How is the lower eyelid surgery done?
There are a variety of ways to do the lower eyelid surgery depending on the patients wants and need sand the surgeons preference. The standard lower eyelid Blepharoplasty involves making an incision that starts about one centimeter lateral to the outer corner of the eye extending towards the eye and continuing just below the eyelash line. The skin and muscle that runs around the eye are lifted off of the underlying tissues exposing the three lower lid fat pockets. Excess fat is excised, repositioned or both to reduce or eliminate dark circles and bags. A small amount of excess skin and muscle is then usually removed, much less than what is generally taken out of the upper eyelid. This skin removal is typically quite conservative to avoid the appearance of a wide-eyed stare (scleral show) or eversion of the lower eyelid (ectropion). The eyelid muscle (orbicularis oculi) may be tightened with sutures to provide support to the lower eyelid.
