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Lower  blepharoplasty


What is lower blepharoplasty ? 

I do 2 technique for Lower blepharoplasty

1. A transconjunctival blepharoplasty Is the surgery to remove fat under the eyes from the inside This method will not have a scar, do not need to sew, suitable for people who don't have sagging eyelid skin 

2. Transcutaneous Lower Blepharoplasty Is the surgery to remove both the eyelids and the bags under the eyes by surgery from the outside  suitable for people who have sagging  lower eyelid skin

Patient Selection : 

  • Eye Bag and Undesirable cosmetic appearance

Benefits of Long blepharoplasty

  • Reduction of Under-Eye Bags: Lower blepharoplasty effectively addresses the common concern of under-eye bags. The procedure involves removing or repositioning excess fat deposits that contribute to the appearance of puffiness or bags under the eyes, resulting in a smoother and more rejuvenated lower eyelid contour.

  • Boost in Self-Confidence: Improved lower eyelid appearance can have a positive impact on self-confidence and self-esteem. Individuals may feel more comfortable and confident in their facial appearance after undergoing lower eyelid surgery.


Preoperative instruction

  • It is advisable to refrain from taking medications that thin the blood, such as aspirin and Plavix, for at least 7-10 days or as prescribed by the doctor.

  • Take a shower, wash your face, and shampoo your hair on the morning of the scheduled surgery.

  • On the day of the double eyelid surgery, avoid wearing makeup or using cosmetics that are difficult to clean.

  • Prepare a caregiver for post-surgery assistance and avoid driving by yourself.

  • Wear comfortable clothing and choose a button-up shirt.

  • Eat easily digestible food before the surgery.

Step for Procedure

Step 1 : Design and discuss  with doctor

Step 2 : Anesthetic injection into the lower eyelid 

Step 3 :  Cut skin along eyelid

Step 4 : Fat removal will be performed as needed 

Step 5 : Tightening procedure will preform

Step 6 : Skin closure by small suture

Postoperative instruction

  • Sleep with your head elevated at a 45-degree angle for the first 2-3 days.

  • Apply cold compresses to the swollen area for the first 2-3 days or until the swelling subsides.

  • Avoid wearing contact lenses for 2 months (if there is muscle correction involved).

  • Avoid wearing makeup for 1 week.

  • Avoid touching or rubbing the surgical wound until it is fully healed.

  • Schedule a follow-up appointment within 7 days.

  • Take prescribed medications as instructed by the doctor.

  • Avoid scratching or picking at the wound.

  • You can eat regular meals, but avoid spicy foods.

  • The swelling will peak at around 2-4 days and then gradually improve until the stitches are removed.

These recommendations are based on my experience and standard care. And  are intended for patients undergoing surgery with me. They may differ from other surgeon in some details.

Surgical Time 40-60 min.
 Remove stitch 7-10  days
 Full recovery  3-6  mo.

Case review for lower blepharoplasty

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