Lower Eyelid Bags, Festoons & Dark Circles

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Lower Eyelid bags and dark circles are two very common reasons patients seek a consultation with our oculoplastic surgeons. These bags and circles lend to looking older and fatigued, and are impossible to hide behind makeup. Genetics, variations in anatomy, excess sun exposure, aging and herniation of orbital fat can all be reasons why the problems exist. While there are many reasons for bags and circles to develop, it is important to know that our treatment approach also varies according to the needs of each individual. Applying expert knowledge, skill and state-of-the-art technology, our physicians develop a customized plan that will bring you back to your natural, youthful appearance and help you maintain that look long term. We literally help you turn back the clock and slow the hands of time.

What is lower eyelid blepharoplasty?

The treatment plan is based on the options that best address your individual concerns and anatomical features. Lower lid blepharoplasty is a general term that encompasses a variety of surgical techniques. Your surgery may involve removal of herniated fat tissue, excessive skin, or a combination of both. To further enhance skin tightening, the application of the Fractional CO2 Laser may also be involved. Your surgeon will discuss your best treatment options with you in detail at the time of your consultation.

What are Festoons and how can lower eyelid surgery help?

Although they are often confused with one another, lower lid bags and festoons are two entirely different issues. Bags are mostly formed by fat tissue and/or excessive skin and are located just beneath the eyes. In contrast, festoons are pockets of edema that form on or above the cheekbones, giving the appearance of a “second bag”. Due to the differences in location and cause, treatment of bags and festoons require a solid knowledge of anatomy and a great deal of experience by the surgeon to deliver a successful, yet natural appearing outcome.

Before and after lower eyelid blepharoplasty

Lower eyelid blepharoplasty  Click here to view more before and after photos

Will there be any  Scarring after my lower eyelid surgery?

Most often, a lower lid blepharoplasty involves an interior lid incision, leaving no visible scars. The interior tissue of the eyelid also tends to heal very quickly and without complications. If the best surgical approach to reach your most desired outcome does require an incision on the outside of the eyelid, it is obscured beneath the lash line and virtually unnoticeable.

do you use Anesthesia during treatment?

Lower lid blepharoplasty is normally performed on an outpatient basis under a local anesthesia with sedation. This type of anesthesia is also known as Monitored Anesthesia Care (MAC) and is performed by an anesthesiologist. Benefits of a MAC include: greater comfort, fast recovery, much lower risk of nausea after surgery and does not require intubation.

Recovery from Lower Eyelid Surgery

This surgery is usually performed on an outpatient basis, so you will go home the same day. There is minimal pain after the procedure, although some discomfort is normal. Temporary blurred vision is normal and should subside within the first 24 hours. Ice packs are recommended for the first two days while bending and heavy lifting should be minimized. Swelling and bruising around to eyes may last up to seven to ten days. Most patients can return to work after one week. Your physician will also provide detailed post surgical instructions.

Schedule a consultation

If you would like more information on the lower eyelid blepharoplasty procedure, contact one of our Michigan offices today! Call 248-357-5100 today to schedule a consultation with one of our facial plastic surgeons.

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