DENVER EYELID SPECIALISTS
Lower Eyelid Blepharoplasty
Refresh tired-looking under eyes—without changing how you express yourself.
If puffiness, “eye bags,” or shadows make you look fatigued even when you’re rested, lower blepharoplasty can help.
At Denver Eyelid Specialists in Greenwood Village—serving Denver, Cherry Creek, and the Denver Tech Center—Chris Thiagarajah, MD (ASOPRS) performs conservative lower eyelid surgery that addresses fat pads and skin texture while keeping results natural.
Quick Facts
Procedure time: ~45–75 minutes
Anesthesia: local with General Sedation (case dependent)
Approach: transconjunctival (no external scar) ± skin pinch; with or without fat transposition or transfer
Downtime: most patients feel “restaurant ready” in ~21 days
A Denver Eyelid Specialist focusing on Blepharoplasty
HOW DR. THIAGARAJAH PLANS YOUR SURGERY
Diagnosis first: distinguishes true fat prolapse vs. edema vs. volume loss
Vector & laxity testing: snap-back test, canthal position, and cheek support guide whether a canthopexy/canthoplasty is added
Fat preservation/transposition: prefer to move or blend fat over removing it to avoid hollowing
Skin strategy: transconjunctival approach for fat, plus an optional skin pinch if texture needs it; transcutaneous if extra skin/muscle requires external access
Filler history: dissolving is recommended before surgery
Procdure Approaches
Transconjunctival (no external scar)
Incision on the inside of the eyelid• Fat is repositioned/transposed to fill the tear trough or conservatively reduced• Often paired with a skin pinch for fine crepe skin
Fat Reposition
Moving eyelid fat to adjacent tear trough area to soften transition from eyelid to cheek
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Fat Transfer
Harvesting fat from the thigh to move into cheek and eyelid junction
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Want to take a deeper dive?
Basic procedure step-by-step
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Marking & photos with you upright
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Comfort anesthesia (General anesthesia)
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Precise fat contouring with preservation or transposition
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Skin pinch or gentle skin/muscle tightening when indicated
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Canthal support if laxity would risk rounding/ectropion
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Cooling, lubrication, and aftercare review before you go home
Recovery Timeline
• Days 0–2: swelling, tightness; ice compresses and head elevation
• Days 3–7: bruising fades; light walking is fine
• Day 7–10: skin-pinch sutures (if placed) usually removed;
• Weeks 2–3: most swelling gone; makeup and contacts typically OK per your exam (many patients feel socially ready end of three weeks)
• Month 3: contour refines; final result continues to settle
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Activity: avoid heavy workouts, hot yoga, and swimming ~2 weeks. Use sunglasses and SPF to protect healing skin.
Risks & Safety (Brief)
Bruising, swelling, temporary dryness/irritation, chemosis, asymmetry, visible scar (if external approach), hollowing, persistent bags, ectropion or rounding (rare, mitigated by canthal support), infection, bleeding/hematoma, and very rare vision-threatening complications. Choosing an ASOPRS-trained oculoplastic surgeon helps minimize risk and safely manage eyelid/eye-surface factors.​
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Cost & Financing
Fees vary based on approach , whether canthal support is added, and anesthesia setting. You’ll receive a written quote at consultation.
Why Denver Patients Choose Dr. Thiagarajah
• ASOPRS oculoplastic surgeon specializing in eyelids
• Natural results: fat preservation/transposition over aggressive removal
• Thoughtful planning for male vs. female aesthetics
• Convenient location in Denver near Cherry Creek, DTC, and Greenwood Village