Eyelid Surgery & Eye Bag Removal
Do your eyes constantly look tired or do you always seem to have bags under them? As you get older, the skin around your eyes loses its elasticity, and consequently you may develop loose folds of skin on your upper eyelids along with deep creases beneath your lower lids. Eyelid surgery can eliminate the surplus skin, fat, or both, from around your eyes. It is mainly a cosmetic procedure, but it is also an effective means of enhancing sight in those whose sagging upper eyelids hinder their vision.
Find out more about Blepharoplasty from MyBreast in our video.
Blepharoplasty surgery (eyelid lift) can make you look less tired and may substantially rejuvenate facial appearance. Over time, the muscles associated with the eyelids can loosen, this results in bags or dark rings around the eyes that may have an aging effect. Also, tissues that separate the cushioning orbital fat surrounding the eyeball weakens and fat protrudes into the eyelids forming bags under the lower and upper eyelids. In severe cases, the excess tissue can also obstruct vision and by having cosmetic eyelid surgery patients don’t only look better, but often can see better as well.
As you age, folds of skin often develop in the upper eye region. These can become loose and baggy, resting on the eyelashes or hanging over the eye affecting vision. A droopy look, with excess skin, can also occur due to the descent of the eyebrow and forehead. If the eyebrow is in a normal position, upper blepharoplasty surgery can be very effective in correcting these problems.
This relatively straightforward procedure can be carried out independent of any other eye surgery. After making the incisions, your surgeon will remove excess fat from the upper eye area and trim any sagging skin and muscle. The wound will be closed with very fine stitches in the natural fold or crease of the skin to keep scarring to the bare minimum.
Surgery is performed under a local anaesthetic as an outpatient or under general anaesthetic with an overnight stay.
Over time, pockets of fat may develop under the lower eyelid, producing bags. Other noticeable signs of ageing that can benefit from surgery include: tear trough (a groove under the eyelid where it joins the cheek); malar bags (fluid-filled pouches under the eyelid); lateral canthal descent (the outer part of the eye drops downwards); loss of facial fat revealing bones around the eye area; loose, floppy eyelids; and lengthened eye area when the cheek tissue drops.
A number of different operations can be performed to correct these issues, depending on your individual circumstances.
A transconjunctival blepharoplasty will remove or reposition prominent fat bags from under the eyes via a cut on the inside of the eyelid. It is popular surgery as it leaves no scar on the skin and recovery is usually quite quick.
To remove excess skin on the lid, the subciliary approach is used. This requires cutting along the margin of the eyelid.
Instead of removing excess fat, the surgeon may suggest repositioning the fat and lifting and re-draping the muscles of the eyelid and cheek area. It is a more complex operation, but can be very effective when performed by a specialist.
Laser or chemical peels can tighten excess skin in the lower eyelid area. However, these techniques may cause hypopigmentation (lightening of the skin) or hyperpigmentation (darkening of the skin).
When the ageing of the lower lid is the result of sagging cheek tissues, lifting the cheek or mid-face may be required. In this instance, surgery is likely to be much more intensive and extensive and can involve lengthy recovery.
The early signs of ageing are often marked by the appearance of hollow or dark rings under the eyes. Injecting the patient’s own fat (or synthetic filler) is often very successful in smoothing and plumping any grooves or hollows.
Lower eye surgery is more complex than upper eye surgery. The recovery time is longer and it is almost always combined with upper eyelid (blepharoplasty) surgery.
Surgery is carried out under general anaesthetic. Procedures are usually performed on an outpatient basis but may occasionally require an overnight stay in hospital.
Recovery times vary but it advisable to limit strenuous activity for the first six weeks.
To lift the margin of the eyelid, or to ensure the eyelid does not drop or retract post-surgery, a ‘canthopexy’ (a stitch in the corner of the lid) is often performed. This approach will be used on both eyes during lower eyelid surgery.
Upper and Lower Bilateral
Upper and lower blepharoplasty (eyelid surgery) is a combined procedure to both upper and lower eyes at the same time to give a balanced result and to avoid a downward slanting look.
The procedure will take place in the same manner described above with your surgeon working on the upper lids first.
Brow and Lower Eyes
Depending upon individual needs and requirements, a brow lift (or forehead lift) can be performed in conjunction with lower eyelid surgery (transconjunctival blepharoplasty) to provide comprehensive facial rejuvenation.
Combining blepharoplasty with other procedures can be very effective, achieving a more balanced, harmonious and youthful face. Advancements in surgical procedures mean results are now more natural and complications fewer.