Is Lower Eyelid Surgery Painful?

Most Westchester, NY, and Greenwich, CT, patients experience mild discomfort that is easily managed with medication. Swelling and tightness are common at first but improve significantly within the first week.

How Many Appointments Will I Need?

Most patients have around three to four appointments for lower eyelid surgery from start to finish. The process begins with a consultation at Dr. Abraham Pathak’s Purchase office, then you’ll have your pre-operative visit to go over instructions, discuss your anesthesia options, and prepare you for a smooth recovery. Afterward, you’ll return for one or two follow-up visits so Dr. Pathak can monitor your healing and remove sutures if needed.

How Long Until I See the Results?

You’ll start to notice a more refreshed look within the first couple of weeks as swelling and bruising begin to fade. Most of Dr. Pathak’s patients feel comfortable returning to more social activities within 10 to 14 days. However, full healing and the final outcome can take a few months as the tissue continues to settle and the skin fully smooths out.

Can I Combine Lower Eyelid Surgery with Other Procedures?

Yes, many patients choose to combine their lower eyelid surgery with upper eyelid surgery , a facelift , or a brow lift to refresh multiple areas at once. Non-surgical treatments such as laser resurfacing or dermal fillers can also complement your eyelid results by improving skin tone and texture. Dr. Pathak will help you design a custom treatment plan that aligns with your goals while minimizing downtime.

What Are the Risks Associated with Lower Eyelid Surgery?

Common side effects of lower eyelid surgery include temporary swelling, bruising, and mild discomfort during recovery. Infection, bleeding, or minor changes in eyelid position can occur but are uncommon.

Lower Eyelid Surgery

Westchester County, New York

Introduction

Introduction to Lower Eyelid Surgery

The eyes are the most expressive and focal features of the face—and often the first to show signs of aging. Puffiness, under-eye bags, fine wrinkles, and dark circles can create a tired appearance even when you feel energized. Lower eyelid surgery with Dr. Abraham Pathak restores a smooth, bright, and youthful contour beneath the eyes while preserving your natural expression.

As a double board-certified, aesthetic fellowship–trained plastic surgeon, Dr. Pathak has extensive specialized training in peri-orbital surgery. His advanced experience includes direct involvement in the refinement of the modern 6-Step Lower Blepharoplasty technique pioneered by Dr. Rod Rohrich, one of the world’s leading experts in facial rejuvenation. This training places Dr. Pathak among a select group of surgeons skilled in the most sophisticated and natural-appearing approaches to lower eyelid surgery.

Patients from Purchase, Westchester County, Greenwich, New York, and the greater Tri-State area choose Dr. Pathak for delicate, precise eyelid rejuvenation that looks refreshed—not surgical or overcorrected.

Before & AFTER

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A woman with long dark hair stands in soft, dramatic sunlight that illuminates her face, showcasing clear and bright eyes.

What is Lower Eyelid Surgery?

Lower eyelid surgery targets puffiness, loose skin, and hollowing under the eyes. The procedure is performed through small incisions placed just below the lash line or inside the eyelid. Through these procedures, Dr. Pathak removes or repositions excess fat, smooths wrinkles, and tightens the skin, resulting in a firmer, refreshed appearance.

Some patients may also benefit from adding a small amount of fat or filler to restore lost volume in the tear trough area. The approach depends on the anatomy of the lower eyelid and the desired outcome. The goal is not just to tighten but to create a smooth, natural contour that transitions seamlessly from the eyelid to the upper cheek.

Who Are the Best Candidates for Lower Eyelid Surgery?

The best candidates are men and women who are bothered by puffiness, loose skin, or dark circles under their eyes that do not improve with rest or skincare.

Many people who come to Dr. Pathak are frustrated by how tired or aged their eyes appear despite feeling otherwise healthy and energetic. Others may notice that makeup collects in the folds under their eyes or that filler treatments no longer give the desired effect. Lower eyelid surgery is often ideal for patients seeking a more permanent and natural-looking solution.

During the consultation, Dr. Pathak evaluates the eyelid anatomy, skin quality, and surrounding facial structure to determine the best surgical plan. For some patients, combining upper and lower eyelid surgery or adding a brow lift can provide more balanced rejuvenation.

What Are the Benefits of Lower Eyelid Surgery?

Dr. Pathak’s patients often notice that they look more awake, youthful, and vibrant after their lower eyelid surgery. Other benefits include:

Reduction of puffiness and under-eye bags
Smoother under the eyes
Improved definition between the eyelid and cheek
Correction of sagging or wrinkled lower eyelid skin
A brighter, more rested appearance

What’s the First Step?

