HERSHE Plastic Surgery Eyes > Lower blepharoplasty

LOWER BLEPHAROPLASTY
HERSHE
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Lower Blepharoplasty
A surgical procedure designed to restore the elasticity of the lower eyelid, which has diminished due to aging. As under-eye aging begins, symptoms such as lower eyelid sagging, protrusion of under-eye fat, wrinkles, and tear trough hollowing often appear together.

At HERSHE Plastic Surgery, our dedicated eye surgery team carefully diagnoses these symptoms and offers personalized solutions for each individual, ensuring comprehensive improvement during lower blepharoplasty.
- Surgery Time
  1 ~ 2 hours
- Pain Level
  Low
- Recovery Period
  1~2 week
- Anesthetic Method
  Local anesthesia
- Duration
  Permanent
  May vary by individual
The actual procedure and outcome of the surgery may vary depending on the individual. Side effects such as hematoma, edema, and infection may occur.

Who Needs Lower Blepharoplasty?
As the skin thins and loses elasticity with age, the under-eye area can sag, revealing underlying bone structures. The under-eyes tend to show signs of aging more quickly than the upper eyelids. Additionally, excess fat accumulation beneath the eyes can cause protrusion, further contributing to an aged appearance.

The under-eye aging process varies from person to person, requiring different surgical approaches, such as correcting wrinkles, addressing sagging, and removing or repositioning under-eye fat.

Therefore, a professional diagnosis is essential.

Individuals with sagging lower eyelids and wrinkles

When the skin under the eyes loses elasticity and develops significant wrinkles, excess skin is removed, and the sagging eyelids are restored to their original position.
Individuals with a hollow appearance of the lower eyelids

If the lower eyelids lack elasticity and appear hollow due to insufficient fat, it can contribute to an older appearance.
Lower blepharoplasty can restore sagging eyelids to their original elasticity while simultaneously filling hollow areas with fat grafting or repositioning.
Individuals experiencing sagging of both the lower eyelids and under-eye fat

In cases where both the lower eyelids and protruding under-eye fat are sagging, combining lower blepharoplasty with the removal of excess under-eye fat, along with the repositioning or grafting of fat to correct volume loss in the tear trough and hollowed areas, can lead to significant improvement.

- Significant Changes in the Under-Eye Area with Aging
- Aging is influenced by various factors, including genetics, lack of sleep, stress, and UV exposure. The under-eye area is particularly susceptible to showing signs of aging, which can make a person appear older.
  
  Common signs of under-eye aging include decreased skin elasticity, wrinkles, bulging under-eye fat, fat loss, hyperpigmentation, dark circles, and sagging lower eyelids. These symptoms can be challenging to improve naturally, so prevention through skincare and sun protection is crucial for maintaining a youthful appearance.
  
  For those seeking more significant improvement, it is advisable to seek a professional diagnosis to determine appropriate surgical or non-surgical treatment options.

- Personalized Lower Blepharoplasty for Targeted Symptoms
- Lower blepharoplasty is a surgical procedure designed to restore the elasticity of the lower eyelids. Depending on individual symptoms, a combination of techniques, such as under-eye fat removal or repositioning, and fat grafting may be necessary.
  
  For instance, if there is bulging under-eye fat, simply improving the skin elasticity of the lower eyelids may not yield satisfactory results. Likewise, in cases of hollowing due to insufficient under-eye fat, failing to address this issue may impede aesthetic improvement.
  
  To achieve optimal results, it is essential to comprehensively address the various signs of under-eye aging. This requires a meticulous diagnosis by a professional, along with a consultation to understand the patient’s desired surgical outcomes, enabling the development of an effective surgical plan.

WHY
HERSHE
HERSHE Lower Blepharoplasty
Comprehensive Diagnosis of Under-Eye Conditions Prior to Surgery,
Personalized Care by Dedicated Eye Surgery Specialists

HERSHE Lower Blepharoplasty
Lower eyelid sagging is often accompanied by uneven under-eye fat distribution.
Therefore, improvement is typically more noticeable when fat removal or repositioning is performed at the same time.

Under-eye fat repositioning involves making a small incision in the inner conjunctiva to remove excess fat and reposition a portion of
it below the tear trough, smoothing areas that appear hollow due to fat loss.

This minimally invasive incision is not visible externally, allowing for quick recovery and resumption of daily activities.

The procedure is based on a thorough understanding of the anatomical structures, including the orbital fat,
under-eye muscles, nerves, and blood vessels, and requires extensive surgical experience.

To prevent recurrence, the fat repositioning technique focuses on improving graft survival by minimizing tension
between fat tissues and reinforcing the orbital septum.
How HERSHE Performs Lower Blepharoplasty

Lower Eyelid Incision
An incision is made along the lash line of the lower eyelid.
Removal of Excess Skin
Excess skin is carefully excised in proportion, and the underlying orbital septum is lifted and secured to restore the lower eyelid to its natural position.
Fat Removal and Repositioning
Bulging under-eye fat is partially removed and moved to fill hollow areas. The orbital septum is reinforced to prevent fat from building up again. In cases of severe sagging, fat grafting may be done as well.
Suturing and Recovery
After carefully suturing the incision, the restored elasticity of the lower eyelid can be seen as the excess skin is removed.

