Cosmetic Surgery > Face > Eyes > Lower Blepharoplasty

Lower Blepharoplasty

Lower blepharoplasty is a surgical technique that removes excess skin and reduces under-eye bags (fatty hernias) on the lower eyelids.

While excess upper eyelid skin weighs down the gaze, bags on the lower eyelids give the face a tired and unwell appearance.

Lower blepharoplasty, performed by a Specialist Cosmetic Surgeon, is a safe procedure delivering natural results. Dr Weiss, specialist in facial cosmetic surgery in Paris (Hauts-de-Seine), invites you to discover the answers to the main questions about lower blepharoplasty.

Who is lower blepharoplasty for?

This problem, equally present in women and men, begins to appear from age 35 to 40. However, it can appear earlier due to congenital predisposition.

This first sign of ageing is responsible for the heavy, tired, stressed, and sad appearance of the gaze.

Imperfections treated with lower blepharoplasty include dark circles, lower eyelid fine lines, under-eye bags, and skin laxity.

It is important to distinguish between lower eyelid bags of circulatory/lymphatic origin (where surgery may worsen the imperfection) and those of fatty origin (where lower blepharoplasty can be beneficial).

What is the solution for rejuvenating the lower eyelids?

Lower eyelid surgery is a meticulous procedure requiring an experienced surgeon.

The different techniques can be grouped into 2 main categories:

  • Transconjunctival blepharoplasty: the incision passes through the eye's conjunctiva leaving no scar; this approach only allows reduction of fatty bag volume, with no skin tightening.
  • Transcutaneous lower blepharoplasty: involves a sub-ciliary incision (invisible after healing), removal of excess fat forming the lower eyelid bags, and skin tightening by removing excess skin.

It is imperative to properly assess the functional anatomy of the lower eyelid and choose the most appropriate surgical technique for your case.

Surgical principles of lower blepharoplasty

Dr Weiss frequently uses the "Arcus Marginalis" technique, an evolution of lower blepharoplasty developed in maxillofacial surgery.

The technique involves a standard sub-ciliary approach, then the fat responsible for the lower eyelid bag is not removed but redistributed. This manoeuvre significantly reduces the appearance of dark circles.

At the end of the procedure, canthopexy (orbicularis muscle tightening) is performed to ensure lower eyelid tone and prevent round eye. Excess skin is removed.

The scars remain very discreet and the final sutures are removed after one week.

The essential aspect of lower blepharoplasty is to preserve the shape of the eyes and the characteristic gaze unique to each individual.

Dr Weiss's blepharoplasty approach respects your natural gaze expressions, does not modify the shape of your eyes, and rejuvenates your gaze naturally, maintaining harmony with the rest of the face.

Lower blepharoplasty by Dr Weiss at CCEPO

Important
Dr Weiss personally operates on both sides using proven surgical techniques.

The effects of lower blepharoplasty

A quick procedure lasting 40 to 50 minutes, performed as an outpatient, with significant aesthetic benefits, one week of socio-professional downtime, and immediate results.

Possible associated surgical procedures

Improve the gaze Upper blepharoplasty
Forehead and frown lines Botox injections
Crow's feet Botox injections

Lower blepharoplasty: the process

A successful procedure begins in the consultation room with mutual trust and a deep understanding of the surgical process.

A pre-operative ophthalmological consultation is essential to rule out any conditions that could be worsened by the procedure.

Dr Weiss will answer all your questions with precision.

Practical information about lower blepharoplasty

  • Dr Weiss operates personally with maximum safety
  • General anaesthesia
  • Duration: 50 minutes to 2 hours
  • Dr Weiss personally ensures post-operative follow-up
  • No nursing care required
  • Physical discomfort for 3 to 7 days
  • Social downtime of 1 to 2 weeks
  • Suture removal in two stages at days 5 and 8 by Dr Weiss
  • Sun exposure of scars prohibited for 1 year
  • Results visible immediately, final stabilisation after 3 months

The 9 key benefits of lower blepharoplasty

1Possible outpatient procedure (same-day discharge)
2Virtually invisible scar
3Often painless, gritty sensation only
4No nursing care required
51 week social downtime, minimal swelling
6Immediate results
7Permanent improvement
8Additional enhancement possible
9Facial harmony restored
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