Lower eyelid blepharoplasty
Beautiful eyes are considered to be the most special feature on a person’s face. Healthy eyes exhibit no puffiness, do not have any dark circles underneath them and are symmetrical. However, various factors like anatomical variations, ageing, genetics, exposure to sun etc. can cause lower eyelid bags and dark circles as well. The treatment for sagging or puffy lower eyelids can be done by a procedure known as Lower Eyelid Blepharoplasty. The puffiness in the lower eyelids could be due to accumulation of fluid or fat under the eyes. But it is important to keep in mind that the procedure chosen is according to cause of the problem and also according to the patient’s needs. The blepharoplasty surgery can be done on upper as well as lower eyelids. The blepharoplasty surgery can be done to improve the function as well as cosmetic appearance of the eyes. Generally this is an out-patient procedure.
Difference between upper blepharoplasty and lower eyelid blepharoplasty surgery:-
In the upper blepharoplasty, an incision is made on the upper eyelid to remove the excess skin and the fat tissues. After removing the fat, the incision is sutured to construct a crease in the eyelid.
In the lower eyelid blepharoplasty the incisions are made directly inside the eyelid which is known as Transconjunctival approach or can be made directly below the lash line known as the subciliary approach . The Transconjunctival approach leaves no visible scars behind therefore it is the ideal method for patients who need to get the surgery done for cosmetic reasons.
Purpose of lower eyelid blepharoplasty surgery:-
The lower eyelid blepharoplasty may be performed to impart more contour and definition to the eyes. This can be achieved by removing the excess skin. This can also be done by either adding or removing fat as required. Sometimes the under eye skin needs to be tightened to eliminate sagging which gives a very old and tired appearance. In addition to lower eyelid blepharoplasty some laser skin resurfacing is also used to remove wrinkles and improve the quality of the skin.
Preparation for the surgery:-
Before the surgery, the surgeon will examine the patient in detail and the patient should be informed about various aspects of the lower eyelid surgery, including the benefits and the risks associated with it. The patient should closely follow the pre-operative instructions given by the doctor. Also, any serious eye condition should be duly informed to the surgeon. The candidate for the surgery should quit smoking and alcohol as well. Any blood thinner like aspirin should also be stopped being used before the surgery.
Recovery after the lower eyelid blepharoplasty:-
Post the lower eyelid blepharoplasty, the recovery time is short. Normal bruising and swelling which are generally associated with surgical procedure are present after the surgery but generally disappear within the first two days of the surgery itself. A patient may be advised to use a cool compress to alleviate the swelling. The site of the incision is covered in bandages and sutures are generally removed within a week of the surgery. Mostly, patients can resume their normal daily activities within ten days of the surgery. Swelling and bruising subside almost completely within two weeks of the surgery. Temporary blurring of vision is considered to be normal. Minimal pain and some discomfort should also be expected.
How is the surgery performed:-
To ensure that the patient is comfortable during the surgery, anesthesia is administered. The incisions for the lower eyelid blepharoplasty surgery are made in such a manner so that they are no visible scars for excellent cosmetic results. For lower eyelids, surgeons make the cut just below the lash line. With the incisions the excess fat is either repositioned or removed. In this method excess skin can also be removed. If the Transconjunctival approach is utilized, the excess fat can be repositioned without the need of any removal of skin. The approach used for the surgery is decided upon by the surgeon and it may vary from one patient to another.
Risks and complication due to surgery:-
There are some risks and complications that can be associated with lower eyelid blepharoplasty surgery. Some of the major but rare complications include bleeding, infection, dryness in the eyes, inability to shut the eyes completely, double or blurred vision and in some very rare cases loss of vision. However these risks and complications are a rare possibility.
Lower eyelid blepharoplasty is a very specific procedure and should be carried out only by reputed oculoplastic surgeon. Oculoplastic surgeons are specifically trained in the discipline of ocular medicine along with cosmetic and plastic surgery. They are also trained in orbital and lacrimal system surgery as well. Therefore before choosing a surgeon or a medical facility, it should be ensured that the surgeons are skilled for handling these types of procedures.