Refresh the Under-Eye Area With Lower Eyelid Surgery in Portland

The under-eye area is often one of the first places to show signs of aging. Fat pads can shift forward, skin becomes looser, and the eyes begin to look tired, even when you feel rested. Lower eyelid surgery, also known as lower blepharoplasty, addresses these visible changes by gently removing or repositioning fat and tightening skin under the eyes—revealing a refreshed, more alert appearance that still looks like you.

What Is Lower Eyelid Surgery?

Lower eyelid surgery is an outpatient procedure to smooth and contour the under-eye area. It reduces puffiness or "bags" caused by fat herniation and removes loose or crepey skin that can exaggerate shadows beneath the eyes. In many cases, the procedure also helps soften the appearance of dark circles by creating a more even contour between the lower eyelid and upper cheek. Dr. Vila tailors each surgery to your anatomy and goals, using a personalized approach to restore brightness without changing the character of your eyes.

woman with clear skin

Address Signs of Aging and Fatigue

Lower eyelid surgery primarily addresses cosmetic concerns, but the emotional impact of constantly looking tired or worn down can be significant. Whether you're bothered by persistent puffiness, hollowing, or creased skin, this procedure restores a well-rested, balanced appearance to your face. Dr. Vila uses advanced techniques to avoid overcorrection, focusing instead on restoring youthful shape and smoothness.

As a double-board-certified facial plastic surgeon, he brings refined expertise in eyelid anatomy and customizes each plan to your needs. At Portland Face Doctor, our team ensures you feel supported with clear communication, thoughtful care, and aesthetic results that reflect your goals.

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What Concerns Does Lower Blepharoplasty Treat?

  • Puffy under-eye bags
  • Loose or wrinkled skin under the eyes
  • Hollowness or dark under-eye shadows
  • Tired appearance

Who Is a Candidate for Lower Eyelid Surgery?

You may be a good candidate for lower eyelid surgery in Portland with Dr. Peter Vila if you experience the following:

  • You have persistent puffiness or bulging under the eyes.
  • You notice sagging skin or fine lines in the lower lid area.
  • You appear tired even when well-rested.
  • You want a smoother, more youthful under-eye contour.

Dr. Vila will evaluate your under-eye anatomy, skin tone, and aesthetic goals to recommend a surgical approach that suits your facial structure and desired results.

How the Procedure Works

Lower eyelid surgery typically takes one to two hours and is performed as an outpatient procedure. Dr. Vila offers two surgical approaches based on your needs:

  • A transconjunctival incision (placed inside the eyelid) is ideal for removing or repositioning fat without skin removal.
  • A subciliary incision (just below the lash line) is used when skin tightening is needed.

Both methods aim to minimize visible scarring and preserve the eye's natural shape. The procedure is performed under local anesthesia with sedation or general anesthesia in Dr. Vila’s in-house surgical suite.

What Is the Recovery Like?

Most patients return to light activity within seven to ten days. Bruising and swelling are most noticeable in the first week but improve steadily. Cold compresses and head elevation can help reduce early discomfort and speed healing.

Your lower eyelids may feel tight or slightly dry as they heal, but these sensations are temporary. Final results become more visible over the following weeks as swelling fades, revealing a refreshed, smoother under-eye area.

Why Choose Dr. Vila for Lower Eyelid Surgery?

Dr. Peter Vila is a Portland-based, double-board-certified facial plastic surgeon specializing in cosmetic and reconstructive eyelid surgery. His approach to lower blepharoplasty is conservative and highly customized, focusing on natural-looking outcomes that enhance your appearance without altering your identity. At Portland Face Doctor, you can expect a collaborative, attentive experience from your first consultation through recovery.

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Schedule Your Consultation for Lower Eyelid Surgery in Portland

If puffiness or droopiness under your eyes makes you look more tired than you feel, lower eyelid surgery may be the solution. Schedule a consultation with Dr. Vila at Portland Face Doctor to explore your options and create a plan that brings a refreshed look to your face.

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