As we age, the skin around our eyelids becomes looser and can cause folds in the upper and lower eyelids. The fat around the eye, which normally cushions the eye can also start to protrude. This can lead to a “tired” look or “bags” around the eye.
Lower blepharoplasty or lower eyelid lift surgery is an excellent procedure to rejuvenate the lower eye area. By removing the excess skin, the eye appears brighter, more alert and less tired. It has a very good anti-ageing effect.
Lower blepharoplasty surgery removes the excess skin and sometimes protruding fat from the lower eyelid leading to a fresher, more rejuvenated appearance. The surgery can be carried out under local or general anaesthetic and is often a day case procedure. It may also be done in conjunction with other facial rejuvenation surgery such as upper blepharoplasty (upper eyelid lift surgery), facelifts or browlifts.
An incision is made just under the lash line of the lower eyelids. Excess skin and sometimes a small strip of muscle are removed. If fat is protruding, this too is removed or repositioned if possible. Nowadays it is preferable not to remove too much or any fat if possible, rather to reposition the fat. If the concern is mainly protruding fat rather than loose or excess skin, it may be possible to do the surgery via an incision inside the eyelid with no external scars. Sometimes a combination of techniques are used to best fit the individual situation.
Enough skin has to remain to ensure that you can still close your eye properly afterwards. There will be some swelling and bruising which will mostly settle in the first one to two weeks post surgery, but will take longer to fully disappear. Only excess lower eyelid skin is removed during this procedure. If you have excess skin on your cheek area or drooping of the cheek tissues, this will not be removed with a lower blepharoplasty and would require an additional procedure such as a mid-face lift. Lower blepharoplasty is often done in combination with upper blepharoplasty surgery to rejuvenate the whole eye area. If you have weak support in your lower eyelid, a supportive hitch called a canthoplasty or canthopexy may be done at the outer aspect of your lower eyelid to help hold it correctly in position after surgery.
Overall lower blepharoplasty surgery is an excellent procedure with a very high satisfaction rating following surgery.