Lower eyelid surgery consists mainly in the removal of protruding skin and strengthening of the orbicularis oculi muscle. Upper and lower eyelids can be reshaped during one procedure; it always depends on the discretion of an experienced plastic surgeon which has assessed the case.
During the eyelid surgery only a very limited part of skin is removeddue to possible postoperative complications associated with a more radical approach.
How is the lower eyelid surgery performed?
Skin incisions are made so as to be as little noticeable as possible, below the eye lashes. Conventional surgery of the lower eyelids is performed under local anaesthesia.
However, it is rather unpleasant and leaves scars below the eye-lashes in the outer corner of the eye. Moreover, it is associated with a range of post-operative complications. Therefore rather transconjunctival blepharoplasty is recommended.
After the lower eyelid surgery
After the blepharoplasty, patient should remain under strict bed rest, lie in the supine position, keep the head higher and apply sterile cooling eye pads and elastic compression band for the night until swelling of the eyelids subsides.
Bruises around the eyes are usually not noticeable, post-operative pain can be normally managed only by applying iced eye pads and administering standard analgesics. It is recommended that the patient avoid strenuous activity for 1 week after the lower eyelid surgery.
Stitches are removed 5-7 days after the surgery. After removing the stitches, eyelids are treated with ointment for several weeks and it is recommended that the scars be gently massaged.
The patient is able to fully return to their normal activities already after 2 weeks, sports and physical exercise is permitted 1 month after the surgery. In women, facial cosmetics can be used about 14 days after the surgery.