Lower Eyelid Blepharoplasty is a type of cosmetic surgery used to remove the fat deposits and loose skin that may form on the lower eyelids with age. An incision is made along the lash line, smile, creases. Excess fat, muscle and skin are removed.
Fine sutures are used to close the incision.
Transconjunctival blepharoplasty – the concept of operating on the lower eyelid from the inside of the lid – is a gentle, precise, safe and tissue-sparing procedure for eyelid rejuvenation. Patients contemplating eyelid surgery for eye bags and lower eyelid laxity should
consider the benefits associated, as the transconjunctival approach offers several aesthetic and long-term functional advantages compared to traditional techniques.
Transconjunctival blepharoplasty instantly approaches the deep plane and allows very precise adjustments to the orbital fat.
For patients with good skin elasticity, a transconjunctival blepharoplasty is the only procedure needed for the successful removal of eye bags.
The lower blepharoplasty through the subciliary incision is indicated in cases of marked periorbital ageing. There are certain
limitations and risk factors. The technique proposed includes considerable shortening of the preseptal m.OO incision and
filling the depression areas with the fat pads. The tear trough in particular can be corrected by temporary transcutaneous
fixation of the medial or medial and middle fat pads.
Preparation prior to surgery:
Medical history assessment (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
Avoid smoking for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
Stop drinking alcohol, a week before the surgery and throughout your recovery period.
Taking any medications should be avoided such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery, and also avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
Lower eyelid blepharoplasty generally takes about one to three hours to complete, depending on the technique used and
the extent of repair.
Types of anesthesia use:
General or local anesthesia
It depends on your preferences as well as your surgeon’s. Lower eyelid blepharoplasty can be performed on an outpatient basis,
in the hospital, or in an ambulatory surgical suite.
Care After Surgery:
After surgery, the physician will lubricate your eyes with ointment to reduce dryness in this area. Your vision may be blurred
temporarily from the ointment. The first evening after surgery, you should rest quietly with your head elevated. It will help to apply cold compresses to your eyelids.
Your blood pressure should be monitored to avoid bleeding complications that can affect vision and limit activities from mild
to moderate gradually. You should wear dark sunglasses for a couple of weeks to protect your eyes from wind and sun irritation.
Stitches will be removed within the first week. Bruising, swelling and discoloration around your eyes will gradually subside
for several weeks. Within the fist week you will be permitted to use make up to conceal any discoloration if desired.
For the first week you need to avoid activities like watching TV, wearing contacts and using computer. For the first 3or 4 weeks, you should avoid any activity that increases blood flow to the eyes, including bending, lifting, crying and sports.
Lower eyelid blepharoplasty eliminates the appearance of tiredness and wrinkles beneath the eyes cause by old age. It gives you
a more youthful appearance and the results will last for many years.
Risks and complications:
Complications are rare; however there are risks associated with any medical procedure. Possible complications include: infection,
bleeding (rare) but can cause loss of vision, prominence of the scars, asymmetry in healing or scarring, dryness,
decrease sensation in the eyelid, difficulty closing the eyes,or any reaction to anesthesia and in rare instances blindness.
You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and
after your eyelid surgery. Pre-existing conditions can also put you at risk. They include thyroid problems such as hypothyroidism, insufficient tear production
or dryness of the eye, elevated blood pressure or other circulatory disorders, cardiovascular disease, and diabetes.