Lower eyelid surgery



Lower eyelid surgery

Why is lower eyelid surgery done?

Žena pre operacije donjih kapaka

The skin of the lower eyelid lids is the thinnest, so wrinkles appear on it first and the bags under the eyes are formed. If your eyes look swollen and puffy, you have dark circles and bags under your eyes, you are most probably a candidate for lower eyelid surgery.

What result is achieved by lower eyelid surgery?

Lower eyelid surgery reduces the aging signs under the eyes, which includes wrinkles and bags under the eyes. The skin around the eyes becomes tightened and smooth, and in that way, it looks younger and healthier. The dark circles around your eyes are neutralized, so you look fresh and rested.

You will enjoy your reflection in the mirror again.

What is the preparation for is lower eyelid surgery?

Before the surgery, photos of the patient are taken from different angles to compare the outcome with the original condition. The excess skin is measured precisely with a special device, a caliper. Everybody has certain facial asymmetry, and that must be taken into account when we mark the places of the incisions.Before the surgery we take photos of the patient from different angles, to compare the outcome of the surgery with the original state. The excess skin is precisely measured with a special device called a caliper. We all have a certain facial asymmetry, and that is also taken into account when we mark the incisions.

You need to stop taking medicines that affect coagulation (aspirin, ibuprofen, and such).Stop taking the medicine that affects coagulation (aspirin, warfarin, ibuprofen, and such).

How is lower eyelid surgery done?

Before the surgery, the surgeon must examine you and determine if the patient is a suitable candidate for the surgery.

Lower eyelid surgery is performed under IV analgosedation, and rarely under local anesthesia.

When there is excess skin in the form of “bags“, dark circles, swollen eyelids, we start the procedure through the incision which is made just by the edge of the eyelashes, from the inside corner to the outside corner of the eye. The excess skin is removed through that incision. If there is excess fat, it can also be removed through the same incision. Also, it is possible to do muscle reconstruction. Then the wound is sutured. The procedure usually lasts for about 1-2 hours.

The patient is released home on the same day.

Lower eyelid surgery

What is the recovery after lower eyelid surgery?

The recovery after lower eyelid surgery lasts for 10 to 14 days. You are expected to have swellings and bruises for the first week or two. It is recommended to rest in that period. A drop of blood may appear in tears, but it should not concern you because it is a part of a healing process.

  • Your eyes must be wet all the time, so for that, you need to use artificial tears or eye ointment which serves as a lubricant. You will probably need antibiotic ointment that you will apply twice a day for the first 5 days.
  • You apply the cream recommended by the surgeon on the skin under the eyes.
  • It is recommended to put ice and cold compresses just under the incisions.
  • For the first 48 hours, you must spare your eyes the effort. That means you refrain from reading, watching TV, and using your cell phone.
  • Do not consume alcohol for the first 7 days because it can increase the swelling and bruises.
  • Tearing, itching, tingling, and puffiness are parts of the recovery process, so they should not concern you.
  • You can have a shower after 24 hours after the surgery.
  • You must not expose your eyes to UV rays for the first 7-10 days, which means that you will have to wear dark sunglasses when you go out.
  • Sleep on a pillow that is elevated above the chest for 5 days after the surgery.
  • Do not put makeup until two days after the suture removal. Putting on and removing makeup involves pressing and rubbing the zone around the eyes, and at the same time, there is a risk of infection. Therefore, it is recommended to throw away all the old makeup and use the new, unopened one for hygienic reasons.
  • Do not expose yourself to the intense physical effort for a week after the operation.
  • Do not use contact lenses in the recovery period, wear the glasses instead.

You can return to work in a week after the surgery.

Are there any risks and undesired outcomes of the operation?

As with any surgery, there are risks of bleeding, infection, thrombosis, and reaction to anesthesia.

Complications are extremely rare if the surgery is performed by an experienced surgeon. Nevertheless, some patients may experience issues with dry and irritate eyes, difficulties with shutting the eyelids, and temporarily impaired vision.

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