Lower Eyelid Retraction Repair in NYC

For Natural, Balanced Results

Lower eyelid retraction repair is a highly specialized procedure designed to correct a condition where the lower eyelid is abnormally pulled downward, exposing an excessive amount of the eye. This exposure can lead to discomfort, dryness, sensitivity to light, and an unbalanced appearance. Common causes include aging, trauma, and, in some cases, complications from previous eyelid or facial surgeries. Whether you're seeking relief from physical symptoms or looking to restore facial harmony, this procedure offers both functional and cosmetic improvement.

Performed by Dr. Robert Schwarcz—an esteemed, double board-certified oculofacial plastic surgeon in NYC—lower eyelid retraction repair is available in our Upper East Side Manhattan office, where all surgical procedures take place in our private JCAHO-certified surgical suite. Consultations and follow-ups are also available at our Rye, NY office, making treatment accessible and convenient.

What Is Lower Eyelid Retraction and Why Does It Happen?

Lower eyelid retraction occurs when the lower eyelid droops below its normal position, often revealing the white part of the eye beneath the iris (scleral show). This can happen due to:

• Natural aging: Skin and muscle laxity increase with age, affecting the eyelid’s ability to hold its position.

• Trauma: Accidents or injuries to the face can disrupt the eyelid’s natural structure and function.

• Surgical complications: In rare cases, previous lower blepharoplasty or other facial surgeries can result in downward eyelid pull.

Left untreated, retraction can lead to ongoing eye discomfort, excessive tearing, eye exposure, and even potential damage to the cornea.

Who Is a Candidate for Lower Eyelid Retraction Repair?

You may be a strong candidate for lower eyelid retraction repair if you:

• Notice that your lower eyelid is visibly pulled down, exposing the sclera.

• Experience eye irritation, dryness, redness, or excessive tearing.

• Have difficulty closing your eyes completely, especially during sleep.

• Have a history of facial trauma, aging-related changes, or prior surgery that altered your eyelid position.

• Are in generally good health and have realistic expectations about the recovery process and final results.

This procedure addresses both medical symptoms and aesthetic concerns, improving your comfort and your confidence.

How to Prepare for Lower Eyelid Retraction Surgery in NYC

A successful outcome starts with proper preparation. Dr. Schwarcz and his team will guide you through each step, but some important preparations include:

• Timing: Schedule the procedure at least 3–4 months before any major events to allow for full healing and refinement.

• Downtime: Plan to take 1–2 weeks off from work or social obligations for recovery.

• Lifestyle adjustments: Avoid smoking and limit alcohol to promote better healing.

• Medications and supplements: Pause blood thinners, aspirin, and supplements like vitamin E at least two weeks prior.

• Day-of support: Have someone available to drive you home and assist during the first 24 hours post-surgery.

What to Expect During Lower Eyelid Retraction Repair Surgery

Lower eyelid retraction repair is typically performed under local anesthesia with sedation or, in some cases, general anesthesia. The surgery usually takes between 1 and 2 hours.

Dr. Schwarcz will:

• Carefully assess the severity of the retraction and tailor the procedure to your specific anatomy.

• Use grafts—either from your own tissue or a donor source—to support and reposition the eyelid.

• Re-establish the eyelid’s natural height and contour while preserving harmony with your overall facial features.

His meticulous technique ensures that results look balanced and natural—not overdone.

Lower Eyelid Retraction Recovery Timeline and Tips

Recovery is typically straightforward and well-tolerated. Here’s a general timeline of what to expect:

• Days 1–3: Swelling, bruising, and mild discomfort are common. Cold compresses and prescribed medication help manage symptoms.

• Week 1–2: You’ll likely feel well enough to return to non-strenuous activities. Stitches (if placed externally) may be removed during this period.

• Month 1–3: Most visible swelling resolves. The eyelid will begin to settle into its natural position.

• By Month 6: Full healing is achieved, with scars (if any) fading significantly and final results visible.

Dr. Schwarcz and his team will be available to support you through every phase of the healing process, ensuring you feel informed and confident.

Long-Lasting Results That Look and Feel Natural

The results of lower eyelid retraction repair are long-lasting and offer both physical relief and aesthetic enhancement. Most patients experience significant improvement in eye comfort, the ability to fully close the eye, and a more youthful, symmetrical facial appearance. With proper care and regular follow-up, your results can last for many years.

Complementary Procedures for Optimal Results

For patients seeking a more comprehensive rejuvenation, Dr. Schwarcz may recommend pairing lower eyelid retraction repair with one or more of the following treatments:

• Lower Blepharoplasty – to remove under-eye bags and refine the shape of the lower lid.

• Fat Transfer to the Face – to restore lost volume in the cheeks or under the eyes.

• CO2 Laser Resurfacing – to improve skin texture, reduce wrinkles, and enhance the overall appearance of the eye area.

Combining procedures can enhance your results and contribute to a more youthful, harmonious look.

Non-Surgical Alternatives: Can Morpheus8 Help?

While no non-surgical procedure can fully correct lower eyelid retraction, some patients with mild skin laxity may benefit from Morpheus8.

What is Morpheus8?

Morpheus8 combines microneedling with radiofrequency energy to tighten skin and improve texture. It does not reposition the eyelid but can enhance skin firmness around the eyes, making it a potential add-on treatment for mild concerns. However, for true eyelid retraction correction, surgery remains the gold standard.

Why Choose Dr. Robert Schwarcz for Lower Eyelid Retraction Repair in NYC?

With more than two decades of experience and dual board certification in oculofacial plastic surgery, Dr. Robert Schwarcz is recognized as one of the leading experts in eyelid procedures in New York City. He is known for delivering results that restore comfort and function without sacrificing a patient’s natural appearance.

Surgery takes place in our private, fully accredited surgical suite on Manhattan’s Upper East Side, and consultations are available in both Manhattan and Rye, NY. From start to finish, you can expect personalized care, surgical precision, and natural results that enhance—not change—who you are.