LOWER EYELID BLEPHAROPLASTY
True beauty lies in the beholder’s eyes
Lower eyelid blepharoplasty is a procedure in which the excess skin and wrinkles of the lower eyelids are corrected. During the operation, herniated adipose tissue that has moved from the inside of the eye orbit towards the outside can be removed or repositioned. Under local anaesthetic (and often with medical sedation), an incision is made either in the conjunctiva a few millimetres inside the eyelash line, or in the skin immediately under the eyelash line. In the first case, the herniated orbital fat is manipulated while in the second case a flap of muscle and skin is loosened. The adipose tissue is either removed or repositioned above the lower edge of the orbit in order to hide lines that run from the inner eye towards the cheekbone. Excess skin and muscle can then be removed and the whole eyelid can be firmly anchored higher up on the orbital bone. The skin incision is sutured, while the conjunctival incision is left to heal alone. This procedure cannot correct periorbital wrinkles (crows’ feet) nor any dark circles under the eyes.
TYPE OF TREATMENT:
INFORMED CONSENT REQUIRED
LENGTH OF EACH TREATMENT
40 – 50 minutes
NUMBER OF TREATMENTS
TIME BETWEEN TREATMENTS
TYPE OF ANAESTHETIC
Local (sometimes with medical sedation)
SIDE-EFFECTS (ALSO TEMPORARY)
Very mild pain, controllable with medication. Swelling for several days. Bruising (as though punched), sometimes also on the cheeks, for several days. Possible risks are haematoma (accumulation of blood that very rarely requires surgical drainage), conjunctival chemosis (accumulation of serous fluid in the conjunctiva), ectropion (turning outwards of the eyelid edge with exposure of the sclera), scleral-show (a small portion of white sclera is visible below the iris) and very rare eyelid asymmetry. Infections are very rare and can be cured with medication.
PRECAUTIONS AFTER TREATMENT
Avoid intense physical activity (including sexual) for 2-4 weeks after the procedure, avoid sunlight exposure, massage the scars with moisturising cream following the line of the scar and upwards, at least once a day, beginning 15 days after the operation.