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Lower Eyelid surgery (blepharoplasty)



This website is intended to provide you with general information only. This information is not a substitute for advice from your Specialist Plastic Surgeon and does not contain all the known facts about this procedure.

Procedure Details

Eyelid surgery (blepharoplasty) can be performed on your upper eyelids, lower eyelids, or both. Based on a preoperative evaluation of factors such as your underlying facial muscle structure, bone structure, and the symmetry of your eyebrows, your surgeon will decide how much skin, muscle, and/or fat to remove.

Upper and lower eye lid surgery can be performed separately or both together under local or general anaesthetic, and takes between one to two hours to complete.

  • Your surgeon will make precise markings to indicate where excess tissues will be removed in your lower eyelids.
  • In the lower eyelid, the incision will be hidden just below the lower lashes. Alternatively, when excess fat is being removed, the incision can be placed inside the lower eyelid (transconjunctival incision).
  • Your surgeon will remove tissue through these incisions using surgical instruments, including scalpels, surgical scissors, radiofrequency cutting devices, and, sometimes, cutting lasers.
  • Sometimes fat may be redistributed in the lower lids to eliminate puffiness or bulges. Your surgeon may make other adjustments to correct special problems such as muscle laxity.
  • Less tissue is removed in patients with dry eyes to avoid exposing more of the eye to the air, which can cause symptoms to worsen.

There are a number of options for performing lower eyelid surgery:

  • The traditional approach places the incision just below the eyelashes, trimming and/or repositioning excess skin and fat, and tightening the lower eyelid muscle.
  • In the transconjunctival approach, effective in improving lower eyelid bags and puffiness, your surgeon places the incision inside the eyelid. Your surgeon can remove excess fat through a transconjunctival incision, but not excess skin.
  • The ‘skin pinch’ blepharoplasty removes only a bit of skin. This is effective if you have strong lower eyelid support and only a little extra skin. In some patients laser resurfacing can both tighten excess skin and remove wrinkles.
  • The use of hyaluronic acid (HA) fillers is a nonsurgical alternative for the lower eyelids. Juvederm and other soft tissue fillers can be injected into the tear trough (crescent-shaped under-eye area) to rejuvenate the appearance of the under-eye area. Results are varied and last approximately six months.

Am I a good candidate for lower eyelid surgery?

The following are some common reasons why you may want to consider eyelid surgery:

  • If your lower eyelids appear puffy, making your eyes look tired and aged
  • If you have deep grooves under your eyes
  • In advance of your procedure, your surgeon will ask you to:
  • Stop smoking at least six weeks before undergoing surgery to promote better healing.
  • Avoid taking aspirin, certain anti-inflammatory drugs, and some herbal medications that can cause increased bleeding.
  • Regardless of the type of surgery to be performed, hydration is very important before and after surgery for safe recovery.
  • You can expect to be asked detailed questions related to dry eyes, glaucoma, eye-related allergies, and other eye problems. Tell the doctor if you have circulatory problems, thyroid problems, diabetes, or other serious medical conditions. You will be asked about your current medications, including over-the-counter medications. Make sure to tell your doctor about any herbal supplements you take, as some of them may cause bleeding problems.

Recovery

in Hospital
Where eyelid surgery is performed under local anaesthetic it is not necessary to stay overnight at the cosmetic surgery clinic whereas an overnight stay is required if surgery is performed under general anaesthetic and this is included in the price of your cosmetic surgery package.

in Budapest
Required minimum stay in Budapest: 7 days after surgery.
Although you will not have to rest in bed following surgery, you should plan to relax, stay home, and use cold compresses on your eyes on the day of surgery as well as the day after. Your plastic surgeon will remove the stitches between 6 and 7 days after your eyelid surgery.

The principal swelling and bruises will vanish within a week, make-up can be worn 10 days after the surgery, and it is possible to go out with sun glasses on within 4–5 days.

Most patients will be able to return to normal life at around 12–14 days. Avoid straining, heavy lifting, swimming, and strenuous activities, such as aerobics and jogging, for ten to fourteen days. Specifically, you should avoid activities in which you must move your head abruptly or that increase the blood pressure in your head.

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