Lower Eyelid Surgery
Lower eyelid blepharoplasty is almost always performed for cosmetic purposes. The most common presenting patient complaints include lower eyelid “bags” and wrinkled lower eyelid skin. These two anatomical signs convey a look of aging and tiredness.
What is a lower eyelid blepharoplasty?
Lower eyelid blepharoplasty is a surgical modification of the lower eyelid performed to remove sagging skin and/ or remove or reposition fat bags from the lower eyelid. The amount and significance of these two components vary between patients. Incisions are placed either just below the lower eyelid lashes or inside the eyelid depending on the presenting anatomy. For patients with mild or moderate wrinkling of the lower eyelid skin, the option of chemical or laser skin resurfacing is available as opposed to the surgical removal of skin.
What are the surgical options for a lower eyelid blepharoplasty?
Transcutaneous Lower lid Blepharoplasty
Trancutaneous (Trans= through, Cutaneous= the skin) lower eyelid blepharoplasty involves making an incision approximately two (2) millimeters below the lower eyelid eyelashes. Using this approach, skin, muscle and fat can be augmented to the appropriate amount.
Transconjunctival Lower lid Blepharoplasty
In lower eyelid blepharoplasty many patients do not require surgical skin removal. In those cases, Dr. Mitchell will likely perform a transconjunctival blepharoplasty, where the incision is made inside the lower eyelid. There are advantages to this approach versus the transcutaneous approach (through the skin incision). If mild skin wrinkling is also present, methods are available to treat this excess skin while still employing the transconjunctival approach.
I’m young and I don’t think I am ready for surgery. Is there anything less invasive?
Yes. Many patients that present for eyelid rejuvenation do not require surgery in order to obtain acceptable results. This is especially true with the lower eyelid. These patients will benefit from minimally invasive procedures such as volume restoration (fillers), Botox, chemical peels, laser resurfacing and medical grade skin care. Using fillers around the eye and especially in the lower eyelid requires an exceptional injector. Dermal fillers (volume restoration) behave uniquely in this anatomical region. Dr. Mitchell has become exceptional at masking the appearance of lower eyelid fat pads and lower eyelid contour irregularities using dermal fillers.
Why should I choose Dr. Mitchell to perform my eyelid surgery?
Dr. Mitchell is a Board-Certified Facial Plastic and Reconstructive Surgeon. Dr. Mitchell is specially trained in cosmetic and reconstructive surgery of the face and neck. Dr. Mitchell does not dilute his practice with plastic surgery of the body. Most general plastic surgeons spend a preponderance of their of time performing breast surgery and body procedures. Dr. Mitchell dedicates his surgical practice to the face. Dr. Mitchell has performed hundreds of successful eyelid procedures. Blepharoplasty is Dr. Mitchell’s favorite facial surgical procedure because of the consistency of excellent results and high patient satisfaction rate, minimal downtime and relative ease of performing this surgery using only local anesthesia.
Although Dr. Mitchell’s typical blepharoplasty results are excellent, any surgery or treatment has risks and potential complications. Dr. Mitchell will discuss the benefits, risks and potential complications of your procedure in detail. Results from any surgery or treatment are never guaranteed.