Lower eyelid surgery

Lower eyelid surgery is an aesthetic surgical procedure that can correct loose skin under the lower eyelids, remove eye bags, and reduce signs of aging around the eyes.

Lower eyelid surgery can be beneficial when swelling or excess skin under the eyes makes the face look tired or older than it is. The surgery can be performed using either traditional surgical techniques or a lighter laser procedure.

Lower eyelid surgeries are considered aesthetic procedures and are not covered by Kela reimbursement.

Lower Eyelid Surgery May Help in the Following Situations:

• Persistent eye bags or swelling under the eyes.
• Loose and wrinkled skin on the lower eyelids.
• Deep grooves or shadows under the eyes.
• A perpetually tired or sad facial expression.
• A desire for a more youthful and refreshed appearance.

Eye bags are a common cosmetic concern that can significantly affect the overall appearance of the face and perceived well-being. Eye bags are often caused by age-related changes in the tissues around the eyes but can also be a hereditary trait that appears at a young age.

Factors contributing to the formation of eye bags include:

• Age-related loosening of the skin and muscles of the eyelids.
• Forward protrusion of orbital fat, causing bulging.
• Hereditary factors that may cause eye bags to appear before the age of 30.
• Anatomical structure of the eye socket, where the front edge of the eyeball is more forward than the lower edge of the eye socket.
• Reduction of subcutaneous fat in the cheekbone area, which accentuates eye bags.
• Lower eyelid surgery is an effective solution for treating eye bags, and the procedure is always planned individually.
• The surgical technique is chosen based on anatomy and preferences. The surgery can be performed through the inner surface of the eyelid, leaving no external scars, or alternatively below the lash line, where the scar is nearly invisible.

Nowadays, a combined method is often used, where bulging fat is removed transconjunctivally (through the inner surface of the eyelid) and fat transfer to the tear trough is performed simultaneously. The advantage of this method is faster recovery and no scarring. However, it is not suitable for very pronounced age-related changes.

• Consultation: Planning for lower eyelid surgery begins with a consultation with a plastic surgeon. During the appointment, treatment goals, concerns, and a procedure plan are discussed.
  
• Health assessment: Ensure you are healthy and free of acute illnesses such as colds or infections. If you have chronic conditions like diabetes or high blood pressure, ensure they are well-managed before the procedure.
  
• Medications: Inform the plastic surgeon about all your illnesses, allergies, and medications. Certain medications may need to be discontinued as per the doctor’s instructions. You will also receive prescriptions for painkillers and antibiotics.
  
• Smoking and alcohol: Avoid smoking for at least two weeks before the surgery, as it slows wound healing. Refrain from alcohol consumption for a week before the procedure.
  
• Skin care: Wash your face thoroughly and avoid using makeup, creams, or other products on the day of the surgery. Have a cold pack ready at home to reduce swelling.
  
• Pain management: Prepare necessary supplies such as clean gauze and painkillers.
  
• Clothing: Wear comfortable, easy-to-remove clothing on the day of the surgery.
  
• Escort: Arrange transportation after the surgery, as you will not be able to drive yourself.

• Physical activity: Avoid physical exertion and bending over during the first few days. You can usually return to light activities within a few days.
  
• Swelling and bruising: Swelling and bruising may last about 1–2 weeks. Keep your head elevated and use cold packs to reduce swelling. The final result is usually visible after a few months when the tissues have fully healed.
  
• Sun protection: Protect the eye area from the sun.
  
• Eye drops: Use prescribed eye drops as directed.
  
• Sick leave: Sick leave of 1–2 weeks may be needed depending on recovery and work requirements.
  
• Consult a doctor: Seek medical attention if pain significantly increases, vision problems occur, or signs of infection appear in the wound area.