Our Summary

The research paper is a comprehensive review of new approaches to lower eyelid surgery, also known as lower blepharoplasty. Traditionally, this surgery involved removing or repositioning skin, muscle, and fat. However, new techniques focus on creating a more natural transition between the lower eyelid and the cheek. The paper examines various methods including the conservation and augmentation of fat, the repositioning of fat, releasing certain ligaments, resetting the septum (a part of the nose), and using fillers in the cheek. The study analyzed 22 other research papers that met certain criteria. The review concludes that these new techniques provide a more youthful appearance to the lower eyelid and cheek area, and therefore can be used for facial rejuvenation.

FAQs

  1. What is lower blepharoplasty and how has it traditionally been performed?
  2. What are some of the new techniques being used in lower blepharoplasty as discussed in the research paper?
  3. According to the research paper, what benefits do these new techniques in lower blepharoplasty offer?

Doctor’s Tip

A helpful tip a doctor might tell a patient considering blepharoplasty is to carefully research and discuss with their surgeon about newer techniques that focus on creating a more natural and youthful appearance, such as conserving and augmenting fat, repositioning fat, releasing ligaments, resetting the septum, and using fillers in the cheek. By staying informed and discussing these options with their surgeon, the patient can achieve the best possible results from their surgery.

Suitable For

Patients who are typically recommended blepharoplasty include those who have:

  • Excess skin or wrinkles on the lower eyelids
  • Bags or puffiness under the eyes
  • Drooping lower eyelids
  • Hollow or sunken appearance under the eyes

Overall, candidates for blepharoplasty are those who are looking to improve the appearance of their lower eyelids and achieve a more youthful and rejuvenated look.

Timeline

Before blepharoplasty:

  1. Initial consultation: The patient meets with a plastic surgeon to discuss their goals and expectations for the surgery. The surgeon will assess the patient’s eyelids and overall facial structure to determine the best approach for the procedure.

  2. Pre-operative evaluation: The patient undergoes a thorough evaluation to ensure they are a good candidate for surgery. This may include medical history, physical examination, and possibly additional tests or imaging.

  3. Surgical planning: The surgeon develops a personalized surgical plan based on the patient’s anatomy and desired outcomes. This may involve discussing the type of incisions, amount of fat and tissue removal, and any additional procedures that may be necessary.

  4. Pre-operative instructions: The patient receives instructions on how to prepare for surgery, including avoiding certain medications, fasting before the procedure, and arranging for transportation to and from the surgical facility.

After blepharoplasty:

  1. Immediate post-operative period: The patient will experience some swelling, bruising, and discomfort after surgery. They will be given pain medication and instructions on how to care for their incisions.

  2. Follow-up appointments: The patient will have several follow-up appointments with the surgeon to monitor their healing progress, remove any sutures or dressings, and address any concerns or complications.

  3. Recovery period: The patient will need to rest and avoid strenuous activities for a few weeks after surgery. They may also need to use cold compresses and keep their head elevated to reduce swelling.

  4. Long-term results: Over the following weeks and months, the patient will see the full results of the surgery as swelling goes down and incisions heal. They will enjoy a more youthful and refreshed appearance in the lower eyelid and cheek area.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with lower blepharoplasty surgery?
  2. How long is the recovery period and what can I expect during the healing process?
  3. Will I need to follow any specific post-operative care instructions or take any medications?
  4. What results can I realistically expect from this surgery and how long will they last?
  5. Are there any alternative treatments or procedures that could achieve similar results?
  6. Can you provide before and after photos of previous patients who have undergone lower blepharoplasty?
  7. How many of these specific procedures have you performed and what is your success rate?
  8. Will I need additional procedures or touch-ups in the future to maintain my results?
  9. What are the costs associated with lower blepharoplasty and will it be covered by insurance?
  10. Are there any lifestyle changes I should make before or after the surgery to optimize results and minimize risks?

Reference

Authors: Rohrich RJ, Mahedia M, Hidalgo D, Shah N. Journal: Plast Reconstr Surg. 2018 Aug;142(2):377-382. doi: 10.1097/PRS.0000000000004593. PMID: 29787515