Lower eyelid surgery (blepharoplasty) is a complex procedure that involves not only the treatment of lower eyelid bags but also loose muscle and skin in the lower eyelids. It is essential to maintain as much support of the lower eyelids as possible when performing surgery. This involves careful consideration of the most appropriate location for the surgical incisions as well as specialized procedures to strengthen the support of the “hammock” that suspends the lower eyelid. Seek a fellowship-trained facial plastic surgeon if you have questions or concerns about your face or neck.
The Importance of Maintaining Lower Eyelid Support During Lower Eyelid Surgery
Dr. Jeffrey Harmon
Some Individuals Have Loose Lower Eyelids
Every patient who comes in for a consultation for their lower eyelids undergoes a physical exam. The looseness of the lower eyelids is determined during this exam. Though very rare, individuals with loose lower eyelid tissue are at an increased risk of the lower eyelid being pulled down with healing, which can lead to an abnormal “rounding” of the lower eyelid and even incomplete eyelid closure in extreme circumstances.
The Most Appropriate Surgical Approach is Determined by a Detailed Physical Exam
The physical exam dictates the approach taken to rejuvenate the lower eyelids. The surgical approach can be adopted to the patient’s anatomy, thereby reducing the risk of the lower eyelids being pulled down. For example, a patient with any evidence of loose lower eyelid tissue will undergo eyelid surgery through a specialized incision hidden on the inside of the eyelid, called a transconjunctival incision. This approach not only creates a hidden incision but also preserves more of the soft tissue of the lower eyelids. The reduced risk of scarring of the muscle and other soft tissue reduces the risk of the eyelids being pulled down.
Consider Procedures to Strength the Support of the “Hammock” That Suspends the Lower Eyelids
There are specialized techniques to provide additional support to the “hammock” that suspends the lower eyelids in addition to approaches that reduce the risk of scarring in the first place (i.e., the transconjunctival incision). One procedure, called a canthopexy, involves a tiny incision and strengthens the support of the “hammock” of the lower eyelid, thereby reducing the risk of the lower eyelid being pulled down with healing.
Close Post-Operative Follow Up by a Physician is Essential
Close post-operative follow-up with a physician is essential after lower eyelid surgery (blepharoplasty). There are exercises and medications that can be injected to reduce or prevent scarring early in the healing process. However, it requires the presence of a physician at post-operative follow up appointments to perform these treatments. Dr. Harmon manages the care of his patients at all their post-operative follow up appointments.
Trust Your Face to a Facial Plastic Surgeon
It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.
Request a Consultation
Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon’s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching “plastic surgery near me.” Get in touch with us to learn more!