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At your consultation with the surgeon, you will be evaluated as to whether the procedure is suitable for you. There are several factors such as your medical history and current health status that are very important. While discussing your issues, it’s important that you have realistic expectations of what a lower eyelid blepharoplasty is and what it can do. The consultation with the surgeon will enable you to come to an informed decision.
A lower eyelid blepharoplasty is one of the most popular types of plastic surgery and is performed for those wanting to look younger by ridding themselves of puffy eye bags and loose skin under the eyes. Puffy, tired looking lower eyelids are also commonly part of ‘global facial rejuvenation’ treatment which is designed to improve the overall appearance of your face and eyes.
A lower eyelid blepharoplasty is not for the treatment of wrinkles ie ‘crows feet’ around the eyes.
There are two types of lower eyelid blepharoplasty that can be performed for you. which technique is used is based on your current situation and the discussion with your surgeon. In the first type, an incision is made along the border of the lower part of the eyelid, just below the lower eyelashes – or eyelids. The incision normally extends between the two corners of the eyes. Once the skin is separated, small bits of the underlying excess fat tissue is removed and the muscle – if needed – is tightened. When completed the skin is sutured back leaving a very fine scar line right under the lower lashes.
The second type of lower eyelid procedure is called a transconjunctival blepharoplasty and is performed for those who mainly have large, puffy bags under the eyes and less loose skin. The incision is made inside the lower eyelid with consequent removal of fatty tissue from the puffy eye bags. There is no visible scarring with a transconjunctival blepharoplasty.
A lower eyelid blepharoplasty takes anywhere from 1-2 hours to complete. This is dependent upon the degree of correction needed.
When performed alone, a lower eyelid blepharoplasty is done with just a local injection anesthesia. This means you will be awake for the entire duration of the procedure. If combined with another procedure such a facelift or upper blepharoplasty, an IV sedation or full general anesthesia may be required.
As with all types of surgery, there is always a small chance of some type of complication developing. Minor complications can include infection, bleeding wound separation, blurred vision, asymmetry, and a visible scar line. Ectropion or pulling down of the eyelids is also another complication that can develop as a result of lower eyelid surgery. In this case, a secondary corrective surgery may be required. All this will be discussed with your surgeon at the consultation.
It is quite normal for your eyes to be swollen, red and bruised after the surgery. The sutures will be taped over and an ointment given to keep your eyes moist. Most surgeons will remove the stitches between the 5th-7th day after the surgery. For these first few days, heavy reading, computer work may be uncomfortable and should be avoided. Vision blurriness may also be present. A pair of sunglasses is recommended to protect your eyes from dust and flying particles in the air. Other than this, there aren’t any restrictions for light activities. The peak of the swelling is about day 2 or 3 post-treatment. From this point should start to decrease rapidly.
Once the stitches are removed after a week, you can slowly return to all your normal physical and work activities. Heavy, strenuous activities and bending over should still be avoided for several weeks. All bruising should disappear after 10-14 days and can be easily camouflaged with make-up concealer.
With a lower eyelid blepharoplasty, the stitches are normally removed around the 5th-7th days post-treatment. We recommend you stay in Budapest at least this long so your stitches can be removed and the surgeon can check you. If you’re not able to stay this recommended, full length of time, you should consult with your home doctors before traveling to arrange for stitch removal after your return.
With proper healing and by following your surgeon’s instructions, there should be no need for any further follow-up care or treatment after you return home. If there are any issues that do arise, we ask that you contact us immediately.
Healing varies from patient to patient and depends upon your age, current health status, and your own body’s healing abilities. About 70% of all the healing should be completed by within the first 4-6 weeks of the surgery. The final 30% or the scars will gradually fade over the upcoming weeks and months. All swelling and bruising should disappear by about the 14th day.
No, if your healing process is free of any complications you don’t have to return to Hungary. If there are any further issues or questions, we ask that you contact us.
A lower eyelid blepharoplasty can be performed alone or in combination with several other treatments included in ‘global facial rejuvenation’. This most commonly includes an upper eyelid blepharoplasty, a facelift, brow lift, forehead lift, botox injections, fat or Hyaluronic acid fillers, and laser skin tightening and rejuvenation.
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