Lower eyelid blepharoplasty is used to remove the fat deposits and loose skin that may form on the lower eyelids with age.
Preparation before Surgery:
During the consultation, you and your surgeon will discuss the changes that you would like to make in your appearance. He/she will explain the different options available to you, the procedure itself, and its risks and limitations. He/she will also explain the kind of anesthesia required, surgical facility, and costs.
Your surgeon will begin with a complete medical history and examine the skin and fat around your eyes. He/she may also examine your eyesight, peripheral vision, and tear ducts. You should tell him/her about any related symptoms you may have, including any dryness of the eyes, changes in vision or eye pain. You should also tell you’re your surgeon if you have 1.) thyroid problems such as hypothyroidism, 2.) elevated blood pressure or other circulatory disorders, 3.) cardiovascular disease, 4.) diabetes, or 5.) any other serious medical condition(s).
An incision is made along the lash line, smile creases
Excess fat, muscle and skin are removed
Fine sutures are used to close the incision
Permanent stitches will be removed 3-5 days after the procedure
After surgery, the physician will lubricate your eyes with ointment to reduce dryness in this area. Your vision may be blurred temporarily from the ointment. (Ointment is not used after transconjunctival blepharoplasty.) Correction, ointment would be probably be used in both methods.
The first evening after surgery, you should rest quietly with your head elevated. It will help to apply cold compresses to your eyelids. (Avoid any compress heavier than one ounce. A Ziploc bag with a few frozen peas works well.) Your blood pressure should be monitored to avoid bleeding complications that can affect vision. And, although you can be up almost immediately, you should limit your activities.
Possible Risks and Complications:
Significant complications from aesthetic eyelid surgery are infrequent. As with any surgical procedure, however, there is always a possibility of infection, or reaction to the anesthesia.
Other potential complications include:
• Retrobulbar hematoma – (bleeding behind the eye) – rare, but can be serious. Symptoms include loss of vision
• temporary problems with excessive tearing
• decreased sensation in the eyelid
• dry eyes – dryness, burning, stinging, gritty sensation in your eye(s)
• prominence or firmness of the scars
• blurred vision
• asymmetry in healing or scarring
• milia or whiteheads where the sutures emanate from the skin.
• difficulty closing eyes completely; in rare cases, this condition may be permanent.
• ectropion, or a pulling down of the lower lids.
Further surgery is uncommon but often may be quite straightforward. You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after your eyelid surgery. Pre-existing conditions can also put you at risk. They include thyroid problems such as hypothyroidism, insufficient tear production or dryness of the eye, elevated blood pressure or other circulatory disorders, cardiovascular disease, and diabetes.