Lower blepharoplasty is a cosmetic surgery procedure designed to mitigate the appearance of under eye bags, sagginess in the lower eyelids and loose skin. While the surgeon may choose one of the several surgical approaches to rejuvenate the lower eyelids, the overall surgery typically involves removal or redistribution of excess fat and tightening of loose skin and sagging muscles.
Dr. Jennifer Hui is an experienced oculoplastic surgeon providing lower eyelid lift and various other cosmetic and medical procedures related to the eyes. Dr. Hui provides these procedures to patients in Palm Springs, Palm Desert, La Quinta, Coachella Valley, Riverside, Redlands, Yucaipa, Loma Linda, and surrounding communities.
A healthy adult who is bothered by the presence of the following attributes may make a salient candidate for lower eyelid surgery:
- The eyes appear tired, even after adequate sleep or rest
- Prominent appearance of eye bags below the eyes
- Loose skin and wrinkles around the eyes
- Difficulty in applying eye makeup
The candidate should not be suffering from any eye disease such as dry eyes, or an eye infection that may interfere with the surgery. Lower eyelid blepharoplasty can make the eyes appear younger by many years.
Transcutaneous Surgical Approach
In this approach, the eye surgeon will make an external incision just below the eyelashes to perform lower blepharoplasty “through the skin.” This surgical approach will be recommended if both the skin and the muscle that supports the eyelid are sagging. An experienced surgeon will place an inconspicuously located incision to minimize subsequent scarring.
This surgery often involves making incisions and flaps of the delicate orbicularis oculi muscle, which supports the lower eyelid. If the muscle integrity is compromised, it can alter the shape of the eye.
Transconjunctival Surgical Approach
In this technique, the surgeon will create an incision in the inside of the lower eyelid. The surgeon should have a detailed understanding of the delicate structures around the eye in order to perform lower blepharoplasty with an internal incision. The key benefit of this surgical approach is that no signs of surgery are visible even from a close look.
With the internal incision, the surgeon will be able to better preserve the shape of the eye because the orbicularis oculi muscle integrity is not disrupted. The fragile support network of the eyelid structure undergoes minimal trauma with this technique.
The lateral canthus or the outer corner of the eye is vital for eye shape and support. If the surgeon overlooks this aspect, the outer corners can become rounded instead of angular after lower eyelid surgery.
An experienced oculoplastic surgeon will be able to use cutting edge techniques to restore support and cosmetically enhance the outer corners of the eye. Dr. Hui receives patients from Palm Springs, Palm Desert, La Quinta, Coachella Valley, Riverside, Redlands, Yucaipa, Loma Linda, and nearby areas for lower blepharoplasty.
Mild bruising and swelling will usually occur after lower eyelid surgery, but will fade away in about one week. Most patients can return to work in one week. A follow-up appointment with the surgeon will usually be scheduled at the end of the first week.