Lower eyelid surgery
Indications for lower eyelid surgery are similar to upper eyelids. They can be performed in two surgical approaches. By the first one the surgeon leads the 2 mm incision below eyelashes (subciliary approach), by the second approach is the incision lead from the conjunctival side of lid with laser (transconjunctival approach). The process is similar to upper eyelid surgery - blepharoplasty. The aim is the same to remove extra skin and fat. Covers on cornea and pads into eyelid are often used by the transconjunctival blepharoplasty to eliminate unpleasant feelings during fat extraction under local anesthesia. Advantage of this procedure is mainly invisible scars. Although they cause more often complications that the eyelid lifts from the eyeball (Ectropion).
Blepharoplasty can be completed with a surgery correcting the width of palpebral fissure, the height of corners of the eye or their stabilization (canthopexy, canthoplasty).
It is a eyelid surgery of outer canthus that fixes it. It completes blepharoplasty and can be done through same incisions. The surgeon fixes the ligament of outer corner to the ligament that covers parietal bone (periosteum).
It is a eyelid surgery similar to canthopexy and these terms are often mixed. By canthoplasty the ligaments of outer corner are loosened. After that the surgeon transfers the ligament and sutures it to periosteum. It changes also the shape of eyeball. Also this surgery presents additional procedure to blepharoplasty. Bandages and light elastic compressions are inserted after the procedure. There are new processes, when the excessive fat is not removed but it is shaped into desired shape. Through this method it was achieved to prevent often darker circles below the eyes after blepharoplasty. Sometimes carboxytherapy is recommended for visible eye circles.
In some cases blepharoplasty is not recommended. It is especially when your eyes have small amount of tears or if you suffer from eye infection. If the skin is too short or if you have lagophthalmos (the inability to close the eyelids completely).