
Cosmetic Surgery for the Lower Eyelids
With time, the lower eyelids sag downward. Fine wrinkles appear, and fat may protrude forward, causing “bags” or “shadows” under the eyes. Lower lid blepharoplasty can tighten the area, re-establishing a youthful tone.
Sagging lower eyelids may be caused by a number of different conditions, including the following:
- Weakness of the orbital septum, with fat protrusion
- Excess lower eyelid skin
- Weakness of the lower eyelid canthal tendons
- Descent of the midface fat
- Unusually flat cheekbones
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We are unique, in that we perform a complete evaluation of the lower eyelids for a Blepharoplasty, including all of the following:
- Inspection of the skin and muscle tone
- Measurements of eyelid position
- Measurements of lower eyelid canthal tension
- Inspection of eyelid symmetry
- Relationship to surface conditions of the eye
- Relationship to midface fat position
- Eyelash position and health (using bio-microscope)
- Tear production testing
- Eye examination (anterior segment, using bio-microscope)
Blepharoplasty Treatment Options
After determining the factors causing your lower eyelid appearance, we customize a Cosmetic Treatment Plan for you based on a wide array of options:
- No Skin-Incision Lower Eyelid Blepharoplasty
- External Lower Eyelid Blepharoplasty
- Periocular Laser Skin Resurfacing
- Arcus Marginalis Release with Fat Repositioning
- Repair of Entropion
- Repair of Ectropion
- Repair of Lower Eyelid Canthal Tendon Laxity
Laser is used in certain options, and tends to reduce swelling and bruising.
We look forward to discussing with you these options, and more, in a complimentary personal consultation.