Lower Eyelid Surgery — temp
Excellence in Orange County Lower Eyelid Surgery (Blepharoplasty)
Lower eyelid surgery is one of the many cosmetic surgery options that Newport Beach board-certified plastic surgeon Dr. Joseph T. Cruise offers patients seeking facial rejuvenation. Joseph T Cruise, MD believes that all the patients who come to see him in his Orange County location deserve the best, most up-to-date information about lower eyelid surgery (blepharoplasty), which is why he and his staff have created these pages. Finding answers to your questions and viewing before and after eyelid surgery photos of realistic results are often the first steps in deciding if the procedure may be right for you. Joseph T Cruise, MD is dedicated to helping you make informed decisions regarding the plastic surgery that will help you achieve your desired results.
Please see below topics related to lower blepharoplasty:
Joseph T Cruise, MD and his staff have provided these pages to discuss many important topics, and to help you find answers to your questions about lower eyelid surgery, including:
- Will lower eyelid surgery get rid of bags under my eyes?
Several factors contribute to facial aging and cause bags under the lower eyes. Joseph T Cruise, MD’s CustomLift addresses many of the causes. - Why do my eyelids look tired even when I feel alert?
Joseph T Cruise, MD discusses how upper and middle facial aging create a sad, tired appearance in some people - regardless of alertness - and how to treat this concern. - Will fat transfer help with my lower eyelid rejuvenation?
Fat loss around the eyes and cheeks occurs in everyone over the age of 40. Joseph T Cruise, MD’s Custom-Lift approach addresses aging problems directly for the best, longest lasting, most natural results. - What kind of results can I expect from lower eyelid surgery?
The gallery of lower blepharoplasty before and after pictures shows you a variety of past patients, so you can compare your face to people who had similar concerns. - Are there any side effects?
Joseph T Cruise, MD makes clear the potential complications and risks, and details what to expect during recovery from lower eyelid surgery - How affordable is cosmetic surgery?
What financing options are available for my lower blepharoplasty?
Overview of Lower Blepharoplasty
As the focal point of the face, eyes are often the first thing people notice about you. They are the key to creating facial expressions, and can easily influence the perceptions that people have about you. So many patients come to Cruise Plastic Surgery in Orange County with the same complaint: their eyes make them look older and more tired than they feel.
Dr. Joseph T. Cruise, of Newport Beach, CA, is prepared to assist patients in achieving a look that is as young and as vibrant as they feel. With more than ten years experience as a board-certified plastic surgeon, he knows that the facial aging process can begin quickly and show more dramatically in some facial areas than others. As the eyes are one of the first areas to develop fine lines and wrinkles, in addition to bags, drooping, and other aging signs that contribute to a “worn-out” facial appearance, he has developed an exemplary skill for performing lower eyelid surgery and other facial rejuvenation procedures.

In the attractive, youthful lower eye lid, the lateral canthus should be higher than the medial canthus. The lower lid should just touch the colored part of the eye.
Aging Around the Eyes
The eyes are often one of the places that Joseph T Cruise, MD’s patients report they first notice the signs of aging. In youth, the cheeks and area around the eyes are kept plump and voluminous by the fat that makes them round out. As people age, they may notice a more gaunt, skeletal appearance in addition to fine lines and wrinkles around the eyes as this facial fat begins to descend into the area around the mouth. Generally, when people notice the effects that aging has on their appearance they want to restore the look of their youth, and many people turn to lower eyelid surgery, fat transfer, and other facial rejuvenation procedures to help.
In the past, lower eyelid rejuvenation was based on only tightening facial skin via skin excision. Dramatic changes in the cosmetic surgery industry over the past decade mean that Joseph T Cruise, MD and the rest of his Newport Beach staff do not consider a “one-size-fits-all” solution to facial rejuvenation. Instead, the professionals at Cruise Plastic Surgery take the approach that skin excision is just one approach to counteracting facial aging. In fact, three major components of the face may need to be addressed in order to recapture the youthful, refreshed look on your youth:
- Skin
- Muscle
- Fat
Since Joseph T Cruise, MD meets with each patient individually in his Orange County office, he is able to consult with everyone about their concerns, desired changes, and the underlying components contributing to their overall problem. This customized approach to eyelid rejuvenation means that every patient receives the best long-term solution available for their particular issues.
Lower Eyelid Skin With Aging
Many patients are concerned about crow’s feet around their eyes, which unfortunately, eyelid surgery alone may not completely correct. Joseph T Cruise, MD uses a highly successful technique that includes repositioning underlying fat and muscle so that you can regain youthful, wrinkle-free eye areas.
If you have concerns about the skin condition around your eyes, you might want to discuss your facial rejuvenation options with Joseph T Cruise, MD at your consultation. Many patients choose to have a brow lift, face lift, chemical peel, or dermabrasion in addition to their lower blepharoplasty to address concerns with the skin around their eyes.
Lower Eyelid Muscles with Aging

Youthful Eyes. Muscles around the eyes are circular in shape.

