Lower Eyelid Blepharoplasty Transcutaneous Approach
The transcutaneous blepharoplasty approach addresses age-related dark circles and bags of the under-eye area through an incision made directly beneath the eyelashes. During surgery, an incision is made that allows the muscle of the lower eyelid to be tightened, while also creating space to trim and reposition excess skin and fat.
The SkinnyLower Eyelid Blepharoplasty Transcutaneous Approach
- avg. recovery
About the Procedure
A lower eyelid blepharoplasty performed with a transcutaneous approach addresses age-related concerns such as skin laxity and fat protrusion that interfere with a smooth transition from the lower lash line to the cheek. Before the procedure, the surgeon will do an initial evaluation to determine lid strength and laxity by performing a snap test. During this test, the lower eyelid will be pulled down and observed for how long it takes for the lid to return to its normal position without the patient blinking. An abnormal result may require a lid-shortening procedure to ensure optimal results postoperatively. Once your doctor has performed the initial evaluation, an anesthesia will be injected to numb the area. Following preoperative marking, an incision will be made directly beneath the lash line to expose the eye muscle. The fat that easily flows into this incision is removed and, once complete, the skin-muscle flap is replace and the incision is closed with a running suture. Surgical glue may be used in some cases to provide extra reinforcement, and surgical tape suspends the lid laterally.
The goal of a lower eyelid blepharoplasty is to remove skin and/or fat in order to reduce lower eyelid wrinkles, skin redundancy, and fat bulges.
What to Expect
The lower eyelid blepharoplasty via a transcutaneous approach addresses dark circles and bags through an incision made directly beneath the eyelashes. Here is a quick guide for what to expect before, during, and after a lower eyelid blepharoplasty with a transcutaneous approach.
- Stop taking blood thinning medications for 2 weeks
- Stop smoking 4 weeks before and after surgery
- Do not eat or drink for 6 hours prior
- Lower eyelid is marked for incision
- Area infiltrated with local anesthesia
- Incision made directly beneath the lash line
- Excess skin and fat removed
- Skin-muscle flap is placed into a new, higher position
- Incision closed with sutures
Following surgery, the eyes will be swollen with some patients experiencing numbness and excessive tearing. Symptoms such as swelling and bruising will typically last a week or more. Cool compresses can be used to reduce puffiness. Sleep with the head in an elevated position. Strenuous exercise should be avoided for 2 weeks. Activities that strain the eyes such as reading, wearing contacts, watching tv, or using a computer should be limited. Avoid unprotected sun exposure for optimal healing.
The ideal candidate for a lower eyelid blepharoplasty with a transcutaneous approach is older and has a large amount of fat protrusion, significant redundant skin, and prominent orbicularis muscle swag.
Not Recommended For
Lower eyelid blepharoplasty is not recommended for patients with a history of thyroid disease, bulging eyes, or chronic dry eye symptoms.
Side effects from a lower eyelid blepharoplasty with a transcutaneous approach may include increased scleral show, ectropion, difficulty in closing the eye when sleeping, blurred vision, swelling and bruising, scarring, bleeding, and changes in sensation.