Lower Blepharoplasty in Raleigh, North Carolina*

Lower blepharoplasty is a little less common than upper blepharoplasty. Over the years, surgeons have gotten a bit more conservative with lower eyelid surgery because of the increased rate of complications and unfavorable outcomes. Lower eyelid surgery can result in more significant change in the shape of the eye and things such as lid malposition. The anatomy of the lower eyelid is a bit more complicated and over removal of skin can result in permanent problems. Most patients with concerns about the lower eyelids are worried about the bags present. Early signs of under eye bags can sometimes be treated with injections such as filler agents or fat which help to fill in the tear trough or grooves present in the junction between the lower eyelid and cheek. This can often have correction that can last several years. Removal of some of the protruding fat can be done through a trans-conjunctival Incision( inside the eyelid)-Which is not visible. Open blepharoplasty involves some removal of skin, tightening of the muscle and conservative fat removal and often internal resuspension of the lower eyelid in the lateral corner of the eye also known as canthopexy. This 60-year-old woman wished to have improvement in the lower eyelid skin excess and bags. She had a open lower blepharoplasty with minimal scar under her eyelash line. Results of lower blepharoplasty are usually more subtle as the improvements are not just in the loose skin but the protruding fat.