
Lower eyelid surgery
Specialist in the article

Lower eyelid surgery in brief
- Lower eyelid surgery is an aesthetic surgical procedure that can correct loose skin under the lower eyelids, remove eye bags, and reduce signs of aging around the eyes.
- The results are long-lasting but do not prevent normal aging.
- Lower eyelid surgeries are considered aesthetic procedures and are not covered by Kela reimbursement.
GeneraliInformation about lower eyelid surgery
Lower eyelid surgery is an aesthetic surgical procedure that can correct loose skin under the lower eyelids, remove eye bags, and reduce signs of aging around the eyes.
Lower eyelid surgery can be beneficial when swelling or excess skin under the eyes makes the face look tired or older than it is. The surgery can be performed using either traditional surgical techniques or a lighter laser procedure.
Lower eyelid surgeries are considered aesthetic procedures and are not covered by Kela reimbursement.
Lower Eyelid Surgery May Help in the Following Situations:
- Persistent eye bags or swelling under the eyes.
- Loose and wrinkled skin on the lower eyelids.
- Deep grooves or shadows under the eyes.
- A perpetually tired or sad facial expression.
- A desire for a more youthful and refreshed appearance.
Eye bags and their treatment
Eye bags are a common cosmetic concern that can significantly affect the overall appearance of the face and perceived well-being. Eye bags are often caused by age-related changes in the tissues around the eyes but can also be a hereditary trait that appears at a young age.
Factors contributing to the formation of eye bags include:
- Age-related loosening of the skin and muscles of the eyelids.
- Forward protrusion of orbital fat, causing bulging.
- Hereditary factors that may cause eye bags to appear before the age of 30.
- Anatomical structure of the eye socket, where the front edge of the eyeball is more forward than the lower edge of the eye socket.
- Reduction of subcutaneous fat in the cheekbone area, which accentuates eye bags.
- Lower eyelid surgery is an effective solution for treating eye bags, and the procedure is always planned individually.
- The surgical technique is chosen based on anatomy and preferences. The surgery can be performed through the inner surface of the eyelid, leaving no external scars, or alternatively below the lash line, where the scar is nearly invisible.
Nowadays, a combined method is often used, where bulging fat is removed transconjunctivally (through the inner surface of the eyelid) and fat transfer to the tear trough is performed simultaneously. The advantage of this method is faster recovery and no scarring. However, it is not suitable for very pronounced age-related changes.
Preparing for lower eyelid surgery
- Consultation: Planning for lower eyelid surgery begins with a consultation with a plastic surgeon. During the appointment, treatment goals, concerns, and a procedure plan are discussed.
- Health assessment: Ensure you are healthy and free of acute illnesses such as colds or infections. If you have chronic conditions like diabetes or high blood pressure, ensure they are well-managed before the procedure.
- Medications: Inform the plastic surgeon about all your illnesses, allergies, and medications. Certain medications may need to be discontinued as per the doctor’s instructions. You will also receive prescriptions for painkillers and antibiotics.
- Smoking and alcohol: Avoid smoking for at least two weeks before the surgery, as it slows wound healing. Refrain from alcohol consumption for a week before the procedure.
- Skin care: Wash your face thoroughly and avoid using makeup, creams, or other products on the day of the surgery. Have a cold pack ready at home to reduce swelling.
- Pain management: Prepare necessary supplies such as clean gauze and painkillers.
- Clothing: Wear comfortable, easy-to-remove clothing on the day of the surgery.
- Escort: Arrange transportation after the surgery, as you will not be able to drive yourself.
How lower eyelid surgery proceeds
The plastic surgeon will discuss the steps of the surgery in detail and carefully mark the areas to be removed to ensure precise removal of skin and fat.
Lower eyelid surgery is usually performed under local anesthesia, but light general anesthesia can be used if necessary. The procedure typically takes 1–2 hours, depending on the extent of the surgery and the technique used.
The plastic surgeon makes precise incisions either on the inner surface of the lower eyelid or below the lash line. Excess fat and loose skin are removed, and the muscles of the lower eyelid are tightened if necessary. The incisions are closed with fine sutures.
After the surgery, you will be moved to the recovery room, where the medical staff will monitor your condition. Thanks to local anesthesia, you will generally feel quite comfortable, although there may be some swelling and tightness around the eyes.
