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Lower Blepharoplasty

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Lower blepharoplasty, or a lower eyelid lift, is a surgical procedure specifically designed to rejuvenate the lower eyelids. This delicate surgery addresses issues such as under-eye bags, excess skin, and signs of ageing around the eyes, thereby enhancing one’s facial aesthetics. Many individuals seek out this procedure to achieve a more youthful appearance, improve their self-confidence, and diminish the tired appearance that can accompany ageing or genetics.

Dr. Riccardo Frati is a renowned cosmetic surgeon at Harley Surgery in London and Manchester. He specialises in aesthetic enhancement procedures, focusing on natural-looking results tailored to each individual’s needs. If you are curious about lower blepharoplasty and the transformative effects it can offer, we invite you to contact our practice for more information at +44 20 3633 2619.

About Lower Blepharoplasty

Lower blepharoplasty is a cosmetic surgery that enhances the aesthetic appeal of the lower eyelids. Eyelids contain thin skin that is particularly vulnerable to sagging, dark circles, and puffiness as a result of ageing, genetics, sun exposure, and lifestyle factors. Commonly recognized issues include under-eye bags, which arise due to fat repositioning or retention, and excess skin that can cause drooping.

Patients desire a lower blepharoplasty for several reasons: to eliminate unwanted under-eye bags, to remove excess skin that makes them look older, and to boost their confidence by presenting a fresher, bright-eyed appearance. This surgery is one of the most frequently performed cosmetic procedures worldwide due to its significant impact on a patient’s overall facial appearance. And of those numbers, 88% of UK patients are women. ⁽¹⁾ Lower blepharoplasty is also commonly performed in conjunction with upper eyelid surgery for comprehensive eyelid rejuvenation.

The procedure generally involves techniques like fat repositioning and skin tightening to restore a youthful curve to the lower eyelid area. Dr. Frati uses the transconjunctival technique, where incisions are made inside the eyelid to avoid visible scarring. ⁽²⁾

For further details, please call our practice and schedule a personal consultation.

Benefits

Youthful Appearance: The primary benefit is a refreshed and rejuvenated look that helps to erase years from your face.
Reduction of Under-Eye Bags: This procedure effectively eliminates puffiness and hollowness that often makes one appear tired or unwell
Skin Tightening: Lower blepharoplasty improves skin laxity, resulting in firmer and tighter eyelids.
Natural-Looking Results: When performed by a skilled surgeon, results appear natural and harmonious with the rest of the facial features.
Improved Field of Vision: By removing excessive skin, the eyes may appear larger and more open, enhancing facial expressiveness.
Boosted Self-Confidence: Patients frequently report enhanced self-esteem and satisfaction with their appearance following the procedure.
Long-Lasting Effects: Results can last many years, providing enduring improvement to the lower eyelid region.

Candidates

Candidates for lower blepharoplasty typically include both men and women who experience:

Under-eye bags
Excess skin around the lower eyelids
Fine lines and wrinkles in the lower eyelid area
A desire to rejuvenate their appearance

Ideal candidates should be in good health and have realistic expectations regarding the outcomes. A thorough evaluation during a personal consultation with Dr. Frati will determine whether this procedure aligns with your aesthetic goals.

Personal Consultation

A personal consultation is paramount in assessing your suitability for lower blepharoplasty. During this meeting, Dr. Frati will discuss your medical history, conduct a thorough examination, and evaluate the condition of your eyelids. Factors such as the quality of your skin, the extent of fat deposits, and any underlying medical conditions will all play a role in determining the most effective treatment plan. Dr. Frati will explain the surgical options available and create a tailored approach to achieve the desired results.

You are encouraged to ask questions and voice any concerns you may have so you can make an informed decision regarding your treatment plan.

To schedule a consultation, please call us at +44 20 3633 2619.

Preparation

Preparation for lower blepharoplasty begins once your surgery date has been confirmed. You will receive comprehensive preoperative instructions, such as:

Discontinuing blood thinners, herbal supplements, or medications that may increase bleeding.
Avoiding smoking weeks prior to the surgery and throughout the recovery period.
Arranging for assistance post-procedure, especially if anaesthesia is employed.
Planning time off work to recover without stress and pressure.

Following these guidelines will contribute to a smoother surgical process and optimal results.

Procedure

On the day of surgery, you will arrive at the clinic where you will meet Dr. Frati to review the planned procedure.

