Lower eyelid aesthetic surgery, medically known as lower blepharoplasty; It is a surgical application that aims to improve aesthetic problems in the lower eyelids. Lower eyelid aesthetic surgery is also known as under-eye surgery, under-eye wrinkle surgery, under-eye bag surgery.
During the aging process, the lower eyelid skin becomes thinner. Wrinkles, which we call crow's feet, become prominent on the lateral edge of the lower eyelid due to repetitive mimics. There is a membrane in the lower eyelid that holds the fat pads in place, which should normally be located directly under the eye. This membrane loosens with aging and the under-eye fat herniates towards the suggestion. These formations, also called under-eye bags, make the face look old, sleepless and tired. A deep depression develops between the innermost under-eye bag and the edge of the nose, which we call the tear trough. A triangular-shaped bulge (malar bag) forms just below the outermost bag.
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Lower eyelid ageing is closely related to midface ageing. When the midface area sags downwards, the soft tissue wall, which is normally in front of the lower eyelid bags, descends. Midface sagging, midface volume loss and midface bone problems make the lower eyelid look visually older.
Lower eyelid aging usually occurs between the ages of 30-45 in the early stages of facial aging. However, in individuals with structurally weak cheekbones, under-eye bags may appear at a much earlier age.
You can think of under-eye bags as a hill. Light creates a shadow behind this hill and this shadow can make the under eye look darker. In some individuals, dark circles under the eyes are just a play of light. In some patients, dark circles under the eyes are really caused by the accumulation of dark pigments in the skin.
Who is Lower Eyelid Aesthetics Suitable for?
Lower eyelid aesthetics (lower blepharoplasty) is a suitable option for middle-aged individuals who are uncomfortable with the tired appearance around the eyes, have healthy, realistic expectations and do not have any vision problems. The surgery reduces this complaint in individuals who are uncomfortable with tired looks in the eyes. Lower eyelid aesthetic surgery can improve under-eye bags, under-eye bruises, under-eye wrinkles, eyelid skin sagging, tear trough deformity, and hollowing under the eyes.
How is Lower Eyelid Aesthetics Performed?
When performed alone, lower eyelid aesthetic surgery is usually performed under local anaesthesia and patients can go home the same day. When lower eyelid aesthetics is combined with other procedures (such as upper eyelid aesthetics or mid-facelift), general anaesthesia and hospitalisation may be required.
In the operation, an incision is made at the base of the eyelashes and the eyelid skin and muscle tissue are descended. The under-eye bags are reached and the fat in the under-eye bags is reduced. Subsequently, the under-eye skin and muscle tissue is tightened. Excess skin is removed. In order to tighten the lower eyelid and prevent distortion of the lid shape after surgery, the outer edge of the eyelid is fixed to the bone with special suture fixations. This manoeuvre is called lateral canthopexy / canthoplasty and is also known as almond eye aesthetics.
During the lower eyelid aesthetics, mid-facelift surgery can be performed simultaneously through the same incision by continuing the separation downwards over the under-eye bone.
Points to Consider Before and After Lower Eyelid Aesthetics
One of the most feared complications of lower eyelid surgery is bleeding. In order to prevent bleeding, blood thinners should be discontinued before surgery. Problems such as eye allergy and dry eye should be evaluated before surgery. Consultation from an ophthalmologist may be requested if necessary before surgery.
There will be stitches on your lower eyelid after the surgery. These stitches are removed between 7-10 days. You can go home after eyelid surgery, but it is not recommended to drive for 1 week. There may be a slight burning and stinging after lower eyelid surgery. It is expected to see swelling and bruising on the eyelids and around the eyes after the surgery. The transparent layer in the winter inside the eye may be oedematous. Antibiotic eye drops are often prescribed. You can wash the morning of the operation. After eyelid surgery, swelling and bruising gradually decrease within approximately 7-14 days and return to social life becomes possible, but it will take up to 3 months for early eyelid asymmetries and oedema to completely disappear. In lower eyelid aesthetic surgery, there may be slanting in the eyes for 2-3 weeks due to the lateral canthopexy procedure performed for protective purposes. This slanting is temporary and resolves spontaneously.
Alternative/Concurrent Treatments
Lower eyelid aesthetic surgery is often combined with upper eyelid aesthetic surgery, forehead lift, mid-face lift surgery, micro-fat tissue transfer procedures. Lower eyelid aesthetics alone does not weaken the mimic muscles. Therefore, mimic wrinkles will continue after surgery. It may be necessary to continue botulinum toxin treatment to keep mimic wrinkles under control.
Since lower eyelid surgery is performed to eliminate structural anatomical deformations, it does not have an alternative such as non-surgical eyelid aesthetics. It is not possible for applications introduced under the name of non-surgical eyelid aesthetics to give results similar to eyelid surgery. Under-eye fillers, under-eye light filling provide a temporary camouflage, but are not the equivalent of eye aesthetic surgery.
Fine wrinkles remaining on the skin after under-eye bags surgery can be reduced with chemical peeling treatment.
Lower Blepharoplasty - Lower Eyelid Aesthetic Surgery Prices
Lower eyelid aesthetic surgery prices may vary according to the hospital, the experience of the doctor, the scope of the surgery and other accompanying surgeries. In order to get information about lower eyelid aesthetic surgery prices, you should first be examined and the details of the surgery plan and treatment should be clarified. You can contact us at the contact number to get information about the average prices of lower eyelid surgery.
Lower eyelid surgery is one of the riskiest operations of facial aesthetics. The most important reason for this is the misconception of surgeons that the signs of aging in the lower eyelid are related to excess skin or that under-eye aesthetic problems can be solved by tightening the skin. We do not produce skin while aging in the eyelid. Most of the time, under-eye problems are associated with structural causes such as bone resorption, herniation of under-eye bags, mid-face volume loss and sagging, muscle weakness, cantal ligament relaxation. Surgeries that are performed without taking these into consideration and that excessively reduce the skin from the eyelid can lead to deformations that are very difficult to correct later. Among all facial aesthetic surgeries, this is perhaps the surgery that you should be most careful when choosing a doctor. Lower eyelid surgery is an operation that takes around 1 hour. With the addition of additional procedures or manoeuvres such as canthoplasty, mid-face lift, fat injection, the duration can be extended up to 3-4 hours. If the lower eyelid surgery is performed with an incision made on the inner side of the eyelid, there is no scar left behind. If it is performed with an incision made at the base of the eyelash, a very thin scar remains and this scar can hardly be seen even with examination when placed in the correct position. The recovery period after under-eye bag surgery is usually between 7-10 days. When this period is completed, the person can return to normal life. This operation can be applied to people who complain of sagging, bagging and similar conditions in the lower eyelid, who are over the age of 18 and whose general health condition is suitable for surgery. Is lower eyelid surgery risky?
How many hours does lower eyelid surgery take?
Will there be a scar after lower eyelid surgery?
How many days does under-eye bag surgery heal?
Who can benefit from eyelid aesthetics?
For more detailed information about eyelid surgeries, you can access www.yeniyuzyenihayat.com, which is one of the most comprehensive Turkish resources on the internet in the field of Eye Contour / Facial aesthetics, created by Assoc. Dr Ozan Bitik by clicking on the BLOG section of our website.
