Lower Eyelid Blepharoplasty - Eyelid Center of Utah

Lower Eyelid Blepharoplasty

Our eyes are the focal point of the face. When asked what they notice when meeting a person for the first time, the usual response is the eyes. Many of our patients opt to have eyelid surgery to rejuvenate sagging, droopy eyelids and surrounding skin. Some people, often due to genetic influences, have more issues with their lower eyelids and under eye bags.

Dr. Eftekhari performs lower blepharoplasty to rejuvenate the eyes and the face.

What is lower blepharoplasty?

The lower eyelids are one of the first areas on the face to really show the signs of aging. Lower blepharoplasty, colloquially known as lower eyelid surgery, with Dr. Eftekhari involves surgical sculpting and contouring of the lower eyelids. This is a delicate procedure that significantly improves sagging skin and under eye bags. This surgery tightens sagging lower eyelids and removes excess skin, as necessary. Incisions are usually placed just below the eyelashes or inside the eyelid. These incisions are virtually imperceptible.

Who is a good candidate for lower eyelid surgery?

The thin skin on our eyelids and particularly below the lower eyelids doesn’t age particularly well. This is especially true in the high altitude and consistent sunshine of Utah. We spend a lot of time outdoors here, and it shows in sagging, eyelids and under eye bags.

If you have excess lower eyelid skin and puffy bags beneath and around your eyes, this could be an excellent procedure for you. Patients often come to Dr. Eftekhari seeking to specifically to address their under-eye puffiness. This procedure will make you look more alert and refreshed.

Good candidates for blepharoplasty still have good tone in their facial muscles and tissue. Reality is — if you’re over 40, you likely would benefit from lower (and possibly upper) blepharoplasty.

How is lower blepharoplasty performed?

These are delicate surgeries, but because Dr. Eftekhari specializes in these procedures you’ll be sure to love your rejuvenated eyes. In the lower eyelid, there are two options for the incision. It can be made just below the lower lid eyelashes or inside the lower eyelid on the pink tissue (conjunctiva). Going through the conjunctiva (transconjunctival blepharoplasty) is Dr. Eftekhari’s preferred way to manipulate the lower eyelid fatty tissues, and is a scarless procedure. In some patients, excess skin can also be removed and some patients also have a midface lift performed to tighten the lower eyelid and enhance the aesthetic result.

Dr. Eftekhari pays particular attention to fat in both eyelids, but particularly in the area under the lower eyelids. Some doctors remove too much fat, leaving the patient with a hollow look in the area. Dr. Eftekhari often repositions the fat into the hollow below the eye to maintain a natural look. For each patient, Dr. Eftekhari develops a customized treatment plan.

What is the difference between upper and lower blepharoplasty?

Obviously, the difference is mainly which eyelid is being rejuvenated. Most patients have obvious aging across both eyelids and under their eyes, and they opt for Dr. Eftekhari to work on both upper and lower eyelids. But some people have most of their visible aging on the lower lids and the area under the eyes. They opt for just lower blepharoplasty. Lower eyelid surgery targets the skin below the eyes to a degree, rather than just the eyelids.

What is recovery like after lower blepharoplasty?

Recovery from eyelid surgery is not difficult. We’ll send you home with a cold compress and eye ointment. Use of that compress can really make a difference in your swelling and any subsequent bruising. This recovery doesn’t involve acute pain and you’ll often be able to manage it with over-the-counter pain medication. Your stitches will dissolve on their own. You will have some residual swelling, but you will already see a large improvement in your eyes. Your full results will show over the next couple of weeks as the last swelling runs its course.

Most patients can return to work after three days.

How soon will I be able to see my results from lower eyelid surgery?

Swelling will hide your results for the first week, although you’ll be able to notice the changes almost immediately. Once you are past the bruising and swelling, you’ll be amazed at how much more alert you look.

Most people feel that eyelid surgery, whether upper or lower or combined, takes about a decade off of your facial age.

How long does lower eyelid surgery take?

These are not long surgeries. Lower eyelid surgery usually takes 45 minutes per side.

Can I get cosmetic eyelid surgery if I have had PRK or LASIK surgery?

LASIK and PRK surgeries address the shape of the cornea and in no way affect the eyelids. Patients who have had either of these vision correction procedures can have blepharoplasty. Dr. Eftekhari wants his patients to wait three months after having LASIK/PRK before having this procedure, just to be sure the cornea has fully healed.

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