Also called lower blepharoplasty. It treats the bags and loose skin below the eyes, usually through the inside of the lid so there is no visible scar.
What it is
With age, the pads of fat that cushion the eye can push forward, and the skin below the lid loosens. Lower eyelid surgery repositions or removes a measured amount of that fat, and tightens loose skin where it is needed.
The operation
Most of the work is done through a cut inside the lower lid, so nothing shows on the skin. Where skin needs tightening, a fine cut sits just under the lashes.
The operation takes about an hour for both eyes, usually under local anaesthetic with sedation.
What it does not do
It does not remove dark circles caused by pigment, nor lines from sun damage. Your consultant will say what is causing what you see.
Who it can help
It may suit you if treats under-eye bags that stay, however well you sleep is what you notice most, and you are otherwise well.
- Bags below the eyes that stay however well you sleep
- Loose skin that creases below the lashes
- A hollow between the lid and the cheek
- You are in good general health
Dark circles, allergy and thyroid eye disease can all look similar. That is what the consultation is for.
Recovery and risks
Everyone heals at their own pace. This is a typical course, and your consultant will tell you what to expect in your case.
The first two days
Swelling and bruising are at their most noticeable. Rest with your head raised and use cold compresses.
The first week
The lids feel tight or gritty. Stitches, where they are used, come out at about seven days.
Weeks two and three
Bruising fades. Many people are back at work and comfortable being seen.
Three to six months
Scars settle and soften. Your final review is around this time.
Possible risks
Every operation carries some risk. For lower eyelid surgery these include:
- Dry or irritated eyes, usually temporary
- A small difference between the two sides
- A visible or thickened scar
- Infection or bleeding, which are uncommon
- Very rarely, a change in your vision
Your surgeon will go through the risks that apply to you, and give you written information to take home.
Insurance
Lower eyelid surgery is sometimes covered when the problem affects your health or your vision. Surgery for appearance alone is not.
Check your cover with your insurer before your consultation, and your surgeon will supply what they need.
Questions patients ask
Will there be a scar?
Usually not a visible one. Most of the operation is done through the inside of the lid. If skin needs tightening, the cut sits under the lashes, where a scar tends to be least visible.
How long is the bruising?
Bruising below the eyes is normal and usually settles over two to three weeks. It is often more noticeable than after upper lid surgery.
Is it covered by insurance?
Rarely. Lower lid surgery is usually done for appearance, which insurers do not cover. Your consultant will tell you if your case is different.
Can it be done with upper eyelid surgery?
Yes, the two are often done in the same operation. Your consultant will explain what that means for your recovery.