Anaesthesia: Local anaesthesia with sedation or general anaesthesia may be utilised, depending on patient preference and the complexity of the case.
Incision: For the transconjunctival technique, incisions are made inside the eyelid.
Fat Removal/Repositioning: After making the necessary incisions, excess fat may be removed or repositioned to restore contours to the lower eyelid area.
Skin Tightening: Additional loose skin can be excised to achieve a tighter appearance.
Closure: The incisions are meticulously closed with fine sutures, minimising visible scarring.

The surgery typically lasts between one to two hours, and the specifics will vary by individual circumstances.

Recovery

Blepharoplasty recovery varies from person to person, yet most patients can expect a recovery period of about one to two weeks. Swelling and bruising are common immediately following the procedure.

Most bruising subsides within the first week.
Pain or discomfort during recovery can usually be managed with prescribed medications.
Patients are advised to keep their heads elevated and to limit strenuous activity during the initial recovery period.

Follow-up appointments will be scheduled to monitor healing progress. Once healed, patients enjoy a significantly improved and youthful appearance around the eyes.

Results

Once the swelling and bruising resolve, which generally takes about two weeks, patients can appreciate the full results of their lower blepharoplasty. While exact timelines may differ, improvements in the contour and firmness of the lower lids can lead to a more vibrant and energetic look.

Corresponding & Complementary Procedures

Mini Facelift

The mini facelift is designed to correct age-related changes in the lower face, offering skin tightening and enhancing facial contouring. It is characterised by shorter incisions compared to traditional facelifts, making it a popular choice for those seeking a subtle lift. As individuals age, gravity, sun exposure, significant weight loss, and other factors contribute to skin laxity and the formation of wrinkles. The mini facelift addresses these concerns effectively through minimally invasive techniques.

Deep Plane Facelift

A deep plane facelift is a surgical procedure designed to rejuvenate the face by lifting and tightening the underlying structures. This method aims for more natural-looking results compared to traditional facelift techniques, as it repositions deeper layers of tissue while minimising visible scarring. With ageing, various changes occur in our visage such as sagging skin and loss of volume. Individuals seeking facial rejuvenation through a deep-plane facelift often wish to restore their youthful appearance, improve contours, and enhance self-confidence.

Brow Lift

A brow lift is a surgical procedure that enhances the appearance of the forehead, eyebrows, and upper face. It is primarily designed to correct sagging eyebrows, reduce wrinkles on the forehead, and improve facial symmetry. As people age or due to genetic factors, they may experience drooping brows, deep lines, and an overall tired look. A brow lift aims to rejuvenate this area by lifting and repositioning the soft tissue, resulting in a more youthful and refreshed appearance.

Cost of a Lower Eyelid Lift in London

The cost of lower blepharoplasty varies greatly based on individual needs and circumstances. Factors impacting total cost include the surgical technique chosen, the anaesthesia used, and the surgery’s complexity. During your consultation, we will provide an accurate estimate after discussing your specific goals and treatment plan.

Take steps toward reclaiming your youthful appearance with lower blepharoplasty at Harley Surgery. Call Dr. Riccardo Frati’s office today at +44 20 3633 2619 to book your consultation and start your journey.

Read Dr. Frati’s blog for information about our services.

FAQ

What is the ideal age for lower blepharoplasty?

There is no specific age requirement for lower blepharoplasty. Most people seeking this surgery are between ages 30 and 70; however, younger patients may also benefit.

Can this procedure be combined with other surgeries?

Yes, many patients combine lower blepharoplasty with upper blepharoplasty or facelift procedures for comprehensive facial rejuvenation.

Is blepharoplasty painful?

Most individuals report experiencing minimal discomfort after surgery. Pain can typically be managed effectively with prescribed medication.

How long do the results of lower blepharoplasty last?

Results from lower blepharoplasty are long-lasting, but they may not stop the ageing process entirely. Most patients maintain youthful results for several years.

Will I have visible scars after a lower eyelid lift?

With the transconjunctival technique, incisions are hidden inside the eyelid, while external incisions are strategically placed to minimise visibility.

What type of anaesthesia is used for a lower eyelid lift?

Depending on the complexity of the procedure, either local anaesthesia with sedation or general anaesthesia is administered for patient comfort.

References

Rostami S, de la Torre JI, Czyz CN. Lower Eyelid Blepharoplasty. PubMed. Published 2021. https://www.ncbi.nlm.nih.gov/books/NBK448181/
Patel BC, Malhotra R. Transconjunctival Blepharoplasty. PubMed. Published 2020. https://www.ncbi.nlm.nih.gov/books/NBK538152/