Patients are commonly frustrated by under eye bags that make them appear fatigued even when they feel good. These “bags” are actually pockets of fat that become more prominent due to age and genetics. When this happens, patients often complain of looking older and more tired than they are.
Lower Lid Blepharoplasty refers to a collection of surgical techniques to improve and enhance the appearance of the lower eyelids. This is of the most popular cosmetic procedures performed around the world. It is performed to help rejuvenate the lower lids to give a more youthful and smooth appearance.
Historically, the procedure mainly involved simply reducing or removing the protruding pockets of fat. However, as we have learned more about the anatomy of the lower eyelid and how it changes throughout the process of aging, the procedure has become much more nuanced and adaptable to the specific needs of each patient. Commonly, the fat pockets are not removed but utilized to perform a Fat Transposition procedure which helps smooth the lower lid-cheek junction (area where the lid and cheek meet). This helps restore the appearance of fullness to this area, improving the hollowed appearance of aging.
What techniques does Dr. Lefkowitz use for his Lower Lid Blepharoplasty?
- Transconjunctival Approach: this incision, used to gain access to the important structures, occurs on the INSIDE of the lid leaving no visible outer scar. Through this incision, Dr. Lefkowitz will normally release the main ligament (tear trough) that contributes to unevenness between the lid and the upper cheek. He will then move the fat pockets into this area to help smooth this region (lid-cheek junction).
- Transcutaneous Approach: This incision is placed just underneath the lashes of the lower lid and helps gain access to the muscle (orbicularis oculi) as well as the fat pockets and main ligament (tear trough). Dr. Lefkowitz releases the ligament and transposes the fat pockets into this area to help smooth the lid-cheek junction.
Regardless of the incision utilized, a lid supporting stitch (canthopexy) is typically used to help support the lower eyelid during the early stage of healing. However, this stitch will NOT change your eyelid angle. In addition, any excess skin of the lower eyelid can also be addressed with either technique.
Dr. Lefkowitz will personalize a treatment plan for you that best will achieve your goals for lower lid rejuvenation, and will be there to answer all of your questions along the way.
