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Surgical Procedure
For traditional lower lid blepharoplasty: An incision is made just beneath the lash line. Excess fat, muscle and skin are removed. Fine sutures are used to close the incision. Permanent stitches will be removed 3-5 days after the procedure.

If you have a pocket of fat beneath your lower eyelids, but do not need to have any loose skin removed, your surgeon may recommend a transconjunctival blepharoplasty. In this procedure the incision is made inside your lower eyelid, leaving no visible scar. It is usually performed on younger patients with fatty lower eyelids. Transconjunctival blepharoplasty does not tighten the skin, reduces the puffiness in the lower eyelid region.

Duration of Operation

Half hour to one hour

Risks and Complications

Lagging of the eyelid is the abnormal position of the lower eyelid after surgery because of poor function of eyelid before surgery. This can be reduced by exercise eyelid muscle before surgery.

Retrobulbar hematoma (bleeding behind the eye) is rare, but can be serious. Symptoms include loss of vision.

Temporary problems with excessive tearing Decreased sensation in the eyelid.

Dry eyes or dryness, burning, stinging, gritty sensation in your eye(s).

Prominence or firmness of the scars.

Blurred vision asymmetry in healing or scarring.

Milia or whiteheads where the sutures emanate from the skin.

Difficulty closing eyes completely; in rare cases, this condition may be permanent.

After Care
The first evening after surgery, you should rest quietly with your head elevated. It will help to apply cold compresses to your eyelids.  (Avoid any compress heavier than one ounce. A Ziploc bag with a few frozen peas works well.) Your blood pressure should be monitored to avoid bleeding complications that can affect vision. And, although you can be up almost immediately, you should limit your activities.
   
 
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