Lower Blepharoplasty
in Charlotte, NC

Dr. Freeman offers advanced lower blepharoplasty in Charlotte, providing patients with a refined approach to rejuvenating the under-eye area. With decades of experience in facial plastic surgery, he pioneered the SOOF Lift technique to address concerns like puffiness, hollowness, and under-eye shadows with natural, lasting results. This specialized procedure is performed without external incisions, restoring youthful structure while preserving the delicate anatomy of the lower lids. Patients from around the country seek his expertise for subtle and transformative results.

What Is Lower Blepharoplasty?

Lower blepharoplasty is a cosmetic surgery designed to improve the appearance of the lower eyelids. It typically involves removing or repositioning fat and trimming excess skin to create a smoother, more youthful contour beneath the eyes. This procedure is often sought by individuals bothered by under-eye bags or drooping eyelids that create a tired or aged appearance. By carefully addressing the structural changes that occur with age, lower blepharoplasty helps restore a more refreshed look. The surgery usually takes 1-2 hours, depending on the complexity of the case.

Our Innovative Technique - SOOF Lift

The SOOF Lift is an advanced surgical technique developed by Dr. Sean Freeman to address the unique challenges of lower eyelid rejuvenation. Unlike older methods that often removed fat and left a hollow look, the SOOF Lift restores the under-eye fat to its original position, reestablishing a smooth transition from the lower eyelid to the cheek. This precise approach corrects puffiness and hollowness, creating a more natural, youthful contour. Introduced in 2000 and now considered the gold standard in lower lid surgery, the SOOF Lift blepharoplasty avoids external scars and reduces the risk of complications. With over two decades of refinement, Dr. Freeman’s innovative method has become a trusted option for patients seeking long-term, elegant results.

Lower Blepharoplasty

Before & After pictures

Initial
Consultation

Preparation for lower eyelid blepharoplasty begins with a comprehensive consultation, during which Dr. Freeman evaluates the patient’s facial anatomy, medical history, and aesthetic goals. This initial meeting helps determine whether the individual is a suitable candidate for the procedure and allows for developing a personalized surgical plan. Preoperative instructions typically include avoiding certain medications and supplements that can increase bleeding risk, as well as refraining from smoking in the weeks leading up to surgery. Detailed guidelines are provided to ensure a safe and smooth surgical experience. Thoughtful preparation is essential for achieving optimal outcomes and minimizing complications during lower eyelid blepharoplasty.

SOOF Lift Blepharoplasty: A Step-by-Step Procedure

Lower blepharoplasty can be performed under general or local anesthesia with sedation, depending on the complexity of the case and Dr. Freeman’s recommendation. General anesthesia is typically chosen for more involved procedures, while local anesthesia may be suitable for less extensive corrections. The choice ensures patient comfort and safety throughout the operation.

Dr. Freeman makes incisions inside the lower eyelid to minimize visible scarring. These hidden incisions allow discreet access to underlying structures, eliminating external scars.

Once access is gained, Dr. Freeman removes or repositions fat deposits to reduce puffiness and correct under-eye bags. The preference is to preserve and redistribute fat rather than remove it, preventing the hollow appearance that can result from over-resection. This step restores a smooth contour between the lower eyelid and cheek.

To further enhance the appearance and durability of results, the underlying orbicularis oculi muscle and orbital septum may be tightened. This reinforces the lower lid structure, supports repositioned fat, and helps maintain long-term correction of drooping tissues.

Any excess skin is carefully trimmed, and the incision is closed using fine sutures that promote healing and minimal scarring. The sutures are typically placed in a way that aligns with the natural skin tension lines, helping the incision heal inconspicuously. Once closed, a soft dressing may be applied to protect the area.

Add-On Procedures
for Facial
Rejuvenation

Brow Lift

A brow lift is often combined with lower eyelid surgery to address visible signs of aging in the forehead and brow region. This procedure smooths deep forehead creases and elevates drooping brows, which can contribute to a tired or angry expression. It is particularly effective in minimizing frown lines between the eyebrows and restoring a more open, refreshed look. Improving the position of the brow also enhances the overall harmony of the upper face.

Laser Resurfacing

Laser resurfacing is a popular add-on that targets fine lines, sun damage, and uneven skin texture around the eyes and face. This treatment promotes smoother, healthier skin by stimulating collagen production and removing the outer layer of damaged skin. It enhances surgical outcomes by improving skin tone and supporting a more youthful appearance. The results are subtle yet effective, often complementing the structural improvements achieved through lower blepharoplasty.

Injectables

Injectable treatments, such as dermal fillers and neuromodulators, can complement lower eyelid surgery by targeting wrinkles, volume loss, and facial asymmetry. These non-surgical options are frequently used in conjunction with other procedures to soften dynamic lines and restore facial balance. Fillers can also enhance midface volume or smooth the transition between the lower eyelid and cheek. The combined approach creates more comprehensive rejuvenation without additional downtime.

