It is impossible to have residual fat bags and hollow eyes at the same time. If there is still fat residual remaining in the lower lid, this can be removed through an additional transconjunctival approach. If there is hollowness in the eyes, this can be addressed through fat repositioning or reimplantation.
Causes of leftover eyelid fat
Reduction of the lateral fat pad of the lower eyelid can be more technically challenging during blepharoplasty when the incision is made behind the eyelid (transconjunctival). This is one reason that leftover fat pouches are more common at the outer corner of the lower eyelids.
The results of your blepharoplasty become more visible as side effects, like swelling and bruising, subside. Most patients love their outcomes and do not seek repeat treatments. While future aging may cause your eye bags to return, this ultimately depends on your age, skin condition, and lifestyle choices.
After blepharoplasty surgery, the eyelids will be bruised and swollen for one to three weeks. However, most patients say their eyes look normal and better than before after one to three months.
Answer: Transconjunctival Blepharoplasty
The fat compartments that surround your eye do not fluctuate with changes in weight, and when removed, do not "grow back".
One of the primary reasons for undergoing lower blepharoplasty surgery is droopy eyelids. Since it helps in removing and tightening skin in the eyelids, it gives the area – and you – an overall more youthful and alert appearance.
Bleparoplasty is not designed to change the shape of the eye. Ideally your eye shape should look the same before and after the surgery. In some instances where the lower eyelid is drooping, the lower eyelid can be restored to a more normal position.
The surgery is worth it for people who want to look younger and better rested in and around the eyes. The results are subtle but dramatic, and recovery is minor with little pain reported.
In the hands of an experienced surgeon, lower lid blepharoplasty is safe and produces excellent results. In very mild cases, some laser treatments can be effective in resurfacing and tightening the lower lid skin.
Eyelid surgery is among the least painful cosmetic procedures. Aside from minimal discomfort on the day, you'll have a quick recovery and see the results swiftly. So the procedure isn't very painful, but you may have other questions.
It is very uncommon to repeat a lower lid blepharoplasty once it is done.
As you age, muscles and tissues weaken, and the fat that naturally supports the eyes can sink to the area beneath your eyes, making them appear swollen. Fluids can also collect in the area.
Infection and bleeding. Dry, irritated eyes. Difficulty closing the eyes or other eyelid problems. Noticeable scarring.
A lower eyelid lift (blepharoplasty) is an outpatient procedure where the surgeon readjusts the fat in the lower eye area and tightens the muscle and skin to create a smooth appearance. In most cases, a lower eyelid lift gets rid of under-eye bags for life — it's rare for people to need future touch-ups.
Filler injections are sometimes used after lower blepharoplasty surgery to blend the eyelid-cheek junction. Not everyone patient needs to have this done, but this extra step can help optimize the results of surgery in certain patients. If needed, fillers are added 6-8 weeks after surgery and usually last several years.
According to the American Society of Plastic Surgeons, the vast majority — roughly 91% — of eyelid surgery patients are over 40, and more than half of that 91% is over 55.
People who are not ideal candidates for eyelid surgery are those who suffer from chronic dry-eye, hypertension, circulation disorders, thyroid disorders, diabetes or heart disease. Individuals who have glaucoma are advised to speak with their doctor before considering the surgery to find out if it is safe for them.
Yes. Double eyelid surgery (upper and lower blepharoplasty) can make your eyes look bigger by excising excess skin around the eyes and lifting sagging skin.
The major goal of a lower eyelid blepharoplasty is to remove excess fat tissue to create a smooth outline of the under eye skin region and to get rid of the puffiness. A combination of mid face lift and lower eyelid blepharoplasty can aid in lifting the upper region of the cheeks.
Your eyelid may be swollen and bruised for 1 to 3 weeks after surgery. The appearance of your eye may continue to get better for 1 to 3 months. Most people feel ready to go out in public and back to work in about 10 to 14 days. This may depend on your job and how you feel about people knowing about your surgery.
An eyelid lift can produce significant results by tightening the skin around the eyes, removing wrinkles or puffiness, and providing a younger appearance.
Plastic surgeons often will use stitches with this type of lower eyelid blepharoplasty that dissolve gradually over several days. Even though there is an external scar, it fades and often not noticeable with time. As with all open approaches in plastic surgery, there tends to be more bruising and swelling.
Eyelid surgery does not remove crow's feet. Blepharoplasty improves the appearance of the upper and lower eyelids, but does not extend to areas adjacent to the eyes.
Your eyelids will probably look puffy after surgery. The incisions will probably look red, too. The swelling and bruising involved with blepharoplasty recovery tend to resemble a black eye. That is all normal.