The first step in getting lower eyelid surgery in the Tri-State area and New York is to schedule a personal consultation with Dr. Pathak at his Purchase office. During this, he will want to review your medical history, assess the eyelid area, and discuss your concerns in detail. Patients are encouraged to share what specifically bothers them and what kind of look they hope to achieve.

Your appointment can be scheduled by phone or online. The staff assists with all details, including pre-operative instructions and scheduling for patients from Westchester and Greenwich.

A smiling woman during a consultation with Dr. Pathak, looking at a digital tablet displaying facial before-and-after results on a glass desk.

What to Expect on the Day of Lower Eyelid Surgery

Dr. Pathak begins by making a discreet incision either just below the lash line or inside the lower eyelid, where any small scar will be well-hidden. Through this incision, he carefully removes or repositions fat deposits, tightens muscles, and smooths the skin to reduce puffiness and under-eye bags. His goal is to refresh and refine your eyes while preserving your natural expression.

After the procedure, you’ll rest comfortably in a recovery area while the anesthesia wears off. The staff will monitor you closely, provide cold compresses to help reduce swelling, and review your post-surgery instructions. Most patients go home the same day with protective ointment around the eyes and a follow-up appointment scheduled within the first week.

A close-up, high-detail shot of Dr. Abraham Pathak wearing black surgical scrubs and specialized surgical loupes (magnifying glasses), emphasizing precision and focus.

Lower Eyelid Surgery Recovery

Your Guide to Post-Lower Eyelid Surgery Care

After surgery, patients can expect mild swelling, bruising, and tightness around the eyes for the first week. Cold compresses and head elevation help minimize these symptoms. Discomfort is typically mild and can be easily managed with prescribed medication.

Most patients return to light activities within a few days and can resume work after about one week. Makeup can usually be applied after the sutures are removed, which typically occurs 5 to 7 days after surgery. Swelling continues to improve over the following weeks, revealing smoother, younger-looking skin beneath the eyes.

Dr. Pathak provides detailed aftercare instructions, including how to clean the incision sites and what to avoid during recovery. Protecting the area from sun exposure and following all post-surgical guidelines helps ensure the best possible outcome.

How Much Does Lower Eyelid Surgery Cost in New York and the Tri-State Area?

The cost of lower eyelid surgery in Purchase, Westchester County, Greenwich, New York, and the greater Tri-State area varies based on the complexity of your procedure, the type of anesthesia used, whether fat grafting or laser resurfacing is included, and the surgical technique required for optimal results.

During your consultation, Dr. Pathak provides a personalized quote that reflects your unique treatment plan. His team will review the total investment, including facility and anesthesia fees, and discuss payment and financing options.

Why Choose Us?

Patients choose Dr. Abraham Pathak for his refined technique, honest communication, and ability to create results that enhance without changing your natural appearance. As a double board-certified surgeon with expertise in both reconstructive and aesthetic procedures, Dr. Pathak approaches every surgery with precision and artistry.

He understands that the eyes are among the most expressive features of the face, and even small changes can make a big difference. That’s why patients across Westchester and Greenwich trust Dr. Pathak with their procedure.

Lower Eyelid Surgery FAQ’S

Most patients have around three to four appointments for lower eyelid surgery from start to finish. The process begins with a consultation at Dr. Abraham Pathak’s Purchase office, then you’ll have your pre-operative visit to go over instructions, discuss your anesthesia options, and prepare you for a smooth recovery.

Afterward, you’ll return for one or two follow-up visits so Dr. Pathak can monitor your healing and remove sutures if needed.
You’ll start to notice a more refreshed look within the first couple of weeks as swelling and bruising begin to fade. Most of Dr. Pathak’s patients feel comfortable returning to more social activities within 10 to 14 days.

However, full healing and the final outcome can take a few months as the tissue continues to settle and the skin fully smooths out.
Yes, many patients choose to combine their lower eyelid surgery with upper eyelid surgery, a facelift, or a brow lift to refresh multiple areas at once. Non-surgical treatments such as laser resurfacing or dermal fillers can also complement your eyelid results by improving skin tone and texture.

Dr. Pathak will help you design a custom treatment plan that aligns with your goals while minimizing downtime.

“Dr. Pathak’s Practice is more than just a standard plastic surgery center. I was referred by my dermatologist and I am glad I was. Clean facility friendly staff. Highly recommend”

– Mark Orlando

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Traveling patients get concierge scheduling, virtual consults, and supported recovery.

Coming from outside the area? We make surgery travel simple. Start with a virtual consult, then our team coordinates dates, pre-op steps, and recovery-friendly lodging near the practice. You’ll receive a custom itinerary with airport and hotel options, car service guidance, and aftercare check-ins so you can focus on healing while we handle the details.

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