Whether it is for cosmetic purposes or for the treatment of an eye ailment, lower eyelid surgery can be performed for a variety of reasons. Many people have opted for lower eyelid surgeries to help them overcome eye diseases, or to help them see better too. Others have simply opted for lower eyelid surgery to achieve a new cosmetic effect for their faces. It doesn’t matter why you would choose one; the option is there for you to pick up any time.
Like any kind of surgery, lower eyelid surgery should be performed under the hands of a skilled surgeon. Getting lower eyelid surgery from an unskilled surgeon can lead to disastrous results, such as a surgery screw up or permanent disfigurement. Either way, it goes without saying that finding a good surgeon to perform your lower eyelid surgery should be your top priority. Anything less may lead you to regret it.
The Lower Eyelid Surgery Procedure
Blepharoplasty, or eyelid surgery, can also be performed solely on the lower eyelid for people desiring such. Patients typically opt for this kind of surgery to correct overly-puffy or saggy eyelids, or to help treat ailments that affect the areas in and around the eyelids. The procedure has gotten much simpler and quicker than before, so it is a relatively safe procedure to undergo.
The primary goals of a lower eyelid surgery include:
- Easier transfer and removal of tissues for a full eyelid surgery
- Removing deposits of fats in and around the lower eyelid areas
- Removal of sagging or puffy skin
- Revitalization of a patient’s looks
- Giving a firmer, youthful final look for a patient
The procedure itself entails a few steps, which should be performed by a skilled, precise surgeon:
- Anesthesia is applied to the patient.
- The eyelid and surrounding areas are sterilized accordingly.
- An incision is first made below the eyelashes on the lower eyelid. Care is made to follow the natural lines of the skin.
- Once the incision is made, excess muscle, skin, and fat tissues are removed to get the desired effect, whether be it cosmetic or medical in nature.
- These excess tissues may be repositioned or redistributed depending on the intended effect.
- Muscle laxity, if present, will be corrected during the lower eyelid surgery.
The patient’s lower eyelid is then left to heal naturally over time. Special care is taken so that the healing skin is not damaged during the natural healing process. The prescription of lotions and other products that may ease or prevent pain may be included by some surgeons.
Transconjunctival Blepharoplasty: The No-Scar Alternative
Patients who are weary of incisions made on the skin can opt for a no-scar alternative to lower eyelid surgery. This procedure is less elaborate than full-on lower eyelid surgery, but is still effective in altering the appearance of your lower eyelids, albeit to a smaller extent. With transconjunctival blepharoplasty, pockets of skin and fat tissues are removed without having to alter the skin much, if at all. Tiny incisions may be required on a case to case basis, but there will be no visible scarring even if these incisions are made.
Transconjunctival blepharoplasty entails the use of a few specialized tools and procedures:
- During the procedure, the eyeball is protected by a specialized plastic plate, which retracts the lower eyelid away from the eyeball.
- The small incisions are made when an electric current is swept across the inside surface of the lower eyelid.
- The removal of skin, fat, and muscle tissues begins but in smaller and shorter intervals compared to full-on lower eyelid surgery. This sculpts the lower eyelid into the desired shape.
- Special care should be exercised by the surgeon in order to keep the eyelid’s fullness intact. A hollowed-out eyelid may have the exact opposite effect for people undergoing this surgery for cosmetic purposes.
The benefits of transconjunctival blepharoplasty can be applied to people with damaged skin. This scar-free alternative to lower eyelid surgery can even be applied for the elderly, who may have become more sensitive due to the ravages of time and old age.
This kind of lower eyelid surgery can be performed to improve the quality of the skin around the eyelids in a few ways:
- Wrinkles can be softened, and in rare cases, removed
- Overall quality of the skin will be marginally tighter if TCA chemical peel is part of the procedure
- Sagging tissues can be removed safely
Should you have certain sensitivities to lower eyelid surgery, then transconjunctival blepharoplasty may be an alternative.
Other Kinds of Lower Eyelid Surgery
A few other kinds of lower eyelid surgery exist for people seeking alternatives.
- Tissue-Sparing Method: Bulging orbital fats around the lower eyelid areas are repositioned to their original anatomic regions rather than removing them. This is a relatively new technique, and has a few disadvantages, such as the increased likelihood of lower eyelid retraction.
- Transcutaneous Lower Eyelid Surgery: This is a very dangerous and outdated lower eyelid surgical procedure. It has not been openly employed by practicing surgeons in over 15 years because of the risks involved, and the likelihood of a sub-par aesthetic outcome.
Whatever your choice for a surgical procedure may be, try to ask the advice of a surgeon or doctor first. It will be better for your health if your decision for lower eyelid surgery is guided in the right direction.