When it comes to lower blepharoplasty in NYC, experience matters—and so does artistry. Dr. Robert Schwarcz is a board-certified oculofacial plastic surgeon with more than two decades of experience performing eyelid surgery. His work focuses on natural-looking, subtle transformations that restore balance and vitality without compromising your unique appearance.
All surgeries are performed by Dr. Schwarcz himself in our Manhattan office
Offices in Manhattan and Rye, NY for convenient consultations and follow up appointments
Consultations and non-surgical treatments available at both locations
Surgical procedures performed in our private, accredited surgical suite in Manhattan
Ready to take the next step? Click the Request an Appointment button below and let us help you look and feel like your most rested, confident self.
CHOOSE ROBERT SCHWARCZ MD
If you’re not ready for surgery, there are non-surgical options to consider, such as:
Tear Trough Filler: Add volume to hollow under-eye areas and smooth out the skin.
CO2 Laser: Improve skin texture and tone while reducing fine lines.
Morpheus8: Stimulate collagen production for firmer, smoother skin.
However, these alternatives are temporary and require ongoing maintenance. For long-lasting and dramatic results, lower blepharoplasty remains the gold standard.
ALTERNATIVES
For a fully rejuvenated and harmonious look, consider pairing your lower blepharoplasty with these services:
Upper Blepharoplasty: Achieve balance by addressing sagging upper eyelids for a refreshed appearance.
Fat Transfer: Restore volume to hollowed areas of the face, such as the cheeks or temples, for a more youthful look.
CO2 Laser: Enhance the texture and tone of the skin around your eyes with laser resurfacing or chemical peels.
Dysport: Smooth out crow’s feet and forehead lines to complement your brighter, refreshed eyes.
These additional treatments can help amplify the results of your lower blepharoplasty and create a cohesive, youthful appearance.
COMPLEMENTARY
The results of surgery to remove eye bags are long-lasting and impactful. Patients often report looking more energized, youthful, and confident. You can expect:
Smoother under-eye skin
A reduction or elimination of puffiness and bags
A rested, refreshed appearance that still looks like you
Minimal or no visible scarring
These results can last for many years, though the natural aging process will continue. Some patients return in the future for complementary procedures or maintenance treatments, but many find their surgical results hold up beautifully over time.
RESULTS
Healing from lower lid surgery is generally straightforward but does require a little patience. Here's what to expect:
Days 1–3: Swelling and bruising peak. Cold compresses and head elevation are key. You’ll be prescribed pain medication if needed.
Days 4–10: Swelling begins to subside. You may feel ready to ease back into light activities. Sutures (if any) are removed around Day 6–7.
Weeks 2–3: Most people are comfortable returning to work, seeing friends, and running errands. Minor swelling may linger but is easily concealed with makeup.
Weeks 4–8: You’ll notice a significant improvement in smoothness and contour.
Months 3–6: Final healing is complete. The under-eye area appears lifted, youthful, and refreshed.
You’ll have several follow-up visits during recovery to ensure everything is healing properly.
RECOVERY
Your lower blepharoplasty in NYC will take place in our fully accredited JCAHO-certified surgical suite on the Upper East Side of Manhattan. The procedure takes 1–2 hours and is performed under IV sedation, allowing you to remain relaxed and comfortable throughout.
Here’s how your day will go:
Pre-Op: Dr. Schwarcz will review your surgical plan, mark the treatment areas, and answer any last-minute questions.
Procedure: He will make discreet incisions, remove or reposition fat, and gently tighten the skin as needed. Every step is taken to minimize trauma and preserve a natural contour.
Post-Op: After a brief stay in recovery, you’ll be discharged the same day with complete instructions for healing at home.
Unlike many surgeons who rely on a cookie-cutter approach, Dr. Schwarcz uses advanced techniques and individualized planning to produce smoother, more balanced results.
WHAT TO EXPECT
Proper planning makes a major difference in both your outcome and recovery. Here’s what to consider as you get ready for lower eyelid surgery:
Schedule Around Downtime – Plan at least 2–3 months ahead of any major life event (e.g. wedding, photoshoot, travel) to allow for full healing.
Take Time Off – You’ll need about 1–2 weeks away from work or social activities.
Pause Certain Medications – Avoid blood-thinners like aspirin, ibuprofen, fish oil, and vitamin E for at least two weeks prior.
