15820 Blepharoplasty, lower eyelid

Name of the Procedure:

Blepharoplasty, Lower Eyelid
Common name(s): Lower Eyelid Surgery, Lower Lid Lift
Medical term: Lower Blepharoplasty

Summary

Lower Blepharoplasty is a surgical procedure aimed at improving the appearance of the lower eyelids. It involves removing or repositioning excess fat, skin, and muscle to reduce bags under the eyes and create a more youthful and rested look.

Purpose

Medical Condition:

It addresses issues such as puffiness, bags under the eyes, and sagging lower eyelids which can make a person look tired or older than they are.

Goals or Expected Outcomes:

The goal is to create a smoother, firmer appearance around the eyes. The expected outcome includes reduced puffiness, improved eyelid contour, and enhanced overall facial appearance.

Indications

• Persistent bags or puffiness under the eyes
• Loose, sagging skin on the lower eyelid
• Limited field of vision due to sagging eyelids (less common)
• Desire for cosmetic improvement in the lower eyelid area

Patient Criteria:

• Generally healthy individuals without serious eye conditions
• Non-smokers
• Individuals with realistic expectations

Preparation

• Stop taking blood-thinning medications as advised by the surgeon
• Arrange for someone to drive you home and assist you post-procedure
• Undergo a pre-operative medical evaluation and eye examination

Procedure Description

1. The patient is typically given local anesthesia with sedation or general anesthesia.
2. The surgeon makes an incision just below the lash line or inside the lower eyelid.
3. Excess fat is either removed or repositioned, and sometimes loose skin and muscle are trimmed.
4. The incision is then closed with fine sutures.
5. In some cases, chemical peels or laser treatments are used to further improve skin texture.

Tools and Technology:

• Scalpel or laser for incisions
• Fine sutures or surgical glue for closing incisions

Duration

The procedure typically takes between 1 to 2 hours.

Setting

Performed in an outpatient surgical center or hospital.

Personnel

• Ophthalmic surgeon or plastic surgeon
• Anesthesiologist or nurse anesthetist
• Surgical nurse or assistant

Risks and Complications

Common:

• Bruising and swelling
• Dry eyes or temporary vision changes
• Discomfort or mild pain

Rare:

• Infection
• Bleeding
• Asymmetry
• Difficulty closing eyes fully
• Ectropion (outward turning of the eyelid)

Benefits

• Reduced under-eye bags and puffiness
• More youthful and rested appearance
• Enhanced confidence and self-esteem
• Results can last many years and are often permanent with proper care

Recovery

• Patients can usually go home the same day
• Apply cold compresses to reduce swelling
• Avoid strenuous activities for about a week
• Sutures (if used) are typically removed within a week
• Full recovery and final results are usually seen within a few weeks to a few months

Alternatives

• Non-surgical treatments like fillers or laser therapy
• Topical treatments may offer mild improvements
• Pros include less downtime and lower risk. Cons include less dramatic results.

Patient Experience

During the procedure, patients might feel pressure but should not feel pain due to anesthesia. Post-procedure, expect swelling and bruising, which can be managed with pain medications and cold compresses. Patients should follow all post-operative care instructions to ensure proper healing and the best results.