What is Lower Blepharoplasty?

Lower blepharoplasty, also known as under-eye surgery or eye bag removal, is a cosmetic surgical procedure that reduces puffiness and bags under the eyes, creating a smoother, more youthful appearance. This procedure can be done using two techniques: the internal (transconjunctival) approach and the external approach.

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Fat bulges under the eyes are often hereditary in younger individuals, causing a tired appearance even when well-rested. For older adults, eye bags often develop or worsen due to ageing. Lower blepharoplasty can be an effective solution for individuals of all ages to enhance their appearance and restore confidence.

Types of Lower Blepharoplasty techniques

Internal (Transconjunctival) Lower Blepharoplasty

The internal technique involves making an incision inside the lower eyelid, which results in no visible scars. This method removes or repositions the three fat pads under the eyes that may become prominent due to ageing or genetics.

Key points about internal Transconjunctival Blepharoplasty:

  • Scarless: The incision is hidden inside the eyelid, leaving no visible scars.
  • Recovery time: Minimal downtime with most patients experiencing fast recovery.
  • Minimal discomfort: Mild bruising may occur, but pain is generally well-managed with over-the-counter medication.
  • Ideal for fat repositioning: This method effectively removes or repositions fat pads without addressing excess skin.
  • Recommendations: Often recommended for those with under-eye puffiness without significant skin laxity.

After the procedure, you may experience temporary eye dryness, which is normal. We provide eye drops and ointments to promote healing. It’s important to avoid exercise and other strenuous activities for at least two weeks after the surgery.

External Lower Blepharoplasty

The external approach requires an incision just below the lash line, extending to the side of the eye. This method is more invasive and is typically used in cases of excess skin or significant fat prolapse.

Key points about external Lower Blepharoplasty:

  • Discreet Scar Placement: The incision is made below the lash line, and the scar fades over time, becoming almost invisible after a few weeks to months.
  • Recovery Time: The recovery process may take a few weeks, and sutures are typically removed within 5-7 days.
  • More Invasive: This treatment addresses both excess skin and fat, making it suitable for individuals with more pronounced skin laxity and puffiness.
  • Improves Skin Tightness: This approach is ideal for patients needing removal of excess skin and fat.
  • Recommendations: Often recommended for individuals with fat bulges and sagging skin due to ageing.

How long does the procedure take?

Lower blepharoplasty typically takes 1 to 2 hours, depending on the technique used and the extent of the surgery. Depending on the patient’s preferences and the surgeon’s recommendation, it can be performed under local anaesthesia with sedation or general anaesthesia.

What should I expect before surgery?

During your consultation, our surgeon will assess your medical history, discuss your goals, and determine the most suitable approach for your lower blepharoplasty. You may need to avoid certain medications, such as blood thinners, and smoking should be stopped before surgery to ensure optimal healing.

Recovery and aftercare for Lower Blepharoplasty

Proper aftercare is crucial for a smooth recovery regardless of the technique used. Keeping the area clean and avoiding strenuous activities for at least two weeks is essential. Bruising and swelling are common, but they gradually subside. Patients are given eye drops and ointments to keep their eyes lubricated and support healing.

Will I have scars after the surgery?

The internal approach has no visible scars since the incision is made inside the eyelid. With the external approach, the scar is discreetly placed under the lash line and typically fades to become almost invisible within a few weeks to months.

Follow-up care after Lower Blepharoplasty

We schedule follow-up visits to monitor your healing and address any concerns. These appointments allow our team to ensure that the recovery is on track and that patients are pleased with the results. Attending all follow-up visits and following our aftercare instructions closely is essential.

At Moorfields Eye Hospital Dubai, our specialised Aesthetic Oculoplastic surgeons in Dubai are experts in performing lower blepharoplasty to reduce under-eye bags and rejuvenate your appearance.

How long do the results last?

The results of lower blepharoplasty are long-lasting, with many patients enjoying a refreshed, youthful appearance for several years. However, the natural ageing process will continue, and some individuals may choose to undergo further treatments later in life to maintain their results.

 

Lower Blepharoplasty Specialists

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