Lower Blepharoplasty
Reduces puffinessBrightens & smoothsfresher appearance
Under-eye bags and loose skin can leave you looking tired, even after a good night's sleep. For many people, this is one of the first signs of ageing they notice, and it rarely responds to creams or non-surgical treatments alone.
At FrownDocs in Scotland, we provide lower blepharoplasty to gently address puffiness, hollows, and sagging beneath the eyes. The aim is a natural, refreshed result rather than a dramatic change. You should still look like you, only more rested and awake.
Every procedure here is carried out under local anaesthetic or sedation, never general anaesthetic. Your surgery is planned and performed by Mr Biddlestone, an experienced head and neck surgeon whose detailed understanding of the delicate anatomy around the eyes helps us prioritise both your results and your safety.
-
This involves removing or repositioning fat beneath the eyes and trimming excess skin. The incisions are carefully placed just below the lower lash line or inside the eyelid.
-
A great option for clients who are bothered by under-eye bags, hollows, or sagging that cannot be improved with topical treatments.
-
Expect some swelling and bruising for up to 10 days. Cool compresses and a calm post-op routine are key to recovery. Most clients feel confident returning to public-facing roles after two weeks.
-
Carried out under local anaesthetic, this procedure is safe and effective in experienced hands.
-
For enhanced results, we often recommend combining this with Morpheus8 or Fraxel to smooth fine lines and rejuvenate the surrounding skin.
-

Treatment areas
Under Eyes
-

Treatment time
1–2 hours
-

Downtime
1–2 weeks
-

Results
Brighter, smoother under-eyes
-

Frequency
One-off
-

Risks
Bruising, swelling, dry eyes, mild asymmetry
What Is Lower Blepharoplasty?
Lower blepharoplasty is a surgical procedure that improves the appearance of the area beneath your eyes. It targets three common concerns: puffy under-eye bags, loose or crepey skin, and tired-looking hollows.
The skin around the eyes is some of the thinnest and most delicate on the face. Small changes here make a noticeable difference to how rested you appear. This is why careful, precise surgery matters so much in this area.
As we age, the fat pads that cushion the eyes can shift forward and create a bulge. At the same time, skin loses elasticity and begins to sag. A well-planned procedure either removes or repositions this fat and, where needed, trims a small amount of excess skin.
Why Surgical Expertise Matters in Lower Eyelid Surgery
The area beneath the eye holds muscle, fat, tear ducts, and fine nerves in a very small space. Working here calls for a deep understanding of how these structures connect and support one another.
Your procedure is carried out by Mr Biddlestone, an experienced head and neck surgeon. Around 80 percent of his surgical work focuses on this region of the body, which gives him a detailed, practical knowledge of the anatomy.
This matters for two reasons. First, it helps us plan results that look balanced and natural. Second, and just as important, it helps us protect the delicate structures around your eyes throughout the procedure.
A Surgeon Who Chose Scotland for Its Standards
Mr Biddlestone trained at the University of Cambridge before completing his PhD at the University of Dundee. He chose to build his career in Scotland because of its strong reputation for excellence in plastic surgery.
That background shapes how we work. We take a considered, unhurried approach to planning, and we would rather talk you through every option than rush a decision.
Lower Blepharoplasty Scarring and How We Optimise Healing
Good surgery is only part of the picture. How your skin heals also shapes your final result, which is why we place real focus on aftercare.
We offer state-of-the-art skin and scar treatments on site, delivered by experts in their field. Where it suits you, these can support healing and help scarring settle well over time.
FrownDocs is one of the few clinics in Scotland where plastic surgery and non-surgical aesthetics work in synergy under one roof. This means your surgeon and our skin specialists can plan together, so your care feels joined-up rather than piecemeal.
What to Expect at Your Lower Blepharoplasty Consultation
Your consultation is a conversation, not a sales pitch. We firmly believe surgery should never be sold, so you will be given the time and space to decide what is right for you.
During your appointment, we will listen to what is bothering you and look closely at the area around your eyes. We will explain honestly what lower blepharoplasty can and cannot achieve, so your expectations feel realistic from the start.
If we feel a different treatment would serve you better, we will tell you. Our aim is to help you reach the right decision, even if that means not proceeding with surgery.
Preparing for Lower Blepharoplasty
Once you decide to go ahead, we plan carefully and without pressure. We will talk through the day itself, your anaesthetic options, and how to prepare in the days beforehand.
You will leave with clear guidance and a point of contact, so you are never left with questions unanswered.
Lower Blepharoplasty Recovery and Aftercare
Most people find recovery from lower blepharoplasty more manageable than expected. Some swelling and bruising is normal, and this usually settles within around ten days.
Cool compresses and a calm, restful routine make a real difference in the early days. Many clients feel confident returning to public-facing roles after about two weeks, though this varies from person to person.
Our team provides attentive pre and post-operative care throughout. If anything feels uncertain during your recovery, you can reach out and we will guide you.
Tips for Lower Blepharoplasty Recovery
Rest with your head slightly elevated for the first few nights.
Use cool compresses gently, as advised, to ease swelling.
Avoid strenuous exercise until we confirm it is safe.
Protect the area from strong sunlight while it heals.
Attend your follow-up appointments so we can check your progress.
Book Your Lower Blepharoplasty Consultation
If tired-looking eyes are affecting your confidence, a calm, honest conversation is a good place to start. We will talk through your concerns, explain what is realistic, and help you decide at your own pace.
To arrange your consultation with FrownDocs, get in touch with our team today.
Lower Blepharoplasty FAQs
-
No. We do not use general anaesthetic for any of our procedures. Lower blepharoplasty is carried out under local anaesthetic, with sedation available where appropriate. Many people find this reassuring, as it avoids the additional risks linked to general anaesthetic.
-
That is our goal. The aim is a subtle, refreshed appearance rather than a noticeable change. Mr Biddlestone's detailed knowledge of the anatomy around the eyes helps us plan results that suit your face and still look like you.
-
For most people, the results of lower blepharoplasty are long-lasting. Ageing continues naturally over time, but the improvement to under-eye bags and loose skin is designed to be a one-off, lasting change.
-
Incisions are placed discreetly, either just below the lower lash line or inside the eyelid. Their exact position depends on your individual anatomy and what we are treating. We can also support healing with on-site skin and scar treatments to help scarring settle well.
-
Your surgery is carried out by Mr Biddlestone, an experienced head and neck surgeon. He trained at Cambridge, earned his PhD at Dundee, and spends around 80 percent of his surgical time working in this region of the body.
-
-
The best next step is a consultation. We will assess the area honestly, explain your options, and give you the time and space to decide. There is never any pressure to proceed.
-
Lower blepharoplasty costs £4,495.