Lower eyelid surgery restores a smooth, youthful appearance to the lower eyelid, and lower eyelid/cheek junction.

Cosmetic correction of the lower eyelid region, or lower blepharoplasty, restores a smooth, natural contour to the area beneath the eyes, by correcting puffiness and bags resulting in a more youthful appearance. Lower eyelid surgery may also improve a pronounced tear trough — a depression running from the inner corner of the eyes to the cheek. The midface can also be improved with a cheek lift or midface lift which can be performed for patients with malar bags or drooping of the midface.

Dr. Codner uses specialized techniques to correct the lower eyelid, including removing excess fat (if present) or repositioning of fat to avoid a hollow appearance. In order to maintain the natural shape of the eyelids, lower lid support is performed by tightening the lower lid muscle and the corner of the lid with a canthopexy or canthoplasty.

Generally outpatient, lower eyelid blepharoplasty is most commonly performed either under general or local anesthesia with sedation, and may require an overnight stay when combined with other procedures.

You may engage in light activity the day after your surgery. Depending on any accompanying procedures, a return to more normal activity may take 1-2 weeks. Your appearance will gradually refine over the following 4-6 weeks.

Proper skincare and sun protection including sunglasses, are essential during healing.

Results can be long-term, turning back the clock on your appearance from 8 to 10 years. Nothing can fully prevent aging, therefore natural aging will continue after your eyelid surgery.

“I want to thank you for all you have done for me and my eyes. Your patience, professionalism and expertise have made it a rewarding experience to be in your care. Words can’t express how much I appreciate everything you’ve done for me and for making me feel positive and important.” GAILA

Articles and Lectures

Facial Aesthetic Conference of Egypt, Presentation: Blepharoplasty & Midfacelift, Live Surgery: Blepharoplasty & Midfacelift, Cairo, Egypt, 2009.

Chairman, Oculoplastic Symposium, Eyelid Anatomy, Lower Blepharoplasty, Atlanta, GA, 2008 – 2010.

New York Regional Society of Plastic Surgeons Meeting, Cosmetic Lower Blepharoplasty, New York City, NY, 2008.

Costa Rican Society of Plastic Surgery, Blepharoplasty Symposium, San Jose, CA, 2007.

Royal Australasian College of Surgeons, Blepharoplasty, Midfacelift, Eyelid Reconstruction, Christchurch, New Zealand, 2007.

ASPS, Male Blepharoplasty Panel, Complications Following Cosmetic Surgery Panel, Baltimore, MD, 2007.

CATFAS, Controversies Art and Technology in Facial Aesthetic Surgery, Live Surgery, Upper Blepharoplasty, Talks: Upper Blepharoplasty, Lower Blepharoplasty with Correction of Tear Trough, Ghent, Belgium, 2007.

Chairman, Perspectives and Advances in Plastic Surgery, New Ideas and Innovations, Moderator: Eyelid Reconstruction, Correction of Lower Lid Ectropion, Upper / Lower Blepharoplasty, Correction of Ptosis, Vail, CO, 2006.

Congress of Italian & American Plastic Surgeons, Discussion: A Ten Year Review of Primary Lower Blepharoplasty with Routine, Lateral Canthal Support, Venice, Italy, 2006.

Live Surgery, Blepharoplasty, Blepharoplasty Panel, ISAPS, Jornada Carioca, Rio de Janeiro, Brazil, 2006.

Facial RejuvenationPanel: Upper / Lower Blepharoplasty, Mediterranean Society of Aesthetic Plastic Surgeons, Nice, France, 2005.

Minimizing Complications in Upper and Lower Lid Blepharoplasty, Correction of Ectropion with Lid Spacer Graft, Columbia Panama Symposium, Panama, 2004.

Interactive Video Panel: Blepharoplasty and Midface Lift, Course: Oculoplastic Surgery for the Plastic Surgeon, American Society of Aesthetic and Plastic Surgery, Vancouver, Canada, 2004.

Upper and Lower Lid Blepharoplasty, Brazilian Society of Plastic Surgery, Curitiba, Brazil, 2003.

The Prominent Eye in Blepharoplasty, Canthopexy vs. Canthoplasty, New Horizons in Cosmetic Surgery, La Jolla, CA, 2001.

Eyelid Anatomy, Lower Eyelid Aging and Rejuvenation: An Algorithm, About Face: Advances in Facial Cosmetic Surgery Symposium, Banff, British Columbia, Canada, 2001.

