Eyes

Lower blepharoplasty: how is it done?

Blepharoplasty is the plastic surgery that removes excess skin from the eye area. It can be performed on the upper or lower eyelids or, as in most cases, on both areas. When this procedure is performed only below the eyes, it is called…

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Blepharoplasty is the plastic surgery that removes excess skin from the eye area. It can be performed on the upper or lower eyelids or, as in most cases, on both areas. When this procedure is performed only below the eyes, it is called lower blepharoplasty.

What is lower blepharoplasty

Lower blepharoplasty, or lower eyelid surgery, treats fat bags or skin located below the eyes. In most cases, the problem is caused by a loss of firmness in the facial skin and muscles.

Sagging of the lower eyelids gives the patient a tired appearance and, for this reason, is a source of dissatisfaction for many people. Fortunately, lower blepharoplasty is a smooth procedure with a quick recovery.

There are many cases of fat bags, and even of dark circles, that can only be resolved with surgical intervention. Different techniques can be applied depending on the clinical picture.

How is lower blepharoplasty done?

Lower blepharoplasty can be performed in two ways: removing only the excess fat, or removing the fat and the sagging skin. The choice of procedure depends on the medical assessment and on the result the patient expects.

In general, when the problem can be solved by removing fat alone, the transconjunctival blepharoplasty technique is used, in which there is no need to make skin incisions, since the fat is accessed from the inside. With this technique, there are no scars.

When there is sagging skin in addition to excess fat, an incision can be made along the lash line or in the natural folds of the eyelids, so the scars are practically imperceptible.

Blepharoplasty with transposition of fat bags

Blepharoplasty with fat transposition is a sophisticated technique that requires surgical skill and delivers very satisfactory results. In this surgery, the adipose tissue that forms the bag detracting from the appearance of the eyes is repositioned. This maneuver fills the area between the lower eyelid and the cheeks.

This type of blepharoplasty with fat transposition is quite effective, since there is no absorption or rejection.

Dr. Rogério Leal explains this lower blepharoplasty technique in more detail:

Does lower blepharoplasty treat dark circles?

Dark circles are characterized by darkening of the skin below the eyes, between the lower eyelid and the cheeks. This problem can often be intensified by fat bags and a depression in the tear trough. In these cases, lower blepharoplasty with transposition of adipose tissue can be an alternative with very satisfactory results.

To correct the darkening itself, however, a treatment with depigmenting agents may be needed.

This content is for informational purposes only and does not replace a consultation. Whether any procedure is indicated depends on an in-person assessment, case by case. CRM SP 90.116 | RQE 11.350.

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