9201 W. Sunset Blvd. GF-1
West Hollywood, CA. 90069
Call: 310.246.2355
Dr. Motykie's Practice | Dircetions and Location

Please leave this field empty.

Eyes (Lower Blepharoplasty)

Blepharoplasty | Eyelid Surgery Beverly Hills | Los Angeles


More than one hundred thousand people undergo lower eyelid surgery each year in order to improve their appearance and look more rested. The surgery is intended to help people that have “puffy” lower eyelid bags and/or “dark circles” underneath their eyes which can lead to a “tired” appearance.
Schedule A Consultation with Dr. Motykie

You may have had the experience of a friend or colleague asking you if you are “tired” when you are truly well-rested. When people keep hearing this question even though they are not tired it is usually due to the presence of droopy lower eyelids, dark circles underneath their eyes and/or bothersome under-eyelid bags. These signs of aging can make you appear older than you are and look more tired than you feel. Believe it or not, these effects of aging can often be seen as early as in the mid-thirties in some patients!  Cosmetic lower eyelid surgery, known technically as a lower blepharoplasty, involves removal of the lower eyelids “bags” along with tightening of excess loose skin in order to restore a refreshed and more youthful appearance to the lower eyes.


I wanted to write and tell you that I think you are a true genius and artist. I am tickled pink with my face. Thanks for making the whole experience so wonderful. People still can’t figure out exact…
44 year-old female

Aging of the lower eyes can lead to the development of lower eyelids “bags” and a “tired” appearance. During your consultation, Dr Motykie will evaluate your eyes, forehead, eyelid muscles and skin in order to customize your surgery to your particular needs and concerns. Topics that will be discussed will include whether or not both your upper and lower eyes need to be treated, whether lower eyelid bags need to be corrected, whether loose skin needs to be removed and whether or not an additional procedure will help you to achieve your goal such as laser skin resurfacing or brow surgery. This initial evaluation is critical because, unlike some other centers that only perform one type of lower eyelid rejuvenation, Dr Motykie utilizes a variety of modern, time proven techniques that our custom tailored to your own unique anatomy and individual goals.

During your consultation it will be determined which type of lower blepharoplasty technique will best meet your needs and desires from surgery. If it is determined that lower eyelid bags and loose skin are both a problem, Dr Motykie will most likely suggest a transcutaneous approach to your surgery which will allows for removal of the excess lower eyelid skin in addition to correction of the lower eyelid bags. In this approach, Dr Motykie is meticulous about hiding your incisions within the natural creases of the eyes in order to maximally conceal them. This means the incisions will typically fall just below the lashes of the lower eyelids. In some cases, the incisions may extend into the natural laugh lines at the corners of the eyes or into the crow’s feet.  If during your consultation it is determined that your only problem is “bags” beneath the lower eyelids (without any loose skin), a transconjuctival blepharoplasty can most likely be performed which does not involve the removal of any skin below the eyelid. In this approach, an incision is made inside the lower eyelid which avoids any visible scarring on the outside of the lower eyelid. If there is fine wrinkling of the lower eyelid skin, a chemical peel or laser resurfacing often offers a safer solution than surgical excision of skin which can lead to lower eyelid retraction and a visible scar on the outside of the lower eyelid. Lastly, sometimes, the problem is not actually bulging fat pockets, but rather hollowing and loss of fat volume below the eyelids. In this case, adding some of your own fat to this area through facial fat grafting can do wonders in creating a more youthful and rested lower eyelid appearance.  In fact, Dr Motykie will include facial fat grafting in the majority of his lower eyelid surgeries in order to enhance the final long-term results and youthful appearance of the lower eyelids.

Since, there are many options for rejuvenation of your lower eyes Dr Motykie will take time to discuss which of these separate or combined rejuvenation techniques will best accomplish your unique goals from lower eyelid surgery. During your consultation, photographs of your face will most likely be taken so that Dr Motykie can further study your eyes and utilizing state of the art computer imaging systems to show you what can be achieved form lower eyelid surgery in your individual case.  You will be asked to provide your medical history, and will focus on conditions you have that may affect your surgery including thyroid problems, dry eyes, lack of sufficient tears, high blood pressure or other circulatory disorders, diabetes, cardiovascular disease or glaucoma. Dr Motykie will also give you an opportunity to ask him any question you may have about your surgery as well as its possible benefits in your particular case. When going into your consultation, it is wise to come with questions written down and have a general understanding of the overall procedure so you can be prepared to learn as much as possible during your visit with Dr Motykie. You should leave your consultation with a preliminary game plan for your surgery.  Cost is always a consideration in elective surgery. At the conclusion of your consultation you will have the opportunity to meet with Dr Motykie’s surgical consultant who will be able to explain to you the possible cost and timing of your lower eyelid surgery. Cost may include surgeon’s fee, surgical facility costs, anesthesia fees, prescription medications, post-surgery garments, and medical screening tests. Dr Motykie’s consultant will also be able to explain to you all of your possible financing options.

For your own personal and confidential consultation, contact Dr. Motykie’s office today. Dr Motykie will answer all of your questions and together you can determine which procedure best fits your desires and needs. Remember, it is impossible for a surgeon to tell you the best approach for you without first listening to your desires and concerns and then performing an examination of your eyes and surrounding tissue. Out of town patients may send photographs in order to have a virtual consultation performed by Dr Motykie.

To find out more about eyelid surgery please contact us at 310-246-2355

Dr. Gary Motykie