Lower Eyelid Aesthetic Surgery
Автор: Prof. Dr. Altuğ Çetinkaya
Загружено: 2025-10-29
Просмотров: 58
Lower eyelid aesthetic surgery is one of the most frequently performed and experience-intensive surgeries in oculoplastic surgery.
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Prof. Dr. Altuğ Çetinkaya - Ophthalmologist | Oculoplastic Surgery
#eyelids #eyelidsurgery #lowereyelidaesthetic
Lower Eyelid Aesthetic Surgery
Lower eyelid aesthetic surgery is one of the most frequently performed and experience-intensive surgeries in oculoplastic surgery. The lower eyelid is a complex structure that connects with the cheek, and errors during surgery can lead to significant issues with the eye. Therefore, patients seeking this surgery should look for a surgeon with considerable expertise in this area.
Lower eyelid aesthetic surgeries are typically requested due to sagging, bags, dark circles, and a tired appearance around the eyes. Before the surgery, a detailed assessment should be made to determine the source of the bags, any laxity in the structures that stabilize the lower eyelid, the eyelid-eye relationship, any discomfort in the eyelash line, and the condition of the lacrimal drainage system that starts from the inner corner of the lower eyelid.
After the evaluation, the most suitable technique is planned for the patient, and the details are shared with the patient.
The removal or repositioning of fat bags that cause distortion in the lower eyelid is preferably done through an incision inside the eyelid (from the pink tissue called the conjunctiva). In some suitable patients, an incision made just below the eyelash line can also yield good results, but careful attention must be paid to important details.
According to the pre-surgical plan, the surgeon decides which of the three adjacent fat tissues in each eyelid will be addressed and how much fat will be repositioned during the surgery. In some patients, shaping without any fat removal and transferring the fat into the hollows between the eyelid and cheek can permanently eliminate the bags and circles.
Excess skin is the mildest problem in lower eyelid aesthetics, and the skin should be removed as minimally as possible or not touched at all. Lower eyelid aesthetic surgery is sometimes mistakenly thought to be just about skin removal, and unnecessary skin removal can result in the main problem not being addressed, as well as functional and aesthetic problems such as the lower eyelid turning outward or sagging, causing significant damage to the eye surface.
The laxity of the eyelid ligaments should definitely be identified beforehand, and necessary freeing and tightening procedures should be performed at the final stage of the surgery. Often, lifting of the cheek fat tissue or mid-face lift is necessary, and these procedures ensure perfect harmony in the eyelid-cheek transition, preventing the eyelid from moving away from the eye, curling outward, or sagging down after surgery.
With the surgeon's experience, the outer corner of the eyelid is positioned slightly higher than planned for the long term, ensuring that it settles into the ideal position two weeks after the surgery. There are many alternative methods for this procedure. If the eyelid has become elongated due to aging, shortening can be performed, and in patients who do not have this issue, the outer corner can be lifted and supported with special techniques without any incision.
Lower eyelid aesthetic surgery is typically performed without an external skin incision and using hidden incisions, so there will be no visible scars. There is no need for the eyes to be closed or bandaged after surgery.
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