Lower eyelid surgery or lower blepharoplasty is a broad term to describe surgical procedures that specifically address ageing changes in the lower eyelid with surgical precision and finesse.
What are the features in the eyelid that make patients seek lower eyelid surgery?
Patients seek surgery to address the following conditions
The surgery removes excess thin and crepey skin from the lower eyelid, removes the eyebags and redistributes bulging fat. It also tightens the supporting ligaments that have weakened with age.
Lower eyelid surgery or lower blepharoplasty can remove loose, excess and crepey skin, remove eyebags, tighten the lower eyelid, fix the deep under eye grooves and restore youthful contours of the lower eyelid and cheek. It can reduce puffiness and eyebags in the area of your Lower Eyelids.
According to www.realself.com 95% said eyelid surgery was worth it. Realself.com based this on 1200 ratings and this information was last updated on 23 May 2020.
Yes, men and women commonly undergo lower eyelid surgery.
In fact, men undergo lower eyelid surgery to correct bulging eye bags more than correcting loose skin or wrinkles
Most people end up with sagging eyelid skin after the ages of 40 and 50.
Sometimes people experience eyelid puffiness and skin sagging at even earlier ages, due to genetic traits they inherited from parents or grandparents. Eye bags that are small puffy looking fat bulges under your lower eyelids are often seen in older people and is a well-known feature of the ageing eyelid. So, it is naturally concerning for younger people when they notice eyebags.
One of the biggest detractors from a younger looking face are eye bags and deep under eye grooves. Eye bags that are small puffy looking fat bulges under your lower eyelids are often seen in older people and is a well-known feature of the ageing eyelid. So, it is naturally concerning for younger people when they notice eyebags.
The appearance of eyebags together with other changes in the under-eye area that occur over time, can leave your eyelids looking swollen, tired or aged.
Eyebags primarily occurs when the under-eye cheek bone shrinks a natural feature of age. As a result, the skin and muscles around the eye region becomes lax, loose and the fat starts to bulge. The primary question people ask, however, is how to remedy the condition of eyebags.
Creams won’t help eyebags, and cosmetic injections in the eyelid area can only go so far; under eye bags typically require a surgical approach
Plastic Surgery of the eyelids involves re-tightening the muscles and redistributing the fat under the eyes (between the eyes and cheekbone)
The result is smoother, firmer looking skin versus puffy eye bags or tired-looking eyes
Three (3) key contributors to eyelid area laxity Eyebags and puffy eyelids are typically caused by multiple factors.
This can occur all around the eyes, when atrophy occurs beneath the eyes, eye bags often form; and lower eyelid surgery may be indicated.
Fortunately, lower eyelid surgery can reduce the appearance of puffiness and ‘eye bags’ beneath your eye area.
Lower eyelid surgery to reduce puffy eyes and eyebags is one of the top requested cosmetic facial surgery procedures in Sydney. Lower eyelid surgery is one of the eyelid surgery procedures that expert Plastic Surgeon, Dr Naveen Somia, provides through his Sydney eyelid surgery and facial rejuvenation clinic.
A well designed and precisely executed lower Blepharoplasty Surgery by a specialist plastic surgeon with expertise in eyelid surgery can help
The 4 types of lower eyelid surgery are
As the name suggests a very small amount ‘a pinch’ of skin is excised from the lower eyelid. Suitable for younger patients who have only a small amount of excess skin.
In this approach the cut is made on the inner surface of the lower eyelid and there is no visible scar. It is useful to treat younger patients whose main complaint is eyebags and is a very effective way to reduce the bulging eyebags
If the skin needs to be removed a pinch lower blepharoplasty technique can be used to remove small amount of skin.
This method is not suitable for older patients who have excessive amount of loose skin.
Here the cut is made 2 mm below the eyelid margin and extends past the outer corner for about 5-10 mm.
Using this method, you can effectively address loose and excess skin, tighten muscle and reduce the eyebags. A canthoplasty or canthopexy can be performed at the same time to tighten the eyelid margin. Suitable for patients over 45 who have significant ageing changes.
In addition to the above, this approach allows one to address excess skin and muscle, address eyebags and comprehensively correct the deep grooves under the eyelid like tear trough and naso jugal groove. It also allows to reposition the cheek or malar mound thereby restoring the contours of the face. This approach can effectively treat festoons.
Eyebags and festoons are not one and the same. Eyebags occur directly under the eye, between the eye and the cheek bone. Festoons or malar bags occur ON the cheek bone.
Festoons are formed due to the ageing process of the cheek bone (not the part immediately under the eye) together with the laxity of the skin and muscle.
Festoons in my opinion is the most difficult lower eyelid condition to treat. It is difficult because of many reasons. The anatomy is complex and not well understood, the results following any treatment be it dermal fillers, laser or surgery is unpredictable at best.
I have found that the best way to treat malar festoons is by Transcutaneous lower eyelid blepharoplasty + midface lift using multiple techniques. Wide undermining of lower eyelid and cheek skin, release of tough ligaments like arcus marginalis, tear trough, orbito malar ligament, zygomatico facial ligament or midface ligament, fat transposition, canthopexy with midface lift and malar fat pad elevation, tightening of lower eyelid with a skin muscle flap followed by redraping of skin.
Direct excision of festoons is an option that is reserved for very severe cases and for recurrence of festoons following surgery. The downside to this direct excision is a scar on the cheek that surprisingly settles well in 12 months.
Unless medically indicated to correct lower eyelid conditions like ectropion, entropion, eyelid skin cancer or traumatic injuries, it is fair to assume that all lower eyelid surgeries are considered as cosmetic and hence you will not be able to get medicare or health fund cover.
Procedures commonly performed with Lower Eyelid surgery
Secondary facial surgery procedures that patients may consider when rejuvenating their eyelids:
All surgery carries risk. A second opinion from an appropriately qualified health practitioner is recommended before proceeding