Lower eyelid rejuvenation is performed whilst you
are asleep either as an isolated procedure or in combination with
other facial rejuvenation procedures.
Patient of Mr Pacifico only 6-weeks following upper and lower
blepaharoplasty. Note the improvement to the lines and bags under
the eyes. More importantly, his eyes are much brighter and his
overall appearance is fresher and less tired.
What does it involve?
An incision is made just below the eyelashes of the
lower eyelid, to ensure that the resultant scar is very well
camouflaged. The bulging fat behind the muscles of the lower
eyelids is either pushed back and small internal stitches used to
stop it bulging back again, or sometimes a small amount of the fat
is removed and repositioned to camouflage the eyelid bags.
Once the fat has been addressed, a small amount of
excess skin is removed to tighten up the lower lid. Mr Pacifico
often performs a canthopexy at the same time - this is a procedure
that tightens the lower lid and raises it slightly to give a more
youthful appearance and supports the healing eyelid.
What are the benefits?
Lower eyelid surgery improves the tired and aged
appearance that you feel you may have. It provides a freshness to
the eyes and gives your whole face a brighter look.
How long does the surgery take?
Depending upon the complexity of the surgery in
your individual situation, the surgery takes will take 1-2
What is the recovery period?
You will have some swelling and bruising
afterwards, which will fade after around 2-weeks following surgery.
The scars themselves heal quickly. The stitches are removed at 5-7
days. Mr Pacifico often puts a temporary (for 2-days or so)
dissolvable stitch in to prevent your eyes from opening too much
and to ensure they are well-lubricated with tears. Your eyes may
feel dry and gritty initially, but this usually resolves after a
short time. Therefore lubricating drops and ointment is always
prescribed to keep the eye moist. Some people find they need to use
this for over 1-month following surgery.
How long before daily activities may be
Rest is advised initially, and it is recommended
that you sleep with 2 or 3 pillows so your head is elevated - this
will help the swelling resolve. Most people are ready to go out and
return to work after 10-14 days. Strenuous activity should be
avoided for at least 3-weeks. Contact lenses should be avoided for
4-weeks after surgery, as these will dry the eyes out. Reading,
television and computer usage may also dry out the eyes, so should
be kept to a minimum. Make-up on the lower lids should be avoided
for 3-4 weeks until the sensation in the lids has returned to
What are the success rates?
Lower eyelid surgery has a high success rate.
Potential complications are outlined below. Problems with dragging
down of the lower lid is one of the most important complications to
be aware of, which is why Mr Pacifico often performs a canthopexy
and also on occasion uses the temporary stitch described above to
support the lid after surgery. You will look your best at 6-12
months after the surgery.
The above photographs show the improvement in the
appearance of the bags of the lower eyelids following a lower
blepharoplasty by Mr Pacifico
What are the possible complications?
The most important complication to be aware of is
bleeding post-operatively. Small amounts of bleeding may be stopped
with pressure on the eyelid. Rarely you may need to return to the
operating theatre. The most serious, but fortunately extremely
rare, complication relates to bleeding that occurs behind the
eyeball. This is a surgical emergency, which would require medicine
and an urgent return to the operating theatre - if not attended to
as an emergency, it may rarely lead to blindness (the risk of this
complication has fortunately been estimated to be as rare as 1 in
Scars can occasionally take time to settle down and
may benefit from regular massage post-operatively, something Mr
Pacifico will discuss with you at your post-operative visit.
Infection occurs infrequently, as do small whiteheads around the
scar, which may be treated in the outpatient clinic.
Inflammation of the eye can occasionally occur, which may need
treatment with drops or ointments. Rarely, a muscle that moves the
eyeball may be bruised or damaged leading to double vision (this
rare complication usually only causes temporary symptoms).