Upper Blepharoplasty

Upper lid blepharoplasty, also known as upper eyelid surgery, addresses excess skin, sagging eyelids, and puffy bags above the eyes. When paired with lower eyelid surgery, this procedure provides full periorbital rejuvenation and can significantly refresh the overall eye area. Dr. Freeman can enhance eye shape and improve visual openness by removing excess tissue and sculpting the upper lid. Upper blepharoplasty is often an essential complement to lower lid correction, offering a balanced and natural-looking result.

Recovery After Lower Blepharoplasty

Recovery begins immediately after this outpatient procedure. During this initial period, cold compresses are often recommended to reduce swelling and soothe the delicate skin around the eyes. Keeping the head elevated helps minimize fluid accumulation and supports early healing. Temporary discomfort may be present, but it is typically well managed with prescribed or over-the-counter medication.

During the first week of the recovery period, most patients experience reduced bruising and swelling, although some residual puffiness is normal. The healing process progresses steadily, with minimal pain and no need for suture removal. Patients are generally advised to avoid strenuous activity and to continue sleeping with the head elevated. Protecting the area from sun exposure is also essential, as the skin remains sensitive and prone to pigmentation changes.

By the second week, noticeable improvement in swelling and discoloration is common, and most patients begin to see the early results of their surgery. The delicate skin under the eyes continues to settle, and any remaining tightness or firmness gradually resolves. Unlike the traditional approach, which involves lower lash line incisions, the SOOF Lift blepharoplasty does not require external incisions, which means that there is no visible scarring. Light activities can usually be resumed at this stage, but full exertion should still be avoided.

The healing process is underway, and most patients feel confident returning to regular routines, including work and social engagements. The area under the eyes appears smoother, more rested, and better aligned with the natural contours of the midface. Any lingering swelling continues to fade, and the results become more refined.

In the weeks following the initial recovery, the surgical site continues to mature as the tissues fully integrate and adapt. The long-term results reflect a rejuvenated lower eyelid area that appears more youthful and in harmony with the rest of the face. After 6 weeks of rest, patients can return to strenuous exercise and other intensive activities. While the aging process continues over time, the effects of the procedure are designed to be long-lasting.

How Long Do Eyelid Surgery Results Last?

The results of eyelid surgery can be long-lasting, especially when performed using advanced techniques like the SOOF Lift. While no cosmetic surgery can stop natural aging, lower blepharoplasty often provides results that maintain a rested appearance for many years. Skin quality, lifestyle, and sun exposure can influence how long the improvements last. In most cases, patients enjoy sustained benefits without requiring repeat procedures. Maintaining a healthy skincare routine can also help prolong the effects.

Candidates for
Lower Eyelid Surgery

Lower eyelid lifts are typically recommended for individuals with specific cosmetic concerns related to the eye area. As the face changes over time, factors such as skin laxity, shifts in fatty tissue, and natural signs of aging can make some people better suited for this type of surgery. Typical candidates include:

Benefits of
Lower Eye Lift

Lower blepharoplasty is often chosen as part of a broader facial rejuvenation plan. It can contribute to a more balanced and refreshed appearance, whether performed alone or combined with other procedures. The benefits are both aesthetic and, in some cases, functional:

Smoother lower eyelid contour
Reduction in under-eye puffiness
Enhanced facial rejuvenation outcomes
More rested and refreshed appearance
Correction of under-eye hollows or shadows
Enhanced symmetry in the lower eyelid area
Improved peripheral vision

Cost of Lower Eyelid Surgery in Charlotte, North Carolina

The cost of lower blepharoplasty in Charlotte ranges from $4,500 to $7,000, depending on the complexity of the procedure and the surgeon’s expertise. Pricing may vary if additional treatments, such as an upper eyelid lift, are performed simultaneously. Factors like anesthesia, facility fees, and pre- or post-operative care can also influence the total cost. A detailed consultation with Dr. Freeman provides an accurate estimate based on individual goals and anatomy.

What Makes Our Facial Plastic Surgery Innovative and Effective?

Dr. Freeman’s expertise and pioneering approach make our procedures innovative and effective. With years of specialized experience, Dr. Freeman has developed advanced techniques like the SOOF Lift, which revolutionizes lower eyelid rejuvenation by repositioning underlying fat and providing tissue support. This method avoids external incisions, resulting in natural-looking, long-lasting results with minimal risks. By focusing on restoring the youthful anatomy of the lower lids, our facial plastic surgeon delivers outcomes that blend safety, precision, and aesthetics, setting a new standard in facial rejuvenation.

Frequently Asked Questions

The lower blepharoplasty procedure focuses on reducing under-eye puffiness and correcting dark circles, which are typically caused by bulging fat or hollowing beneath the eyes.

Combining procedures is ideal when there is sagging skin in both the upper and lower lids, excess fat, and visible changes along the natural creases of the eyes.

No, the SOOF Lift is a cosmetic procedure that restores a youthful appearance by repositioning fat and tissue through natural folds inside the lower eyelid.

Lower Blepharoplasty
in Charlotte, NC

What Is Lower Blepharoplasty?

Our Innovative Technique - SOOF Lift

Initial
Consultation

SOOF Lift Blepharoplasty: A Step-by-Step Procedure

Anesthesia

Incisions

Fat Repositioning and Removal

Muscle and Septum Adjustment

Skin Tightening and Closure