If under-eye bags or puffiness make you look tired no matter how much you sleep, lower eyelid blepharoplasty can smooth and refresh the area. But the lower lid is delicate, and how the surgery is done matters enormously – the difference between a rested, natural result and an over-operated one comes down to judgement and technique.
Dr Sumer Doctor is an eyelid and oculoplastic surgeon in Mumbai.. He deals exclusively with functional and cosmetic concerns regarding eyelids, helping deliver refined rejuvenation while protecting the function of the eye.
In most modern lower-lid surgery, preserving and repositioning fat, with only conservative removal, gives the more youthful, natural outcome. Make sure you ask your surgeon what they plan on doing, fat removal, repositioning or fat grafting.
When the problem is bulging fat with good skin ( common in younger patients) the surgery is done from inside the lower lid (transconjunctival), leaving no external scar at all.
When there is also loose skin to address a small skin-pinch is taken after the transconjunctival blepharoplasty leading to a faint scar under the lash line, which fades over time.
This is the single most important reason to choose an eyelid specialist for lower-lid surgery. The lower lid is delicate, and if it is weakened or over-tightened, it can be pulled downward giving a rounded or “sad” eye shape, or, at worst, turning outward and leaving the eye dry and irritable.
This is precisely the complication that lower blepharoplasty is known for in less specialised hands. Choosing the right surgeon is of utmost importance.
Swelling and bruising peak. Cold compresses and head elevation help considerably.
Sutures, if skin pinch is performed are removed. Most bruising is now concealable with spectacles or make-up. Scarless internal blepharoplasty sutures start dissolving
Swelling settles fully, final result of surgery becomes apparent
Antibiotic ointment and lubricating drops for the first few weeks. Avoid swimming, gym and eye rubbing for 2 weeks. Reading and screens are fine within 1-2 days.
Review appointments at week 2 and week 6.
Done thoughtfully, lower eyelid surgery lifts years of tiredness from your face while keeping your eyes unmistakably your own. If under-eye bags are bothering you Begin a conversation with us to know more.
Bags from bulging fat can appear in the 30s (often hereditary) or gradually with age. If under-eye bags are bothering you and aren’t just occasional puffiness, you’re at the right point to be assessed.
Once the bulging fat is properly addressed, that fat can take decades to return, so results are long-lasting. Your face does keep ageing naturally, so the skin and tissues continue to mature over the years.
Most people take about a week of social downtime while bruising and swelling settle. Eye makeup is usually best left until the incisions have healed
Yes, very commonly upper and lower lids are often done together, and it can also be safely paired with a brow recontour.
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