What is a lower blepharoplasty?
A lower blepharoplasty is a lower eyelid lift procedure which helps rejuvenate and refresh the lower eyelid area.
Who is suitable for a lower blepharoplasty?
If you are concerned by excess skin or ‘bags’ of your lower eyelid, you may be suitable for a lower blepharoplasty.
If you smoke, are on blood-thinning medication, have medical eye conditions or have significant health problems, this will need to be assessed and you may be advised to wait or not to have a lower blepharoplasty.
There are variations depending on your individual anatomy and goals. The standard surgery can be done under local anaesthesia, local anaesthesia and sedation or general anaesthesia depending on the extent of change needed. Skin incisions are placed as discretely as possible in the natural line just under your lower eyelid eyelashes. Sometimes the only incision needed is on the inside of your eyelid. If needed, the underlying fat is repositioned, or small amounts removed. Sometimes very fine layers of fat are added. Excess skin without or without small amounts of the underlying muscle is removed. Sometimes additional support sutures are needed at the outer part of your lower eyelid. Drains are not routinely used. Stitches will need to be removed 5 to 7 days later.
Lower blepharoplasty can be done on its own or in combination with other procedures. Common combinations include upper blepharoplasty, brow lift, mid-facelift, facelifts and other facial rejuvenation procedures.
Duration of surgery
45 minutes to 2 hours depending on the extent of surgery. If other procedures are planned at the same time, the overall surgery time is longer.
You will have tapes on the incisions on your eyelids. Lower blepharoplasty is an outpatient or day case procedure. You are advised to use lubricating eyedrops regularly. You can shower with care after 48 hours.
On average 1 to 2 weeks off work are needed. No heavy lifting or strenuous activity is allowed for 6 weeks. Reduce bending and stooping as much as possible and sleep on extra pillows at night to help reduce swelling. Some forms of exercise can be restarted at 4 weeks. Most exercise is restarted at 6 weeks. Driving is not allowed until you are safe to perform an emergency stop.
Unfortunately, complications can occur after all surgery and you need to be aware of this. Ms Nugent will do her utmost to reduce your risk as much as she can. This includes the health and procedure advice she gives you before surgery, the care and precautions she takes during surgery and the advice she gives you after surgery. Some of the complications that can happen include slow healing, infection, bleeding, poor scarring, asymmetry, pain, numbness or sensitivity in the skin, dry eyes, watery eyes, seroma (fluid build-up), weakness of eyelid movement, poor eyelid position (ectropion), double vision (very rare), blindness (very rare).
Most patients who undergo lower blepharoplasty surgery are very pleased with their results and find that it really rejuvenates and refreshes their eye appearance. Success depends on being prepared for your surgery, choosing the right procedure, the surgery itself and recovering well. All steps in the journey are crucial!
Download the detailed information booklet on this page to read more and book a consultation to discuss your individual circumstances with Ms Nugent!