For lower lid blepharoplasty:
1. An incision is made along the lash line.
2. Excess fat, muscle and skin are removed.
3. Fine sutures are used to close the incision.
4. Permanent stitches will be removed 3-5 days after the procedure.
If you have a pocket of fat beneath your lower eyelids, but do not need to have any loose skin removed, your surgeon may recommend a transconjunctival blepharoplasty. In this procedure the incision is made inside your lower eyelid, leaving no visible scar.
It is usually performed on younger patients with fatty lower eyelids. Transconjunctival blepharoplasty does not tighten the skin, but nicely reduces the puffiness in the lower eyelid region without visible scars.
For transconjunctival blepharoplasty:
1. Incision is made on the inside of the lower eyelid
2. Excess fat and muscle are removed (no tightening or removing of skin)
3. Incision is closed with self-dissolving sutures or they will heal naturally without sutures.