Lower Blepharoplasty

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WHAT IS A LOWER BLEPHAROPLASTY?

As we age, the area around our eyes can change in a few ways. A special type of fat that surrounds the eye weakens and bulges out, creating bags under the eyes. This can be made worse by losing volume in other parts of the face. Some people also have dark circles under their eyes, which are shadows caused by the bulges. Lower blepharoplasty surgery can smooth out the undereye area, remove the bags, and lessen the appearance of dark circles.

DIFFERENT APPROACHES TO LOWER BLEPHS

A trans-conjunctival blepharoplasty is a surgical option suitable for individuals with minimal wrinkles but significant fat accumulation in the lower eyelids. The surgeon performs this procedure by making no external incisions, but instead, repositions the fat and sometimes partially removes it through a small incision inside the lower eyelid. This surgical approach results in faster recovery and prevents external scar formation.

Alternatively, a transcutaneous blepharoplasty is a better option for individuals with excessive skin or redundant muscles surrounding the eye. During this surgical approach, the surgeon creates a small incision just below the eyelashes extending out into one of the crow’s feet. Through this incision, a significant tightening of the lower eyelid skin and muscle can be achieved. The sutures are removed within five to seven days; however, bruising may persist for seven to ten days after surgery. Redness in the lateral portion of the incision may last several weeks. Nonetheless, patients can camouflage this area with makeup after seven days.

Oftentimes, fractionated laser resurfacing is used in conjunction with surgery to tighten the skin around the lower eyelid.

Deciding to Schedule

During your consultation, you will receive a detailed surgical quote and any required clearance forms. For lower blepharoplasty specifically, we require all patients to receive clearance from their eye doctor before undergoing this surgery. The clearance form will ask them to conduct simple tests that will allow our surgeons to obtain a complete understanding of your eye health and ensure that there are no underlying conditions that could compromise the success of the procedure.

If you choose to proceed with surgery, our dedicated Patient Coordinator, Julia, will guide you through the process of selecting a procedure date. To finalize your preferred surgical date, a non-refundable, non-transferrable booking fee will be required upon scheduling. A pre-operative appointment will be scheduled for at least two weeks prior to your surgery date. At the time of booking surgery, we will also schedule your first few follow-up visits.

Pre-Op

During your pre-operative appointment, you’ll have plenty of time to discuss your upcoming procedure in detail and have all your questions answered. Your pre- and post-operative care instructions will be reviewed with one of our nurses, as well as any medications you’ll need to take before and after surgery. You’ll review and sign the consent form for the surgery, meet with your surgeon to revisit your goals, and review any submitted medical clearance forms. Our goal is to ensure that you feel fully informed and comfortable with the upcoming procedure, allowing you to approach your surgery with confidence and peace of mind.

What to Avoid Before Surgery

To ensure optimal surgical results and minimize the risk of complications, it is crucial to avoid all blood-thinning medications and supplements for at least two weeks prior to your procedure. This includes aspirin or aspirin-containing products, as well as anti-inflammatory drugs such as ibuprofen or naproxen (including Motrin, Aleve, and Advil). Additionally, supplements such as Vitamin E, multivitamins, and omega 3 fatty acids (fish oil and flaxseed oil) should be avoided. For a complete list of medications and supplements to avoid, please consult with your pre-op nurse. Our goal is to help you achieve the best possible results while ensuring your safety and comfort throughout the surgical process.

What Can I Do to Speed Up My Recovery Time?

Carefully reviewing and following your pre-op instructions is crucial to achieving optimal results. Following the procedure, initial healing may include some swelling, bruising, irritation, dry eyes, and discomfort that can be controlled with medication, drops, and ointment. Irritation at the incision sites is also possible. It’s important to minimize sun exposure post-operatively. Bruising and swelling are common after the procedure, but typically resolve within ten days to two weeks. In addition, we offer a complimentary laser treatment called the VBeam Perfecta, which targets bruising and promotes accelerated healing. Makeup can be used to conceal bruising after one week.

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