Lower eyelid surgery

Lower eyelid surgery is often sought due to sagging skin, bulging lower eyelids, or hollow lower eyelids. In many cases, fat has been lost from the lower eyelids, the area has become hollow, and in some cases, fat has settled under the skin and become visible.

The lower eyelids are considered one of the most difficult areas in plastic surgery. Wrinkled skin, dark circles under the eyes, and sagging eyelids cause a tired appearance. Eye bags that appear with age are caused by the bulging of fat from the eye socket into the lower eyelid area. The hollow areas of the lower eyelids also often appear darker due to the thin skin. This can occur even at a very young age, in which case it is a matter of congenital eye structure. However, eyelids usually become a nuisance as people approach the age of fifty. As the corners of the eyes droop, the shape of the eyes may become slanted and "sad." This is often accompanied by health problems, such as tearing and sensitivity to inflammation of the eye surface. Sometimes the sagging lower eyelid turns in the wrong direction, either inward or outward. Eyelashes may also rub against the surface of the eye.

How is lower eyelid surgery performed?

In lower eyelid surgery, eye bags are corrected by removing protruding fat through the inner surface of the eyelid, which prevents scarring. However, if the lower eyelid has become too loose, it must be tightened through an incision in the skin.

There are various tightening methods, and the choice of method is usually based on the looseness of the lower eyelid. At the same time, a moderate amount of skin can be removed. Lower eyelid surgery is performed on an outpatient basis under local anesthesia and sedation or general anesthesia, according to the patient's wishes.

Mild skin laxity and wrinkles can be removed using superficial methods such as chemical peels or lasers. Dark circles under the eyes can be treated with fat transfer. This strengthens the thin skin around the lower eyelids and makes the dark muscle underneath less noticeable. However, lower eyelid surgery carries a risk, which is why the lower eyelid is considered a difficult surgical site: sometimes a tight scar, ectropion, develops on the lower eyelid, turning it outwards and downwards. This condition does not necessarily improve on its own and may require corrective surgery. Fortunately, the risk of ectropion can be minimized by following good surgical techniques.

How to prepare for the surgery and aftercare?

Before surgery, attention must be paid to the condition and health of the skin. Vitamin A cream can be used to normalize aging and sun-damaged skin. After eyelid surgery, the eye is buried in a cold compress for about an hour to reduce swelling. The cold compress should be continued at home for the next two days. During the first week, the eyelids will be swollen and slightly bruised. The bruises usually disappear completely within 2-3 weeks. Any skin wounds will normally heal to the point of being almost invisible within a few months. Makeup may be applied once the wound has healed. It is recommended to use creams and makeup that are as neutral and fragrance-free as possible. Due to the good blood circulation in the eyelids, wound infections are rare. Scars usually heal well, and a small white surgical scar remains hidden in the skin crease. Scar revisions are rare.

‍

The price of the procedure includes one follow-up visit to the doctor and any necessary stitch removal/wound care visits.