During a lower blepharoplasty, your surgeon will make an incision just below your lower eyelash line. They’ll remove excess skin in your lower eyelid through this incision. They may also use an incision hidden inside your lower eyelid (transconjunctival incision) to correct lower eyelid issues and redistribute or remove excess fat.
Am I a good candidate for Blepharoplasty surgery?
- Droopy eyelids due to aging or muscle dehiscence that make you appear tired
- Droopy eyelids that obstruct your visual field
- You are unsatisfied with your eyelid shape
- Your eyelids appear puffy and/or you have prominent bags under your eyes
The Procedure
Lower Blepharoplasty
A surgical procedure to rejuvenate the lower eyelids, addressing concerns such as under-eye bags, excess skin, and fat bulges.
Incision creation along the lower lash line or inside the lower lid.
Repositioning or removal of excess fat and skin.
Canthopexy or canthoplasty to support the outer corner of the eye.
Incision creation along the lower lash line or inside the lower lid.
Repositioning or removal of excess fat and skin.
Canthopexy or canthoplasty to support the outer corner of the eye.
Before the procedure
A surgeon will perform a thorough examination and take multiple measurements to achieve the best outcomes. Photographs are taken to document your appearance both before and after the procedure.
Before your eyelid surgery, the doctor will ask you to avoid smoking, drinking alcohol, and taking blood-thinning medications and supplements. If using a general anesthetic, you’ll be asked to fast the night before your surgery. You’ll also want to arrange for a ride home ahead of time.
During the procedure
First, a surgeon will inject a local anesthetic into your eyelid. This will help numb the area so you don’t feel any pain or discomfort during the procedure. In some cases, a general anesthetic may be used.
During an upper blepharoplasty, a surgeon makes incisions along the eyelid crease so they can then peel back excess skin and remove bulging fatty tissues. Any loose skin is removed before a surgeon reshapes the eyelid and closes the incision. Sutures may be needed to close the incision.
After the procedure
After eyelid surgery, a doctor may place you in a recovery room to make sure you’re well enough to go home. Before being discharged, they’ll speak with you about using cold compresses or ointments on your eye and give you prescriptions for pain medications, if needed.
Basics of Lower Blepharoplasty
The procedure may be done with local or general anesthesia. Technically, the procedure involves identifying the upper eyelid crease on each eyelid and designing a skin excision that removes enough skin to alleviate the issue and preserves enough to allow normal eyelid closure. In some cases, a small amount of the orbicularis oculi (the muscle that closes the eyelid) is removed. Fat is typically preserved over the middle of the eyelid, but some removal may help with aesthetic contour in cosmetic eyelid surgery. When the procedure is complete, the eyelid is closed with sutures. The incision should lie in the eyelid crease, making it less visible after healing.
Recovery
- Ice compresses for 72 hours
- Suture removal (if non-dissolvable) after 5-7 days
- Return to desk work after 1 week
- Driving resumed after 1-2 weeks
- Gradual return to physical activity after 2-4 weeks
Technique or Treatment
- Markings. The upper eyelid skin crease should be marked either where it is or where the desired skin crease should be.
- Volume Augmentation.
- Anesthesia.
- Incisions.
- Removal of Orbicularis.
- Postoperative Care.
What is an Lower Eyelid Blepharoplasty?
Lower eyelid surgery is good for at least 5-7 years, and the results may last the rest of your life. Lower eyelid surgery rarely needs to be repeated. Of course, your eyes will still age after the procedure.
If your lids sag again, a forehead lift rather than another eye lift may be the preferred procedure.
Keep in mind that you won’t immediately look your best after surgery. You’ll have bruising and swelling for up to about 2 weeks, and small scars that will take a few months to fade completely. However, once you have healed fully, you can expect to look more youthful and better rested, which should help you feel more self-confident. And, if your vision had been affected by your eyelids, you should be able to see better.
After the surgery
Your doctor will probably put ointment in your eyes to keep them moist and cover them with cold compresses while you’re in the recovery room. Right after surgery, you may have blurry vision from the ointment and be sensitive to light. Your eyes may feel dry or watery.
It will help to put ice packs on your eyes and sleep with your head raised the first night after surgery. Your doctor will give you detailed instructions for taking care of yourself.
Blepharoplasty Results
While some forms of blepharoplasty may treat the under-eye area, an upper blepharoplasty involves the upper eyelid only.
While surgery isn’t the best option for everyone, a blepharoplasty may help treat upper eyelid concerns. Read on to learn more about this procedure, including the possible risks and recovery considerations you may wish to discuss with a doctor or healthcare professional.
Who Is a Good Candidate for Blepharoplasty?
If you are in good overall health, at least 30 years old, and have no other eye problems, you are likely a good candidate for blepharoplasty. If you’ve been diagnosed with health conditions, it doesn’t rule you out for eyelid surgery. However, you should talk to your eye doctor about your health history. Make sure to mention whether you have any of the following conditions:
- Eye diseases such as glaucoma, dry eye, and detached retina
- Thyroid diseases such as Graves’ disease, hypothyroidism, and hyperthyroidism
- Heart disease, high blood pressure, and other circulatory diseases
- Diabetes
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