Lower eyelid surgery, or lower blepharoplasty, is the most effective surgical solution for under-eye bags and puffiness that make you look tired, aged, or worn—regardless of how rested you actually feel. Under-eye bags are most commonly caused by the herniation of fat pads beneath the eyes. This condition is largely genetic and cannot be corrected through skincare, fillers, or lifestyle changes alone.
Lower blepharoplasty precisely addresses the underlying cause by repositioning or removing excess fat deposits, resulting in a smoother, more youthful under-eye contour. For patients who also have excess lower eyelid skin or fine wrinkling, skin refinement may be incorporated into the procedure. The result is a naturally refreshed appearance that restores balance between the eyes and the rest of the face.
Anesthesia
Lower eyelid surgery is typically performed under local anesthetic with sedation, or under general anesthesia depending on the extent of correction and whether it is combined with other procedures.
Time Required
The procedure generally requires one to two hours, depending on the surgical technique and individual anatomy.
Recovery Period
Swelling and bruising are expected during the first one to two weeks following surgery. Most patients feel comfortable returning to light daily activities within 7 to 10 days. Final results continue to refine over several weeks as residual swelling resolves.
Dr. Forbes’ Surgical Approach to Lower Eyelid Surgery
Dr. Forbes tailors the lower blepharoplasty technique to each patient's specific anatomy and concerns. Two primary approaches may be used:
Transconjunctival approach: The incision is made on the inner surface of the lower eyelid, leaving no visible external scar. This technique is best suited to patients whose primary concern is fat herniation without significant skin laxity.
Subciliary approach: A fine incision is placed just below the lower lash line when skin removal or tightening is also required. This approach allows for comprehensive correction of both fat excess and skin redundancy.
In select cases, fat repositioning rather than removal is used to restore a smoother transition between the lower eyelid and cheek, avoiding a hollowed appearance and achieving a more naturally youthful result.
Each surgical plan is carefully individualized, and Dr. Forbes takes the time during consultation to review your anatomy, discuss your goals, and explain which technique will achieve the best outcome for you.
Under-eye bags are most commonly caused by the herniation of fat pads beneath the eyes — a condition that is largely genetic and tends to worsen with age. Skincare products and non-surgical treatments can temporarily improve the appearance of the under-eye area, but they cannot address the underlying fat. Lower blepharoplasty removes or repositions this fat, producing results that are long-lasting and in most cases permanent.
Good candidates are patients who are bothered by persistent puffiness or bags beneath the eyes that don't improve with rest or skincare. Ideal candidates are in good general health, have realistic expectations, and have adequate lower eyelid skin tone and muscle support. A full assessment during consultation is required to confirm candidacy and determine the most appropriate surgical technique.
It depends on the technique used. The transconjunctival approach places the incision on the inner surface of the lower eyelid, leaving no visible external scar at all. The subciliary approach, used when skin removal is also needed, places a fine incision just below the lower lash line — an area where scars heal very discreetly and become difficult to detect over time.
Most patients experience swelling and bruising for one to two weeks following surgery. The majority feel comfortable returning to light daily activities within 7 to 10 days. Final results continue to refine as residual swelling resolves, typically over several weeks. Dr. Forbes provides detailed aftercare instructions and scheduled follow-up appointments throughout your recovery.
Board-Certified Plastic Surgeon, Dr. Diana Forbes, approaches every procedure from a person-centric point of view to ensure each patient’s unique personal needs are met. Creating cosmetic transformations with a natural look, Dr. Forbes has dedicated her professional life to ensuring patients are left feeling reinvigorated and positive about their appearance.
“After obtaining a Bachelor’s degree with Honours, I was accepted to the University of British Columbia, one of the top Plastic and Reconstructive training programs in the country. As a clinician investigator, I completed an additional Master’s degree in wound healing and stem cell research with research and clinical experiences at UBC, Johns Hopkins and Harvard University.
From my perspective, every patient is unique, and we are here to formulate a specialized plan for each and every one of you. I look forward to listening to your goals and celebrating beautiful results together.”
Our Vancouver clinic offers exceptional care with experienced, board-certified plastic surgeons specializing in facial cosmetic procedures. We provide personalized treatment plans tailored to each patient’s unique goals, ensuring natural and harmonious results. Equipped with state-of-the-art technology and adhering to the highest safety standards, our facility delivers a comfortable and professional environment for your upper eyelid lift journey. Choose us for expertise, compassion, and outstanding results.
Our team comprises board-certified plastic surgeons with extensive experience in facial cosmetic procedures, ensuring high-quality care.
We prioritize understanding each patient's unique needs and aesthetic goals, tailoring treatments to achieve harmonious and natural-looking results.
Our clinic is equipped with advanced technology and adheres to the highest standards of safety and hygiene, providing a comfortable environment for all procedures.
Discover the difference of exceptional care at Rejuvenation Medical Group in Vancouver. Schedule your consultation today and meet the team dedicated to helping you achieve your aesthetic goals.
Asian Eyelid Surgery in Vancouver | Double Eyelid Surgery | Dr. Diana Forbes
At Rejuvenation Plastic Surgery, your journey is the focus. This is where artistry meets compassion, and your vision takes center stage. Every treatment is tailored to enhance your natural beauty while honoring your individuality, creating results that feel authentically you. From consultation to transformation, the team at Rejuvenation is dedicated to fostering a partnership where you are empowered, heard, and celebrated. With expertise and care, Rejuvenation Plastic Surgery becomes not just a place for aesthetic changes but a space for self-discovery and confidence-building—where your rejuvenation becomes your story of renewal.
![$image['name']](https://d1nuocaqz8nq5t.cloudfront.net/live/subscriber/59/photo_uri/1745269806/Dr.%20Diana%20Forbes)
![$image['name']](https://d1nuocaqz8nq5t.cloudfront.net/live/subscriber/59/photo_uri/1745269825/Dr.%20Diana%20Forbes)
![$image['name']](https://d1nuocaqz8nq5t.cloudfront.net/live/subscriber/59/photo_uri/1745269833/Dr.%20Diana%20Forbes)
![$image['name']](https://d1nuocaqz8nq5t.cloudfront.net/live/subscriber/59/photo_uri/1745269840/Dr.%20Diana%20Forbes)
![$image['name']](https://d1nuocaqz8nq5t.cloudfront.net/live/subscriber/59/photo_uri/1745269851/Dr.%20Diana%20Forbes)
![$image['name']](https://d1nuocaqz8nq5t.cloudfront.net/live/subscriber/59/photo_uri/1745269859/Dr.%20Diana%20Forbes)
![$image['name']](https://d1nuocaqz8nq5t.cloudfront.net/live/subscriber/59/photo_uri/1745269868/Dr.%20Diana%20Forbes)
![$image['name']](https://d1nuocaqz8nq5t.cloudfront.net/live/subscriber/59/photo_uri/1745269876/Dr.%20Diana%20Forbes)
![$image['name']](https://d1nuocaqz8nq5t.cloudfront.net/live/subscriber/59/photo_uri/1745269888/Dr.%20Diana%20Forbes)