Arrange Support – Have someone available to take you home after surgery and assist during the first 24–48 hours.
Stop Smoking – Smoking can dramatically impair healing and should be discontinued well before surgery.
Photos + Planning – During your consultation, Dr. Schwarcz will take detailed photos and discuss the surgical plan so you understand exactly what to expect.
PLANNING
Not everyone is a candidate for surgery to remove eye bags. You may need to explore alternative treatments if:
You are currently pregnant or breastfeeding
You have an uncontrolled health condition such as high blood pressure, diabetes, or a bleeding disorder
You suffer from certain eye diseases (such as glaucoma or dry eye syndrome) that may worsen with surgery
You’re expecting drastic changes that lower blepharoplasty can’t realistically achieve
You are not able to commit to the post-operative healing process
If surgery isn’t right for you at this time, Dr. Schwarcz can discuss nonsurgical options that may provide temporary improvement.
NOT CANDIDATES
Under-eye bags are caused by a variety of factors, including:
Age-related fat prolapse – Fat that cushions the eye can shift downward or forward as the orbital septum weakens with age.
Thinning skin – Loss of collagen and elastin over time makes skin under the eyes more transparent, emphasizing puffiness and discoloration.
Genetics – Some people are predisposed to puffiness or sagging under the eyes, even at a younger age.
Lifestyle – Lack of sleep, high sodium intake, allergies, and stress can all exacerbate the appearance of eye bags.
While topical treatments and injectables may temporarily improve these issues, surgery to remove eye bags offers a long-term, structural correction that no cream or filler can replicate.
You may be a strong candidate for lower blepharoplasty in NYC if you:
Are bothered by chronic under-eye bags or puffiness that don’t respond to rest or skincare
Have loose or sagging skin under your eyes that creates a tired or aged look
Are noticing shadows or a sunken appearance beneath your eyes due to fat displacement or loss of volume
Are generally healthy, do not smoke, and are free of serious eye conditions
Have realistic expectations and want to enhance—not drastically change—your appearance
This procedure is common among both men and women, with patients ranging from their 30s into their 70s and beyond. Many people choose to have lower eyelid surgery as a standalone procedure, while others combine it with upper blepharoplasty, brow lift, or fat grafting for a more comprehensive result.
CANDIDATES
Lower blepharoplasty is a precision cosmetic procedure designed to rejuvenate the area beneath the eyes by removing or repositioning fat, tightening skin, and—when needed—adjusting the underlying muscle structure. The most common concerns addressed with lower eyelid surgery include:
•Prominent under-eye bags and puffiness
•Loose, crepey, or wrinkled skin
•Dark shadows caused by fat prolapse or thinning skin
•A hollow or sunken appearance from volume loss
•During surgery, Dr. Schwarcz uses one of two techniques depending on your anatomy and desired outcome:
TRANSCONJUNCTIVAL APPROACH – Incisions are made on the inside of the lower eyelid, allowing for fat removal or repositioning without any visible scarring. This is ideal for patients who have puffiness but little to no excess skin.
SUBCILIARY APPROACH – Incisions are made just below the lash line, allowing for removal of both fat and excess skin. This approach is often used when loose or sagging skin is present.
The goal of lower lid surgery is not to make you look like someone else—it’s to bring your features back into balance. After healing, you’ll still look like you—just better rested and more vibrant.
THE PROCEDURE
bleph·a·ro·plas·ty ˈble-fə-rō-ˌpla-stē
If your under-eyes constantly make you look tired, even when you feel well-rested, you’re not alone. For many people, the under-eye area is one of the first places to show signs of aging, stress, and genetics. Puffy bags, dark circles, loose skin, or a hollowed-out appearance can disrupt the balance of your entire face. When concealer stops cutting it, and skincare products don’t make a dent, lower blepharoplasty in NYC may be the next step.
Lower blepharoplasty—often referred to as lower eyelid surgery or lower lid surgery—is a surgical procedure that targets the lower eyelid region to correct puffiness, sagging, excess skin, and fat displacement. Dr. Robert Schwarcz, a board-certified oculofacial plastic surgeon with more than 20 years of experience, performs this delicate surgery with an artistic, conservative approach to ensure results look smooth and completely natural. Whether you're seeking surgery for eye bags, dark circles, or loose skin under the eyes, Dr. Schwarcz tailors each treatment plan to your unique anatomy and goals.