Lower eyelid surgery is a surgical procedure aimed at eliminating puffiness, swelling, wrinkles, and sagging under the eyes. These issues, often caused by aging, can give a person a constantly tired, sleepless, or sad appearance. With lower blepharoplasty, signs of aging around the eyes are reduced, resulting in a younger and healthier look. This surgery is not only performed for aesthetic reasons but can also be applied to correct sagging that restricts the visual field.
Causes of Under-Eye Bags
There are several main causes of under-eye bags:
- Aging: As we age, the skin around the eyes loses elasticity, muscles relax, and fat tissue protrudes outward.
- Genetic Predisposition: People with a family history of under-eye bags may experience the problem earlier.
- Irregular Sleep: Insufficient or poor-quality sleep can lead to swelling and discoloration under the eyes.
- Salt and Alcohol Consumption: Excessive intake causes fluid retention in the body, leading to puffiness under the eyes.
- Allergies and Sinus Problems: Certain allergic conditions can cause temporary or permanent under-eye bags.
How Is Lower Eyelid Surgery Performed?
Lower blepharoplasty is customized for each patient. The surgeon evaluates the patient’s skin type, the degree of puffiness, and facial anatomy to determine the most suitable method.
Surgery Steps:
Anesthesia: Usually performed under local anesthesia. The patient is awake but pain-free during the procedure. General anesthesia can also be applied if desired.
Incision: For mild puffiness, the transconjunctival method is preferred, where the incision is made inside the lower eyelid, leaving no visible scar. If there is skin sagging, an incision is made just below the lash line to remove excess skin and fat.
Fat Tissue Adjustment: Protruding fat tissue is either removed or reshaped to create a natural contour.
Closure: Incisions are closed with fine sutures; scars fade over time.
Duration: Approximately 45-90 minutes
Discharge: Same-day discharge is possible
Suture Removal: Performed 5-7 days after surgery
What Is the Recovery Process After Lower Eyelid Surgery?
Recovery after lower eyelid surgery is generally fast and comfortable.
- First 2-3 Days: Mild swelling and bruising may occur. Cold compresses and keeping the head elevated help reduce swelling.
- Within 1 Week: Bruising largely subsides; sutures are removed.
- 10th Day: Patients can comfortably return to social activities.
- 1 Month: Results become more noticeable; the eye area looks younger and healthier.
Is Lower Eyelid Surgery Permanent?
Yes, results are long-lasting. However, since the natural aging process continues, mild changes may appear within 10-15 years. Regular care of the eye area and a healthy lifestyle can delay this process.
Who Is Suitable for Lower Eyelid Surgery?
- Individuals over 30 with under-eye puffiness or sagging
- Those who feel they look constantly tired or sad
- People seeking a younger, energetic, and dynamic facial expression
- Individuals in good overall health
Is a Natural Look Possible After Lower Blepharoplasty?
Absolutely. When performed by experienced surgeons, lower eyelid surgery yields very natural results. The goal is not to change you but to give you a fresher and healthier facial expression.
Frequently Asked Questions (FAQ)
- Does the surgery leave scars?
If the transconjunctival technique is used, no scars remain. Incisions made on the skin fade and become barely noticeable over time. - Do under-eye dark circles disappear?
If dark circles are caused by vascular structure or pigmentation, surgery may not completely solve them. However, as puffiness decreases, dark circles become less noticeable. - Is a repeat surgery necessary?
Usually not. A well-planned surgery maintains its effect for many years. - Is there pain after surgery?
Mild discomfort may occur, but most patients do not need painkillers.