[ Eye bag, Transconjunctival blepharoplasty, Lower lid Blepharoplasty, Midface Reinforcement ]
Eyebag, Transconjuctival blepharoplasty
Lower eyelid surgery is performed because of eye bags of the lower eyelids or wrinkles with extra skin or both. If only fat needs to be relocated underneath the lower eyelids without wrinkle correction we use non-visible incisions called a ‘transconjunctival’ blepharoplasty. This incision is placed on the nonvisible pink part of the eyelid called the conjunctiva and then the fat pocket is redistributed with maximal preservation of the fat, called a fat mobilization(reposition) blepharoplasty. No stitches are needed Recovery period is within 2 days.
- Transconjunctival Blepharoplasty
- Non visible conjuctival incision
- Approach through behind of the lid… wash or makeup is possible immediately.
- Without skin incision
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Fat mobiliztion and redistribution and fixation to a proper position.
No need suture removal
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Lower lid blepharoplasty
Eyebag with the redundant skin at the same time
subciliary incision |
fat mobiliztion / skin removal |
Muscle fixation |
meticulous suture |
Incision and Scar
If skin needs to be removed for wrinkle improvement with a fat mobilization at the same time, a skin pinch is performed for your lower eyelids. This removes the desired amount of skin through an incision just a few millimeters below the lower eyelid lash line along the skin crease parallel to the eyelid margin. If the incision is too far from the margin, the scar might be easily noticeable, if too close, lower eyelid width might be contracted. The scar will be unnoticeable with the adequate location of the incision and fine repair.
The lower eyelid blepharoplasty takes about 1 hour to perform. The cosmetic surgery is performed with local anesthesia and a varying degree of sedation depending on patient comfort. Our fully accredited JJ Plastic Surgery Center offers any degree of anesthesia from local anesthesia to general anesthesia monitored by a board certified anesthesiologist. The stitches are removed five days after the procedure (Lower blepharoplasty, not in transconjunctival blepharoplasty).
Midface Enhancement for Dark Circle reduction
While the eye bag makes bulging in the lower eyelid, the anterior cheek just below the lower lid is mildly sunken due to a tissue sagging. The midface is shaded by the eye bag bulging and depression itself(Dark circle). The midface shadow (dark circle) can be corrected with eyebag surgery(transconjunctival blepharoplasty or lower lid blepharoplasty) and cheek enhancement with filler or fat at the same time. The volume can be replaced with temporary materials like fillers such as Juvederm, Restylane, Perlane, or a long-lasting alternative of your fat, called a fat transfer. If the fat injection is chosen the fat is harvested from either your abdomen or thighs by liposuction and then fat cells are separated with centrifugation, and small amounts of fat cells are injected to compensate the lost volume. Fat transfer can lead to very long lasting results.