Lower Eyelid Blepharoplasty
Surgical lower eyelid rejuvenation is known as lower blepharoplasty. In some circumstances it can be performed while you are awake (under local anaesthetic) but for more complex situations a general anesthetic may be needed. It may be done either as a standalone procedure or alongside other facial rejuvenation treatments
An incision is normally made just below the lower eyelid's eyelashes, ensuring the resulting scar is well-hidden, and in some cases the scar may be placed on the inside of eyelid. Any bulging fat behind the lower eyelid muscles is repositioned and secured with internal stitches to prevent recurrence of the bulge or, in some cases, a small amount of fat is removed and relocated to conceal the appearance of eyelid bags. Excess skin may be removed, and the muscle behind the skin is normally lifted to a higher, more supportive position.
Lower eyelid surgery addresses several features of the lower eyelids, including eyelid position, excess skin (as a result of sun damage, genetic reasons and the ageing process), muscle weakness to the lower lids, and also bulging (herniating) fat pockets. Overall, as well as the functional benefits of lower blepharoplasty, the procedure aims to enhance the appearance of tired and aged eyes, giving them a fresher and brighter look, which can also positively impact the overall facial appearance.
Anaesthetic
Local
Procedure Length
1 hour
Facility Stay
Day Case
Cost
From £5,100-£7,000
Downtime
Light exercise can resume after 4-6 weeks
Available in-house at Purity Bridge
Yes
Anaesthetic
Local
Procedure Length
1 hour
Facility Stay
Day Case
Cost
From £5,100-£7,000
Downtime
Light exercise can resume after 4-6 weeks
Available in-house at Purity Bridge
Yes
Depending on the technique (that needs to be assessed as most appropriate for your individual situation, the procedure typically lasts between 40-minutes and 2 hours.
Post-surgery, expect some swelling and bruising, which usually subsides within two weeks. Scars heal quickly, and stitches are usually removed after 5 to 7 days. Temporary dissolvable stitches may be used to prevent excessive eye opening and ensure proper lubrication (temporary tarsorrhaphy stiches). Initial dryness and grittiness in the eyes is common and can be managed with lubricating drops and ointments, sometimes required for over a month or two after the procedure.
Initial rest is crucial, with an elevated head position recommended to reduce swelling. Most patients can resume normal activities and return to work within 10 to 14 days. Strenuous activities should be avoided for at least three weeks. Avoid using contact lenses for four weeks post-surgery to prevent eye dryness. Minimize activities that might strain or further dry the eyes, such as reading, watching TV and computer use. Avoid make-up on the lower eyelids for 3-4 weeks until sensation normalizes.
Post-operative bleeding is the most significant complication as if it is not treated it could potentially lead to problems affecting the eyesight. Minor bleeding can be controlled with pressure, but severe cases may require a return to surgery. A rare but serious complication is bleeding behind the eyeball, which is a surgical emergency that could lead to blindness if not promptly treated (occurrence is about 1 in 40,000).
Scarring might take time to settle and will benefit from regular massage, as discussed with your surgeon during follow-up visits. Infection and small whiteheads around the scar are rare and treatable. Eye inflammation and a jelly like swelling (chemosis) might occur and may need treatment with drops or ointments. In rare instances, bruising or damage to the eye muscles could lead to temporary double vision.
