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Eyelid puffiness in the lower eyelids is caused primarily by excess fat and is usually corrected by a transconjunctival blepharoplasty. The incision in this procedure is made inside the lower eyelid and excess fatty material removed. Usually, no sutures are needed to close this kind of an incision. If sutures are needed, they are invisible to the eye and are also self-dissolving. No scar results since the incision is inside the eyelid.
Excess skin combined with eyelid puffiness may require a different approach to lower eyelid surgery. The above transconjunctival blepharoplasty may be combined with a chemical peel of the lower eyelid skin to reduce the wrinkles and tighten the excess skin of this area. In transcutaneous blepharoplasty, the surgeon makes the incision on an inconspicuous site just below the lash line. Excessive fat and loose skin are removed and the incision is closed with fine sutures. Your surgeon can help you determine which procedure is right for you.
About The Procedure
In upper eyelid surgery, incisions follow the natural lines of the eyelid - the creases above the upper eyelid. Excessive fat and loose skin are removed. Fine sutures are used to close the incisions, thereby minimizing the visibility of a scar. In lower eyelid surgery, the surgeon makes the incision on an inconspicuous site just below the lash line. Excessive fat and loose skin are removed and the incision is closed with fine sutures.
Eyelid puffiness in the lower eyelids is caused primarily by excess fat and is usually corrected by a transconjunctival blepharoplasty. The incision in this procedure is made inside the lower eyelid and excess fatty material removed. The sutures used to close this kind of an incision are invisible to the eye and are also self-dissolving. No scar results since the incision is inside the eyelid.
Upper eyelid surgery may be performed under a local or with a mild "twilight anesthesia," local anesthesia with an intravenous or oral sedative. Lower eyelid surgery is usually performed under twilight anesthesia.
For the first 48 hours after this type of surgery, cold compresses are applied to the eye area to reduce swelling and bruising. Most patients are ready to get back to their normal lifestyles 2 days after the procedure. Strenuous exercise is avoided for 1 week. There is little or no pain after surgery. Sutures are removed in a week.
Upper and lower eyelid surgery is almost always performed at the same time to achieve maximum improvement in the appearance of the eyes. The results usually last forever and this one procedure, which is non-invasive, can produce the most improvement with a fresh, non-tired look.
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