Diagnose the Eye Condition Thoroughly Before Surgery
An accurate diagnosis of the eye condition before surgery is crucial for achieving a successful outcome and ensuring patient satisfaction.

Even if individuals desire a specific double eyelid shape or eye appearance,
it may look unnatural if it doesn't complement their facial features or address functional issues.

Everyone has unique eye shapes, sizes, and functions, so there is no one-size-fits-all approach to eye surgery.

To achieve the best results, it's important to conduct a thorough diagnosis, discuss desired outcomes with medical professionals,
and create a personalized surgical plan.

Under-Eye Skin

Sagging eyelids, Sagging skin, Under-eye wrinkles, Skin thickness, etc.

Under-Eye Fat

Degree of fat protrusion, Sagging fat, Distribution of orbital fat, etc.

Tear Trough

Fat distribution, Shadowing, Range and depth of the tear trough, etc.

Dedicated Medical Team for Eye Plastic Surgery with Personalized 1:1 Care
Lower eyelid surgery is a procedure aimed at restoring the elasticity of the lower eyelid. Depending on individual symptoms,
complex surgeries like under-eye fat removal, repositioning, or fat grafting may be necessary.

For instance, if there is protruding fat beneath the eyes, improving only the skin’s elasticity will not yield satisfactory results. Conversely, if there’s deficiency of fat under the eyes, leaving it unaddressed will not give significant aesthetic improvements.

Complex surgeries require a deep understanding of various surgical techniques and experiences, especially tailored to each patient's unique needs. A broad range of surgical options is necessary to diagnose and offer suitable solutions for individual symptoms and under-eye conditions.

At HERSHE Plastic Surgery, our expertise team of Eye surgery specialists offers one-to-one consultations, surgeries,
and recovery with a lot of surgical experience and expertise.

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Your Signature
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FAQ
Frequently Asked Question

Q.Is Lower Blepharoplasty Different From Under-Eye Fat Repositioning?

A. Lower blepharoplasty involves making an incision along the outer lower lash line to remove sagging tissue, followed by the excision of excess skin to improve under-eye wrinkles and sagging.
In contrast, under-eye fat repositioning involves removing excess orbital fat from the inside of the lower eyelid and redistributing some of it to fill hollow areas along the tear trough. Lower blepharoplasty often includes under-eye fat repositioning.

Q.Will There Be Noticeable Scarring?

A. Lower blepharoplasty involves making an incision along the outer lower lash line, which may initially result in visible scarring.
However, these scars tend to fade over time. Individual variations exist, and in cases where scars take longer to fade, appropriate scar management programs, such as laser treatments, can aid in reducing scarring.

Q.Are There Any Side Effects?

A. All surgeries carry the potential for unexpected discomfort or side effects.
To minimize these risks, it is essential to consult with experienced specialists and carefully follow post-surgery care instructions.
If you experience significant discomfort, severe bleeding, heat sensation, inflammation, or any other concerning symptoms, it is important to promptly contact the clinic for appropriate care.

Q.Will It Be Painful?

A. Post-surgery pain is typically mild, but some discomfort may occur as the anesthesia wears off.
Diligently following post-surgery instructions and guidelines, along with taking all prescribed medications from the clinic, can help prevent inflammation and alleviate pain.

Q.When Can I Return to Daily Activities?

A. Aside from the surgical mark being noticeable and slightly uncomfortable, the typical recovery period for bruising and swelling is around 2 to 3 weeks. After this period, you can resume daily activities such as applying eye makeup and wearing contact lenses.
Over the following 3 to 6 months, the tissues affected by the surgery will gradually heal, resulting in a natural outcome.
By following the post-surgery instructions provided by the hospital, you can expect a faster recovery and more stable surgical results.

Q.What Are the Post-Surgery Precautions?

A. Prior to the surgery, the clinic will provide you with explanations, consent forms, and pre-surgery instructions. After the surgery, the clinic will provide post-surgery instructions as well as prescribed medication.
Some important post-surgery instructions include abstaining from alcohol and smoking for about a month to prevent bleeding and infection.
If you experience itching, swelling, or allergic reactions around the eyes while taking antibiotics after the surgery, discontinue the medication and visit the clinic.
It is advisable to avoid getting water on or around the eyes for about a week. To reduce bruising, swelling, and bleeding, cold compresses can be applied for approximately 2 to 3 days after the surgery, followed by a combination of warm and cold compresses after one week, along with light walking. It is important to avoid positions that increase blood pressure around the eye area, such as bending over.

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