Eyes > Lower blepharoplasty

LOWER BLEPHAROPLASTY
LOWER BLEPHAROPLASTY
Since 1992, HERSHE continuously strive to research for your youth and beauty

Youthful and healthy under eyes before aging
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HERSHE lower blepharoplasty is a surgical procedure that restores the elasticity of the lower eyelid, which has lost its elasticity due to aging.
When under-eye aging begins, various symptoms such as lower eyelid sagging, protrusion and sagging of under-eye fat, under-eye wrinkles, and tear trough hollowing often appear together.
The dedicated eye surgery team at HERSHE Plastic Surgery carefully diagnoses various under-eye aging symptoms and provides personalized solutions applied to each individual, ensuring that they can be improved during the lower blepharoplasty surgery.
- Surgery time
  1 ~ 2 hours
- Pain level
  Low
- Recovery period
  1~2 week
- Anesthetic method
  Local anesthesia
- Duration
  Permanent
  (May vary by person)
Actual procedure and outcome of the surgery may vary by individual, side effects such as hematoma, edema, and/or infection may occur.

Who needs lower blepharoplasty?
As the skin becomes thinner and loses its surrounding elasticity with age, the lower eyelids can sag and reveal underlying bone structures.
The lower eyelids tend to experience signs of aging faster than the upper eyelids. Additionally, excessive accumulation of fat under the eyes can cause protrusion and further contribute to an aged appearance.
The under-eye aging process can vary from person to person, requiring different surgical approaches such as correcting under-eye wrinkles, addressing lower eyelid sagging, and removing or repositioning under-eye fat.
Therefore, a professional diagnosis is essential.

Cases where lower eyelids sag and have wrinkles

When the skin under the eyes loses elasticity and develops significant wrinkles, the excess skin is removed, and the sagging eyelids are restored to their original position.
Cases where the lower eyelids appear hollow

If the lower eyelids lack elasticity and appear hollow due to insufficient fat, it can make a person appear older.
Lower blepharoplasty can restore sagging eyelids with elasticity and simultaneously fill the hollow areas with fat grafting or repositioning.
Cases where both the eyelids and fat are sagging:

In situations where both the lower eyelids and protruding under-eye fat sag, combining lower blepharoplasty with the removal of excessive under-eye fat and the repositioning or grafting of fat to correct volume loss in the tear trough and hollowed areas can provide improvement.

- When aging begins, the under-eye area undergoes significant changes.
- Aging is influenced by various factors such as genetics, lack of sleep, stress, and UV exposure.
  The under-eye area is particularly prone to showing signs of aging, making a person appear older.
  Common signs of under-eye aging include decreased skin elasticity, wrinkles, bulging under-eye fat, fat loss, hyperpigmentation, dark circles, and sagging of the lower eyelids.
  These symptoms are challenging to naturally improve, so prevention through skincare and sun protection is crucial for maintaining a youthful appearance.
  If more significant improvement is desired, seeking professional diagnosis to determine appropriate surgical or non-surgical treatment options is recommended.

- Customized Lower Blepharoplasty for Specific Symptoms
- Lower blepharoplasty is a surgical procedure aimed at restoring the elasticity of the lower eyelids. Depending on individual symptoms, a combination of procedures such as under-eye fat removal or repositioning and fat grafting may be necessary.
  
  For example, if there is bulging under-eye fat, solely improving the skin elasticity of the lower eyelids may not yield satisfactory results. Similarly, in cases of hollowing due to insufficient under-eye fat, neglecting to address this issue may hinder aesthetic improvement.
  
  To achieve satisfying results, it is important to correct the various signs of under-eye aging in a comprehensive manner. This requires a meticulous diagnosis by a professional and consultation with the patient to understand their desired surgical outcomes, allowing for the development of an optimal surgical plan.

WHY
HERSHE
HERSHE Lower Blepharoplasty
Thorough Diagnosis of Under-Eye Condition Prior to Surgery
Personalized Care with Dedicated Eye Surgery Specialists

HERSHE Lower Blepharoplasty
Most cases of lower eyelid sagging are accompanied by uneven under-eye fat distribution, so the improvement is often more significant when fat removal or repositioning is performed simultaneously.
Under-eye fat repositioning is a surgical procedure that involves making an incision in the inner conjunctiva of the eye to remove excess fat and reposition a portion of the fat below the tear trough, creating a smoother appearance in areas with hollowing due to fat deficiency.
The incision marks are minimal and not visible externally, allowing for easy daily activities and a relatively fast recovery.
This procedure is performed based on a thorough understanding of the anatomical structures of the orbital fat, under-eye muscles, nerves, and blood vessels, as well as surgical experience.