Aged Eyes. Notice how the muscles and the lateral canthus sags.
Lower Eyelid and Cheek Fat with Aging
Over the last decade cosmetic surgery has developed a richer, fuller picture of how facial fat and muscle contribute to facial aging. Because of this innovative knowledge and techniques, Joseph T Cruise, MD is able to perform custom facial rejuvenation procedures that provide long-lasting effects for his patients.
Rather than remove fat, Joseph T Cruise, MD generally chooses to perform a fat transfer or cheek lift with a patient who is interested in lower eyelid surgery if the blepharoplasty won’t correct the person’s underlying problems. Additionally, many patients complain to Joseph T Cruise, MD that the lower eyelid, especially near the temple region, has begun to descend, giving their face a depressed appearance. This “droopy” countenance is easily corrected with an elevation of the lateral portion of the lower eyelid, creating a youthful, almond-shaped lower eyelid area. There are many options available to people who want dramatic results to their eye, cheek, brow, and temple area, and it is important to discuss if eyelid rejuvenation is right for you at your personal consultation with Joseph T Cruise, MD at his Newport Beach office.

Young eyes. Fat is situated high in the cheek under the lower eyelid, giving volume and preventing wrinkles.

Aged Eyes. Cheek fat has descended, creating a creased lower eyelid and a deep fold above the lips.
In youth, a person’s facial fat is located high in the cheek, under the lower eyelid. As a person ages, the cheek fat descends, which creates a crease between the lower eyelid and the cheek.
Joseph T Cruise, MD often performs multiple procedures for patients who have multiple concerns with their eye area. By doing this, it allows Joseph T Cruise, MD to address all the components associated with aging, including separate problems in the facial skin, muscles, fat, and bone. At your consultation you can discuss with him if lower eyelid surgery alone will achieve the look you want. Browse the galleries of before and after pictures to see the difference that multiple facial rejuvenation procedures can make. Contact us for more information!
Facelift Overview
Definition
Facelift is a cosmetic procedure that address the signs of facial aging.
Characteristics
Aged appearance resulting from sagging skin, wrinkles, and volume loss.
Common Complaints
Facelift Before/After Examples
Surgery Information
Anesthesia: Local or general
Facility: In-office or accredited outpatient surgical facility
Recovery: Back to work 5-7 days, longer if job is strenuous or requires physical activity
Cost: The price of a face lift varies depending on what needs to be done, whether it is a mini face lift or full face lift, and whether a neck lift is needed at the same time or not, as well as the anesthesia used (local vs. general). Typically, the cost varies from $9,000 to $16,500. Many times patients add-on additional procedures such as: upper/lower eyelids, fat transfer, temple lift, neck lift, etc.
Cruise Plastic Surgery accepts the following forms of payment:
- Check
- All major credit cards
- Cash
- Financing: Prosper Lending, Care Credit, Alphaeon Credit
The Look You Have
The interactive diagram below was created by Joseph T Cruise, MD to help you identify what you don't like about your face now. This provides both you and Joseph T Cruise, MD a clear visual of what is bothering you and will help him formulate a customized treatment plan to address your concerns.
Click the images below to select your concerns in each category. If you would like to submit the form for review, one of Joseph T Cruise, MD's patient care coordinators will review your selections and contact you to discuss further. You can also click TLIW in PDF format to print for your own use.
Common complaints of facial aging
Anatomy of the Face

It is important to understand the anatomy of the face and how it changes during the aging process. Joseph T Cruise, MD addresses the face in four quadrants. View each section below to see what procedures are available to treat the most common issues of facial aging.
Surgical Options
Joseph T Cruise, MD will work with you to determine the best surgical plan to obtain your desired result. He will take into consideration the "Look You Have" and the "Look You Want."
Joseph T Cruise, MD addresses all facelift patients individually with a customized approach to evaluating the face. His custom facelift section outlines the specific effects of a number of common facial rejuvenation procedures including: Upper and lower eyelids, brow lift, fat transfer, neck lift and chin implants.
Learn about the most common Facelift Methods and Incision Types
Surgical & Recovery Timeline
Joseph T Cruise, MD has found that when patients have access to pictures they better understand the healing process and what to expect. This allows patients to assess whether the effects they are experiencing after their face or neck lift are typical, and they can quickly discuss any concerns with a staff member at Cruise Plastic Surgery.
Before Facelift Surgery Instructions
After Facelift Surgery Instructions
Recovery Timeline - The male and female recovery timelines below demonstrate what to expect at each stage of the healing process.
Facelift Before & After Photos
Patient Testimonials
When considering facelift surgery it can be very helpful to hear from others who have already had it done. Real Self, the number one online resource for learning about elective cosmetic procedures, is a great resource. You can even talk to others to get answers to your questions, receive emotional support, as well as get tips and advice.