Lower Eyelid Blepharoplasty

Lower Eyelid Blepharoplasty

Lower Eyelid Blepharoplasty is a procedure in which we remove the excess adipose tissue and skin of the lower eyelids that makes us look tired and aged. This procedure does not eliminate crow’s feet or darkness on the area of the lower eyelids. For these, other concomitant procedures such as peels, topical, or laser treatments might be required. This procedure is considered semi-permanent because the fat does not tend to recur in the previously excised area.

Lower eyelid blepharoplasty is typically performed in the office but may be performed in the hospital for individuals with medical conditions that may require more monitoring. The procedure takes approximately 45 minutes to perform. It can be performed under local anesthesia, however it is highly recommended to be performed under twilight anesthesia for patient comfort. During the procedure, an incision is made underneath the lower eyelashes or in the inside of the lower eyelid, through which the adipose tissue that is herniating is removed. When the incision is made in the lower eyelid eyelashes, some excess skin is removed to tighten the area. When the procedure is performed through the inside of the eyelid, concomitant treatments such as peels or laser treatments may be required for an optimal outcome.

Preoperatively the patient will be advised to abstain from certain medications and foods such as Aspirin, Ibuprofen, vitamin E, garlic and broccoli, as well as alcohol and tobacco use. Alcohol may cause vasodilatation that can increase postoperative bleeding. Aspirin, Ibuprofen and other food ingestions, especially salty foods, could also increase bleeding. Tobacco may cause vasoconstriction, which will affect the healing of the wound and could delay it.

Postoperatively the patient might have some ecchymoses (black and blues) that may persist for 7-10 days. The swelling in the area should begin to subside 24-48 hours from the surgical procedure. If the incision is made in the area below the eyelashes, they will be removed after three days. When the incision is made in the inside of the eye, there are no sutures. The patient will be re-evaluated in the office the day after surgery and 3-5 days after surgery in order to be sure that no bleeding or other possible complications had occurred. Should the patient have any questions or concerns about their healing, they should contact the office.

Possible complications of the lower eyelid blepharoplasty procedure could include anesthesia risk, bleeding, wound healing infections, or excess show of the sclera (white part of the eye globe). These complications are, most of the time, a temporary problem. Any scarring that may occur with incision performed underneath the eyelashes will be barely discernible on normal visual observation.

The patient can take a shower within 24 hours and perform lesser activities such as food shopping (with the help of sunglasses) within 2-3 days. The patient may apply makeup within 3-5 days from the surgical procedure.  They should abstain from strenuous exercises such as weight lifting or running for at least 10-15 days.

The fee for this procedure varies depending on the geographic location of your surgeon, the reputation of the surgeon, and the complexity of the individual surgical procedure. Our fees for the procedure range from$5,000 – $7,000*.  You may incur other fees such as general anesthesia or operating room fees.

If you are interested in blepharoplasty and would like more information or a personal consultation, please contact us.