To prevent recurrence after surgery, the process of fat repositioning aims to facilitate better graft survival by reducing tension between fat tissues and strengthening the orbital septum.
This is how HERSHE performs the surgery

Lower eyelid incision
The skin is incised along the lower eyelash line of the lower eyelid.
Removal of excess skin
The excess skin is excised proportionally, and the underlying orbital septum is lifted and secured to restore the lower eyelid to its original position.
Fat removal and repositioning
If there is bulging under-eye fat, a portion of it is removed and repositioned to the hollowed area.
Additionally, measures are taken to reinforce the orbital septum to prevent future fat accumulation.
In cases with significant under-eye sagging, fat grafting may also be performed.
Suturing and recovery
After meticulous suture of the incision marks, the restored elasticity of the lower eyelid can be observed as the excess skin is removed.

Thorough Diagnosis of Eye Condition Prior to Surgery
An accurate diagnosis of the eye condition before surgery plays a crucial role in the outcome and satisfaction of the procedure.
Even if individuals have their desired double eyelid shape or eye appearance, if it doesn't complement their facial features or address functional issues, the result may appear unnatural.
Each person has different eye shapes, sizes, and functions, and there is no one-size-fits-all approach to eye surgery.
To achieve satisfactory results, it is important to have a thorough diagnosis, discuss the desired surgical outcomes with medical professionals, and develop a personalized surgical plan.

Under-eye Skin

Sagging eyelid, sagging skin, Under-eye wrinkles, skin thickness, etc.
Under-eye Fat

Degree of fat protrusion, sagging, Distribution of orbital fat, etc.
Tear Trough

Fat distribution, shadowing, Range and depth of tear trough

Personalized 1:1 Care with Dedicated Eye Surgery Specialists
Lower eyelid surgery is a procedure aimed at restoring the elasticity of the lower eyelid. Depending on individual symptoms, complex surgeries like under-eye fat removal, repositioning, or fat grafting may be necessary.
For instance, if there is protruding fat beneath the eyes, improving only the skin’s elasticity will not yield satisfactory results. Conversely, if there’s deficiency of fat under the eyes, leaving it unaddressed will not give significant aesthetic improvements.

Complex surgeries require a deep understanding of various surgical techniques and experiences, especially tailored to each patient's unique needs. A broad range of surgical options is necessary to diagnose and offer suitable solutions for individual symptoms and under-eye conditions.

At HERSHE Plastic Surgery, our expertise team of Eye surgery specialists offers one-to-one consultations, surgeries, and recovery with a lot of surgical experience and expertise.

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Eyes define a person.
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FAQ
Frequently Asked Question

Q.Is lower eyelid surgery different from under-eye fat repositioning?

A. Lower eyelid surgery involves making an incision along the outer lower lash line to remove sagging tissues, followed by excision of the excess skin to improve under-eye wrinkles and sagging.
On the other hand, under-eye fat repositioning involves removing excessive orbital fat through the inside of the lower eyelid and redistributing some fat to fill in hollow areas along the tear trough. Lower eyelid surgery often includes under-eye fat repositioning.

Q.Will there be noticeable scarring?

A. Lower eyelid surgery involves an incision along the outer lower lash line, which may result in visible scarring initially.
However, over time, the scars tend to fade. Individual variation exists, and in cases where scars may take longer to fade, appropriate scar management programs such as laser treatments can help in scar reduction.

Q.Are there any side effects?

A. All surgeries carry the risk of unforeseen discomfort or side effects.
The best way to minimize these risks is to consult with an experienced specialist, make an informed decision about the surgery, and diligently follow the post surgery care instructions.
If you experience significant discomfort, excessive bleeding, heat sensation, inflammation, or any other severe symptoms, it is important to contact the hospital promptly for appropriate measures.

Q.Would it be very painful?

A. While there may be some discomfort following the surgery, it is not associated with significant pain.
Proper post surgery care can help alleviate discomfort during the recovery period.

Q.When can I resume my daily activities?

A. The recovery period typically takes around 2-3 weeks for basic bruising and swelling to subside.
After this period, you can generally resume daily activities such as eye makeup and wearing contact lenses.
Over the next 3-6 months, the surgically affected tissues will continue to heal, resulting in natural-looking outcomes.
By following the post surgery instructions provided by the clinic, you can expect a faster recovery and more stable surgical results.

Q.What is the precaution after the surgery?

A. Prior to the surgery, the hospital will provide you with explanations and consent forms, as well as post surgery instructions.
Some important precautions include prohibition from alcohol and smoking for about a month to prevent bleeding and infection.
If you experience itching, swelling, or allergic reactions around the eyes while taking antibiotics after the surgery, stop the medication and visit the hospital. It is advisable to avoid getting water on or around the eyes for about a week.
To reduce bruising, swelling, and bleeding, cold compresses can be applied for approximately 2 to 3 days after the surgery, followed by a combination of warm and cold compresses after one week. It is important to avoid positions that increase blood pressure around the eye area, such as bending over.

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