A 10-Year Review of Complications Following Lower Blepharoplasty: Canthopexy vs. Canthoplasty, American Society for Aesthetic Plastic Surgery, New York, NY, 2001.

PSEF Teleplast Use of Alloderm Spacer in Primary Blepharoplasty, 2000.

Role of Fat and Muscle in Lower Blepharoplasty, Management of Mundane to Complex Blepharoplasty Problems, Perspectives and Advances in Plastic Surgery, Vail, CO, 2000.

Blepharoplasty Panel – Making an Unattractive Eyelid Beautiful, American Society for Aesthetic Plastic Surgery, Orlando, FL, 2000.

Modifications of Lower Blepharoplasty and Cheek Lift, Advances in Aesthetic Surgery: The Cutting Edge III, New York, N.Y., 2000.

Improving Results & Reducing Complications in Blepharoplasty & Cheek Lifts, The XIII International Symposium of Plastic and Aesthetic Surgery, Martinique, FWI, 2000.


Codner, MA, Ed., McCord, CD, Codner, MA. Eyelid & Periorbital Surgery., Vol 1 & 2, St. Louis: Quality Medical Publishing. 2008.

Codner, MA. Ed. Techniques in Aesthetic Plastic Surgery Series. Elsevier, 2008, In press. Midface Lift. Boehm, K., Cardoso de Castro, C. C.

Codner, MA, AB Weinfeld, R Burke. The Comprehensive Management of Chemosis following Cosmetic Lower Blepharoplasty, Plastic & Reconstructive Surgery, 122: 579-586, August 2008.

Codner, MA, JN Wolfli, and A Anzarut. Primary Transcutaneous Lower Blepharoplasty with Routine Lateral Canthal Support: A Comprehensive 10-Year Review. Plastic & Reconstructive Surgery. 121: 241-250, January 2008.

Codner, MA, LM DiFrancesco, CM Anjema, CD McCord, and J English. Evaluation of Conventional Subcilliary Incision Used in Blepharoplasty: Preoperative and Postoperative Videography and Electromyography Findings. Plastic & Reconstructive Surgery. 118(2), 632-639, August 2005.

Codner, MA, CR Day, TR Hester, F Nahai, and CD McCord. The role of fat in the lower eyelid. Perspectives in Plastic Surgery, (1): 1-15, 2001.

Codner, MA, CR Day, TR Hester, F Nahai, and CD McCord. The Management of Mundane to Complex Blepharoplasty Problems. Perspectives in Plastic Surgery, (1): 15-32, 2001.

Hester, TR Jr., CD McCord, F Nahai, MA Codner and EM Sassoon. Expanded Applications for Transconjunctival Lower Lid Blepharoplasty. Plastic Reconstructive Surgery, 108(1): 271-2, 2001.

Hester, TR, MA Codner, CD McCord, FN Nahai, and A Giannopoulos. Evolution of Technique of the Direct Transblepharoplasty Approach for Correction of Lower Lid and Mid-facial aging: Maximizing Results and Minimizing Complications in a 5-Year Experience. Plastic Reconstructive Surgery 105(1), 393-406, 2000.

Codner, MA. Common Complications during Blepharoplasty Can Be Avoided, Cosmetic Surgery Times, 16, Nov/Dec 2000.

Codner, MA. Addressing Midface Improves Lower Lid Results. Cosmetic Surgery Times 3(10) Nov/Dec, 1999.

McCord, CD and MA Codner. Eyelid Surgery, Lippincott – Raven, Philadelphia, 1995.

Codner, MA and MK Hanna. “Applied Anatomy of the Eyelids and Orbit.” The Art of Aesthetic Surgery. Ed. Foad Nahai. St Louis: Quality Medical Publishing, 2007.

Codner, MA and MK Hanna. “Upper and Lower Blepharoplasty.” The Art of Aesthetic Surgery. Ed. Foad Nahai. St.Louis: Quality Medical Publishing, 2007.

Codner, MA and MK Hanna. “Reoperative Lower Lid Blepharoplasty.” Reoperative Aesthetic and Reconstructive Surgery. St. Louis: Quality Medical Publishing, 2007.

Codner, MA and DT Ford. “Blepharoplasty.” Grabb and Smith’s Plastic Surgery. Ed. Charles Thorne. Philadelphia: Lippincott, Williams and Wilkins, 2007.

McCord, CD, TR Hester and MA Codner. “Subperiosteal Malar Cheeklift.” Eyelid Surgery. McCord, CD. Philadelphia: Lippincott – Raven, 1995.