• Lower Eyelid Blepharoplasty Explained

  • Blepharoplasty is also known as eyelift, eye tuck or eyelid surgery. Lower eyelid blepharoplasty may be done through the front of the eyelid, called the “cutaneous” or “skin approach”, or from the back of the eyelid called the “transconjunctival approach”.

    Why lower eyelid blepharoplasty?

    Over time the skin and soft tissues of the lower eyelids will gradually thin and stretch allowing the lower eyelids to sag and the lower eyelid fat to protrude creating “bags under the eyes”. Some young individuals also have excessive fat in the lower eyelid area. Lower eyelid blepharoplasty removes excessive or sagging skin or protruding fat or both, creating a more awake, energetic, youthful and attractive appearance.

    Who is a candidate for lower eyelid blepharoplasty?

    Lower eyelid blepharoplasty is intended for those with excessive lower eyelid skin and/or fat. Most patients are over the age of 35, but younger adults with hereditary excess of lower eyelid fat are also excellent candidates. There is no upper age limit as long as the patient is in good health. Whatever the age, surgical candidates with any health issues should obtain clearance from their medical doctor.

    As with any cosmetic plastic surgery, realistic expectations are important. Patients need to fully understand what the procedure can and cannot achieve. You should have all your questions answered before the surgery. Just as importantly, you should listen carefully and completely to your surgeon’s answers and explanations.

    Is lower eyelid blepharoplasty the only way to improve the appearance of the lower eyelid and upper cheek area?

    No. Non Surgical Lower Eyelid and Upper Cheek Procedures and Laser Skin Treatments to the eyelid area are ways to improve the appearance of the lower eyelid area. Non surgical procedures inject fillers into the hollow areas in the lower eyelid and cheek. Filling the depressions blends these areas with the “bulges”, creating a smooth contour and improves or even eradicates the “bags” as well as restoring youthful volume. Filling materials include fat transferred from other areas of the body, Hyluronic Acids such as Perlane and Restylane, long lasting Sculptra and the permanent filler Artefil. Laser skin treatment is especially effective for smoothing the texture and tightening eyelid skin. For many individuals these non surgical procedures will produce results superior to traditional blepharoplasty. For others, combining one or more of these procedures with traditional blepharoplasty will create the best appearance.

    How is lower eyelid surgery performed?

    If a cutaneous approach is used, Dr Perry will first carefully measure the amount of skin to be removed. If only fat is to be removed, then a transconjunctival approach from the back of the eyelid is used so there is no skin incision and no sutures. The procedure is usually performed using only local anesthesia or light sedation.

    How do I recover following lower eyelid blepharoplasty?

    If only fat is removed there are no sutures. If sutures are present, they are in place for approximately 5 days. Patients typically have little or no pain. For the first 48 hours you should rest and perform limited activates with no lifting or bending. Keep the head elevated and apply cold compresses. If present, you should also apply a small amount of petroleum jelly ointment to the suture line. After 48 hours you may resume normal light activities. You should check with Dr Perry about resuming vigorous exercise or activities. For the first few days of normal activities wearing sunglasses not only protects the new incision from UV light but conceals sutures, any discoloration and swelling.

    What are the risks associated with lower eyelid blepharoplasty?

    Eyelifts are a commonly performed procedure, and when done by a skilled, experienced surgeon such as Dr Perry, complications are extremely rare. They include:

    • Bleeding
    • Infection during recovery
    • Pigmentation problems on the eyelids and skin surrounding the eyes
    • Abnormal folds of the eyelid skin
    • Eyes that won’t close completely or are not exactly even in shape
    • Abnormal shift in the lash line
    • Injury to vision

    Take the first step:

    If you are considering blepharoplasty, schedule a consultation with Dr Perry. At your consultation Dr. Perry will carefully listen to your concerns and goals, perform the appropriate examination, answer any questions and explain your options often using computer imaging.