Lower Eyelid Blepharoplasty Subciliary Approach
A Lower Eyelid Blepharoplasty Subciliary Approach is a permanent plastic surgery procedure performed on the lower eyelids to reduce the appearance of eye bags and dark under eye circles.
The SkinnyLower Eyelid Blepharoplasty Subciliary Approach
- avg. recovery
About the Procedure
A Lower Eyelid Blepharoplasty Subciliary Approach is a surgical procedure targeting the lower eyelid and under eye to reduce the appearance of dark circles, under eye bags, and also tighten and tone the lower eyelids. The results of this eyelid surgery are permanent aesthetic and functional improvements to the lower lid. The results of the oculoplastic cosmetic surgery will naturally evolve with aging and use. A Lower Eyelid Blepharoplasty Transcutaneous Approach addresses excess skin and improves skin tightness. A Lower Eyelid Blepharoplasty Transconjunctival Approach cannot remove excess skin to address skin laxity, however, it is typically a less involved, and invasive procedure. The Subciliary Approach is a type of transcutaneous surgical approach designed for skin excision, smoothing of the preseptal musculature, alteration of orbital fat tissue, and repositioning of the support structures in the lower eyelid.
The goal of a lower eyelid blepharoplasty is to remove fat in order to reduce lower eyelid wrinkles and fat bulges.
What to Expect
A lower eyelid blepharoplasty subciliary approach is a plastic surgery procedure utilized to alter the lower eyelid appearance. Here is a quick guide for what to expect before, during, and after a lower eyelid blepharoplasty subciliary approach:
- Stop taking blood thinning medications two weeks prior to surgery. Blood thinners may include Advil, Tylenol, Aspirin, and prescription anticoagulants
- Stop smoking four weeks prior to the procedure and continue cessation for four weeks post op
- Do not eat or drink at least six hours prior to surgery
- Local anesthesia administered around the lower eyelids and orbit
- Subciliary incision made in the lower eyelid near the medial canthal area for alterations to eyelid skin, fat, and orbicularis oculi muscle
- Skin muscle flap repositioned
- Alterations at the lateral canthus
Most patients experience bruising, swelling, changes in sensation, and excessive tearing. Bruising resolves within one to two weeks. Swelling can be reduced with cold compresses and sleeping with the head elevated, although some swelling may persist for weeks to months. Strenuous activity, contact lens use, and sun exposure should be limited for up to three weeks. Eye straining activities like reading, watching TV, and using the computer should be minimized.
The ideal candidate for Lower Eyelid Blepharoplasty Subciliary Approach is a candidate with skin and muscle laxity who may also have fat protrusion.
Not Recommended For
A Lower Eyelid Blepharoplasty Subciliary Approach is not recommended for those with severe skin laxity, those with certain chronic medical conditions (like dry eye), or severe fat or muscle protrusion.
The potential side effects of a Lower Eyelid Blepharoplasty Subciliary Approach include changes to pupil shape, increased scleral show (white of the eye), poor lower eyelid position, abnormal lash line/lid margin, ectropion, ptosis, blurred vision, corneal dryness due to tear trough or lacrimal damage, scar formation, bleeding, and permanent changes in sensation.