Lower eyelid surgery in Bordeaux
Lower blepharoplasty is a cosmetic surgery procedure that aims to correct certain defects associated with aging of the lower eyelid.
Written by Dr Maxence Thomas, plastic surgeon
Content reviewed on 13 October 2026 · RPPS 10101703519
- Type of anesthesia
- Usually local, more rarely general.
- Duration of the procedure
- 30 to 45 minutes in general, depending on the complexity of the procedure.
- Hospitalization
- Not necessary, the intervention is performed on an outpatient basis.
What is lower blepharoplasty?
Lower blepharoplasty is a cosmetic surgery procedure, performed by Dr Maxence Thomas at the Clinique Esthétique Aquitaine in Bordeaux, that aims to correct certain signs of aging of the lower eyelid:
→ Bags under the eyes caused by sagging skin and fat accumulation, accentuated by muscle laxity.
→ Lower eyelids wrinkled by excess skin.
→ The hollow of the tear trough is not treated by blepharoplasty, but can be treated at the same time with an injection of fine fat known as microlipofilling or nanofat.
How does the procedure work?
The surgeon can use 2 types of incision, depending on the planned procedure:
- The transconjunctival approach
The incision is made on the inner side of the eyelid, in the conjunctiva. This approach is used when the aim is to remove fat pads.
- The subciliary approach
The incision is made just below the lashes, where the scar is barely visible and easily concealed. This approach is used in particular to remove excess skin.
Both approaches can be combined in the same procedure if several steps are required (removal of fat pads + skin tightening, etc.).
What is the recovery like?
Scars
Transconjunctival scars cannot be seen from the outside (inner side of the eyelid) and subciliary scars are barely visible and easily concealed.
Post-operative course
Stinging eyes, blurred vision or slight itching may be felt temporarily. Eye drops are prescribed for the first few days. Swelling and bruising of the eyelids should be expected for 15 days.
Recovery
10 to 15 days of social downtime are required, but clinical recovery is very quick. The patient can go out during the first few days wearing sunglasses.
What results can you expect?
Lower blepharoplasty treats the entire lower eye area in a single procedure.
→ Barely visible scars
→ No unnecessary invasive steps
→ Respects the normal anatomy of the eyelid
How much does it cost?
From €2,650
A detailed quote is given after the consultation. For a cosmetic procedure, French law requires a cooling-off period of at least 15 days between the quote and the surgery.
FAQ
Depending on the technique used, the scar may be completely hidden inside the eyelid (transconjunctival approach) or hidden just below the lashes (subciliary approach). The skin of the eyelids is very thin, which generally allows the scar to fade quickly until it is almost imperceptible.
Lower blepharoplasty is often performed under local anesthesia, even when combined with upper blepharoplasty. It can also be performed under general anesthesia.
The procedure usually takes 30 to 45 minutes, depending on its complexity.
It is a surgical procedure that is performed on an outpatient basis.
Depending on the case: removal of excess skin, of fat pads, or both at the same time.
It is a procedure with little pain; discomfort is well managed with usual painkillers.
As with any procedure, there are risks, and complications may occur (bleeding, infection, wound dehiscence, scarring problems, neurological disorders, etc.). They are uncommon and can be managed promptly by the surgeon during post-operative check-ups. An information sheet from the French Society of Plastic Surgery will be given to you before the procedure.
Any other questions? Dr Thomas will answer them during the consultation.
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What patients say
4.7/5 · 121 Google reviews« I recommend Dr. Thomas without hesitation. This is the second time he's performed my lip injections, and I'm once again delighted with the results. The work is meticulous, elegant, and above all, natural—exactly what I was looking for. He perfectly respects the facial structure, and the result is harmonious, without being overdone. I also want to thank his assistant, Béatrice, who is incredibly kind. Always smiling and welcoming, she makes you feel truly listened to and well taken care of from beginning to end. An excellent experience; I will definitely return. »
Coraline Hayward5 months ago« One year after my breast augmentation surgery, I wanted to warmly thank Dr. Thomas for his professionalism and outstanding work. The result is very successful, natural, and completely met my expectations. During my stay at the cosmetic surgery clinic, the entire team was incredibly kind, caring, and reassuring. I experienced very little pain, which surprised and relieved me greatly. I also want to acknowledge the doctor's secretary, who called me the day after the procedure to check on me—a very thoughtful and genuine gesture. I wholeheartedly recommend Dr. Thomas and his entire team. »
Raphaëlle Mazeau10 months ago« A huge thank you to surgeon Maxence Thomas, who took care of me. He's the best in the department. Excellent service. Special mention to surgeon Maxence Thomas and his team. Thank you for your kindness and for putting me at ease, and for the follow-up care you provided afterward. Very satisfied with the result, even after just one week. Impressive! I can't thank you enough. Thank you for this operation. So happy! Very welcoming. I highly recommend them. Highly professional and charming. I am extremely grateful. »
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