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Lower Blepharoplasty

Rejuvenate Your Eyes

How Does Lower Blepharoplasty Work?

Lower Blepharoplasty Procedure

Before the surgery, Dr. Ramesh will thoroughly examine the patient to determine if they are the ideal candidate for the procedure. The following are the significant examinations before lower eyelid surgery:

Medical history
Our medical history exams include eye dryness, current illness, ophthalmic medications, and latex or drug allergies, and the doctor will also discuss the patient’s expectations for the procedure.

Physical examination
With physical tests, we will check the current state of the eyelid, concentrating on the following areas:

  • Ocular surface
  • Blink strength and rate
  • Presence of lagophthalmos (incomplete eyelid closure)
  • Pupillary exam, visual acuity, and extraocular motility

Prior to surgery, Dr. Ramesh will use a surgical pen while you are seated upright to mark the hollow borders. He will then use a local anesthetic containing lidocaine to numb the area under operation.

The Two Approaches

There are two approaches to this surgery; transconjunctival and transcutaneous. The transconjunctival approach is ideal for almost every patient as it is safer and reduces the risk of postoperative changes to the eyelid shape (eyelid retraction or ectropion). Dr. Ramesh makes an incision through the inside of the lower lid. This allows direct access to the three lower eyelid fat pads without interfering with the orbital septum and orbicularis oculi muscle. Dr. Ramesh removes the excess portion of these fat pads, and then either repositions the existing fat or transfers microscopic fat grafts from the abdomen, thighs, or flanks to address the hollowness at the tear trough.

He will then tighten the lower lids to restore the almond shape and prevent lower eyelid malposition. Finally, he will address the skin by either removing a small strip (“skin pinch”) through a hidden incision underneath the lashes (subciliary line), or by performing skin resurfacing with either a laser or a chemical peel. Dr. Ramesh does not routinely perform transcutaneous lower blepharoplasty as it is not necessary for an excellent cosmetic result and exposes you to unnecessary risks of eyelid retraction. After the treatment, he closes the incisions with absorbent catgut sutures or fine monofilaments.

Who Is the Ideal Candidate for Lower Blepharoplasty?

Lower eyelid surgery is suitable for any adult with realistic goals about the procedure. While the recommended age is 35 years and above, younger people can undergo the procedure if they have eyelid-related conditions.

In addition, the following cases can disqualify you from having lower blepharoplasty surgery until the condition is optimized:

  • Chronic eye dryness
  • Hypertension
  • Thyroid disorders
  • Circulation disorders
  • Heart disease
  • Diabetes

Moreover, if you suffer from glaucoma, it would help to consult a doctor before considering lower eyelid surgery.

Lower Blepharoplasty Recovery

Lower blepharoplasty patients take about 10 to 14 days to recover after the procedure. There may be more social recovery time to allow the scars to heal. We discuss with the patients what to expect so the recovery becomes less overwhelming. Dr. Ramesh will also outline the dos and don’ts during recovery.

Lower Blepharoplasty Risks

Lower eyelid correction surgery is safe and has minimal side effects that subside after a few days. The most common are swelling and bruising. However, if you have difficulty seeing or new problems with your eyesight, please contact us immediately.

Lower Blepharoplasty Results

You can expect the following results from lower eyelid surgery:

  • Reduces facial wrinkles
  • Improves dark circles under the eyes
  • Removes displaced fat pockets
  • Minimizes under-eye bags

Before & After

Contact Us

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    sign for Town Professional Pak Somerset

    The Center for Eye and Facial Plastic Surgery
    35 Clyde Road, #104
    Somerset, NJ 08873
    Monday – Friday: 8:30a – 4:30p

    Livingston Office
    22 Old Short Hills Rd Suite 202
    Livingston, NJ 07039
    Monday: 9:00a – 5:00p
    Tuesday: 12:00p – 7:00p
    Wednesday – Friday: 9:00a – 5:00p

    P: (609) 608-0142
    F: (855) 644-0469

    Contact Us 609-608-0142