You will receive detailed home care instructions, such as using a cold pack to reduce swelling and instructions for suture removal. You can go home the same day.
Recovery from lower eyelid surgery
- Physical activity: Avoid physical exertion and bending over during the first few days. You can usually return to light activities within a few days.
- Swelling and bruising: Swelling and bruising may last about 1–2 weeks. Keep your head elevated and use cold packs to reduce swelling. The final result is usually visible after a few months when the tissues have fully healed.
- Sun protection: Protect the eye area from the sun.
- Eye drops: Use prescribed eye drops as directed.
- Sick leave: Sick leave of 1–2 weeks may be needed depending on recovery and work requirements.
- Consult a doctor: Seek medical attention if pain significantly increases, vision problems occur, or signs of infection appear in the wound area.
Prices for appointments with specialists, such as gynaecologists, dermatologists, cardiologists, orthopaedists and ophthalmologists, can be found in our appointment booking service.
Service | Price estimate |
---|---|
Appointment with a specialist, 20 min Price per appointment. | from 99,80 € Without Kela reimbursement from 129,80 € |
Appointment with a specialist, 30 min Price per appointment. | from 114,80 € Without Kela reimbursement from 144,80 € |
Appointment with a specialist, 45 min Price per appointment. | from 142,80 € Without Kela reimbursement from 172,80 € |
Gynaecologist's appointment, 20 min | from 69,80 € Without Kela reimbursement from 139,80 € |
Gynaecologist's appointment, 30 min | from 74,80 € Without Kela reimbursement from 144,80 € |
Dermatologist's appointment, 20 min | from 117,70 € Without Kela reimbursement from 147,70 € |
Dermatologist's appointment, 30 min | from 127,80 € Without Kela reimbursement from 157,80 € |
ENT doctor's appointment, 20 min | from 112,80 € Without Kela reimbursement from 142,80 € |
ENT doctor's appointment, 30 min | from 133,80 € Without Kela reimbursement from 163,80 € |
Paediatrician's appointment, 20 min | from 115,20 € Without Kela reimbursement from 145,20 € |
Paediatrician's appointment, 30 min | from 134,80 € Without Kela reimbursement from 164,80 € |
Orthopaedist's appointment, 20 min | from 111,80 € Without Kela reimbursement from 141,80 € |
Orthopaedist's appointment, 30 min | from 133,80 € Without Kela reimbursement from 163,80 € |
Appointment with a psychiatrist, 45 min Price per appointment. | from 109,80 € Without Kela reimbursement from 159,80 € |
Appointment with a psychiatrist, 60 min Price per appointment. | from 120,80 € Without Kela reimbursement from 180,80 € |
Ophthalmologist's appointment, 30 min | from 127,80 € Without Kela reimbursement from 157,80 € |
Ophthalmologist's appointment, 45 min | from 138,80 € Without Kela reimbursement from 168,80 € |
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Frequently asked questions about lower eyelid surgery
The surgery removes excess skin and fat tissue from the lower eyelid area. Incisions are made either on the inner surface of the lower eyelid or below the lash line. The muscles of the lower eyelid can also be tightened if necessary.
Lower eyelid surgery removes eye bags and tightens loose skin, giving the face a more refreshed and youthful appearance. The procedure can significantly improve appearance and self-esteem.
No. The surgery is suitable for healthy adults with excess skin or fat tissue in the lower eyelids. Certain conditions, such as eye diseases, diabetes, or bleeding disorders, may prevent surgery.
Lower eyelid surgery can only be performed on minors if there is a medical reason.
Recovery typically takes 2–3 weeks. Bruising and swelling gradually subside, and the final result is visible 3–6 months after the surgery. You can usually return to work within 1–2 weeks.
The results of the surgery are long-lasting but do not prevent normal aging. Healthy lifestyle choices, sun protection, and good skincare help maintain the results.
The cost of lower eyelid surgery depends on the extent of the procedure and the area to be treated. The price usually includes the initial consultation, the procedure itself, necessary hospital care, and follow-up visits. A precise cost estimate is provided during the plastic surgeon’s consultation when the scope and details of the procedure are determined. Explore Mehiläinen’s flexible payment options. Lower eyelid surgery is aesthetic surgery and is not eligible for Kela reimbursement.