgery is evident in his impressive credentials, which include:
American Board of Plastic Surgery and American Board of Otolaryngology (Head & Neck Surgery)
Guest faculty at internationally renowned cosmetic surgery meetings, such as the Dallas Cosmetic Symposium
No, Dr. Narasimhan tightens the underlying tissues and avoids over-exercising the skin to preserve eyelid support and prevent sagging.
Yes, by smoothing the tear trough and repositioning fat, under-eye shadows can be significantly reduced.
Incisions are hidden just below the lash line or inside the eyelid. They are meant to be nearly invisible.
Swelling and bruising typically resolve in 1–2 weeks, with lingering mild swelling lasting several weeks.
Yes, lower blepharoplasty is often combined with upper blepharoplasty, facelift, or laser resurfacing for comprehensive rejuvenation.






