Lower Eyelid Surgery in Mission Viejo, Orange County Precision and Care for a Delicate Area

At Orange County Surgical Specialists, we specialize in aesthetic procedures that elevate your natural features while preserving what makes you uniquely you. Led by double board-certified facial plastic surgeon Dr. Reza Bolourian, our practice offers advanced, personalized facial surgery in a private, fully accredited facility. Lower eyelid surgery in Mission Viejo is one of our most effective treatments for under-eye bags, puffiness, and signs of aging that make the face appear tired. With surgical precision and an eye for harmony, we help you achieve rejuvenation that looks refreshed, not operated on.

What Is Lower Eyelid Surgery?

Lower eyelid surgery, also known as lower blepharoplasty, is a surgical procedure that addresses concerns under the eyes, such as bags, excess skin, and hollowing. Over time, the skin and tissues beneath the eyes can loosen or accumulate fat, leading to puffiness, creases, or a sunken appearance. Through a small incision—often hidden just beneath the lower lash line or inside the lower lid—Dr. Bolourian can reposition or remove fat, tighten the muscle and skin, and restore smoother, more youthful contours.

Unlike non-surgical options, lower eyelid surgery in Mission Viejo offers long-term correction for under-eye aging with refined results that seamlessly blend into your natural facial structure.

Benefits of Lower Eyelid Surgery

Lower eyelid surgery provides both aesthetic and functional benefits. Whether your concern is cosmetic or related to changes in the structure of the lower lid, this procedure offers a reliable solution with lasting improvement.

Reduces Puffiness and Eye Bags

Eliminates or repositions fat deposits that cause under-eye bulging.

Smooths Wrinkles and Creases

Tightens loose skin and muscle to reduce fine lines beneath the eyes.

Corrects Hollowing or Tear Troughs

Restores volume or adjusts fat placement to eliminate a sunken, tired look.

Creates a More Rested Appearance

Rejuvenates your expression without changing your natural features.

Improves Facial Balance

Enhances the harmony between your eyes, cheeks, and overall facial structure.

Long-Lasting Results

Offers durable improvement not typically achievable with fillers or topical treatments.

Discreet and Natural-Looking

Carefully placed incisions ensure subtle results without visible scarring.

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Are You a Good Candidate for Lower Eyelid Surgery?

If you've noticed persistent puffiness, sagging, or hollowness under your eyes that makes you appear tired or older than you feel, lower eyelid surgery in Mission Viejo may be an excellent solution. Ideal candidates are typically in good overall health, do not smoke, and have realistic expectations about what surgery can achieve.

Many patients have previously tried non-surgical treatments—such as fillers or creams—with limited success and are now seeking a longer-lasting, more structural solution. During your consultation, Dr. Bolourian will conduct a comprehensive facial assessment to determine whether a lower eyelid procedure, or a combination approach involving fat grafting or a mid-facelift, is most appropriate to help you reach your aesthetic goals.

Your Consultation

Your journey begins with a thoughtful, in-depth consultation at Orange County Surgical Specialists. Dr. Bolourian will take time to understand your aesthetic goals, review your medical history, and perform a detailed analysis of the under-eye area. He will explain the surgical technique, review before-and-after images of similar cases, and provide a customized recommendation that prioritizes safety, longevity, and subtlety. We aim to educate and empower you so you can make a confident, informed decision.

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I feel so lucky to have found Dr. Bolourian. He is truly a gifted and talented facial surgeon with an incredible eye for detail. While doing my research, I kept going back to Dr. B because of his consistent, natural, and beautiful results. From my very first consultation, I felt completely confident in his hands—he listened closely to what I wanted and delivered results that exceeded my expectations.

Shendelle Schokman

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What to Expect During Your Lower Eyelid Surgery

Your lower eyelid surgery will take place in our fully accredited, hospital-grade surgical suite in Mission Viejo. Depending on your personalized treatment plan, the procedure may be performed under local anesthesia with light sedation or general anesthesia to ensure your comfort. Dr. Bolourian will begin by making a small incision—either just beneath the lower lash line or inside the lower eyelid—based on your anatomy and desired outcome.

Through this incision, he will carefully reposition or remove fat deposits, gently tighten the underlying muscle, and excise any excess skin if necessary. Each step is performed with exceptional precision to sculpt a smoother, more youthful under-eye contour while preserving your natural eye shape. Most procedures take between one to two hours, and you will be able to return home the same day under the care of a trusted adult.

Lower Eyelid Surgery Recovery and Results

You can expect mild swelling and bruising for the first week, with most patients returning to work and light activities in 7–10 days. Cold compresses and rest help minimize discomfort. Sutures are typically removed within 5–7 days.

Final results become increasingly visible over several weeks as swelling subsides. You'll notice a smoother under-eye area, reduced puffiness, and a refreshed, more vibrant appearance. Best of all, the results look natural—never pulled or overcorrected.

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How Much Does Lower Eyelid Surgery in Mission Viejo Cost?

The cost of lower eyelid surgery in Mission Viejo depends on several factors, including the surgical approach, anesthesia, and whether the procedure is performed in combination with other treatments. As a cosmetic procedure, it is generally not covered by insurance unless there is a functional concern. During your consultation, you will receive a clear, individualized cost estimate based on your treatment plan.

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Why Choose Orange County Surgical Specialists for Lower Eyelid Surgery in Mission Viejo, Orange County?

Dr. Reza Bolourian is a double board-certified facial plastic surgeon with thousands of procedures performed and a reputation for natural results. At Orange County Surgical Specialists, we focus exclusively on facial aesthetics, allowing us to offer deep expertise in procedures like lower eyelid surgery. Our accredited, on-site surgical center ensures that every detail of your care meets the highest standards of safety, precision, and privacy.

Lower Eyelid Surgery Frequently Asked Questions

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Will lower eyelid surgery affect the shape of my eyes?

When performed by a skilled facial surgeon, the goal is to preserve your natural eye shape while enhancing under-eye smoothness and symmetry. Dr. Bolourian uses techniques that support the lower lid and avoid distortion.

Can lower eyelid surgery fix dark circles?

If dark circles are caused by shadowing from under-eye bags or volume loss, surgery can significantly improve their appearance. However, pigment-based dark circles may require additional treatments like laser therapy.

What is the difference between lower blepharoplasty and under-eye fillers?

Fillers offer temporary volume correction but may not be appropriate for significant puffiness or skin laxity. Lower eyelid surgery offers a permanent structural solution and avoids the risk of filler migration or irregularities.

Is lower eyelid surgery ever combined with other procedures?

Yes. It's often combined with fat grafting, a mid-facelift, or upper eyelid surgery for a more comprehensive rejuvenation. These combinations are discussed during your consultation.

Are the results permanent?

While aging continues, most patients enjoy long-lasting improvement for 10 years or more. A healthy lifestyle and good skincare can help maintain your results longer.

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