Lower blepharoplasty, also known as eye bag removal, is one of several surgical procedures that have become commonplace in the UK and worldwide. Professor Ilankovan has performed countless lower blepharoplasty procedures on male and female patients of varying ages at our London clinic and our Bournemouth location.
Surgical procedure for Puffy Lower Eyelids
If improving the appearance of puffy bags under the eyes is something you are interested in pursuing, then this post will provide you with an understanding of what’s involved, the lower blepharoplasty technique that Professor Ilankovan uses, and other relevant information.
Professor Ilankovan’s technique for Lower Blepharoplasty
In lower blepharoplasty, Professor Ilankovan performs the fat preservation ‘septal reset’ approach. However, pinch blepharoplasty for skin only excisions is also possible.
Lower eyelid anatomy
The anatomy of the lower eyelid is divided into three lamellae (layers). The middle lamellae is the actual curtain for the lid, and when this is weak, the fat bulges out.
Septal reset technique
In the ‘Septal Reset’ technique (as described by *Hamra and **Hester), the bulging fat is sutured to the ‘arcus marginalis’, which will maintain the fullness. If the fat is excised, gradually, a sunken appearance will develop. After the septal reset, the orbicularis muscle (eyelid muscle) is tightened, which will provide an attractive contour.
We find this approach will not only correct the tear trough (the deep crease between the cheek and the lower eyelid), and the malar palpebral groove but will also provide fullness to the lower lid and improve the demarcation of the lid-cheek margin.
Post Op Care
- Following surgery, a cold compress will be applied for the first 2 to 3 hours;
- The patient will be required to sleep upright (with a few pillows) for the first 2 nights;
- After 48 hours the patient will be required to gently cleanse the area with salt water soaked swabs, followed by ointment application and eye drops;
- Eye drops will need to be used 4 to 5 times per day;
- Apply the ointment only sparingly to the wound;
- Take antibiotics and particularly medications regularly as instructed.
Lower Blepharoplasty pre and post op image gallery
* The role of the Septal Reset is in creating youthful eye-cheek complex in facial rejuvenation Hamra etal (Plastic & Reconstructive Surgery Journey) 2004: 113: 2124
** Evolution of Technique of the Direct Blepharoplasty Approach for the Correction of Lower Lid and Mid Facial Aging: Maximising Results and Minimizing Complications in a 5-year Experience – Hester et al (Plastic & Reconstructive Surgery Journal) 2000 1, 105: 1393