Lower eyelid aesthetics is an effective surgical method aimed at addressing bagging, discoloration, and a tired appearance that develop over time in the lower eyelid. This procedure is performed by removing or repositioning excess skin, fat, or muscle tissue. Among the techniques used are the transcutaneous method, in which incisions are made along the lower lash line, and the transconjunctival method, which is performed from the inside of the eyelid. The choice of method depends on the patient’s needs and the surgeon’s assessment. Special techniques may be used to balance the eyelid structure both functionally and aesthetically. Expertise in planning and execution is essential for successful results.
Protect the eyes from trauma, engage in light activities during the first week, use prescribed drops and creams regularly, attend regular doctor’s check-ups.
What is Lower Eyelid Aesthetics?
Lower eyelid aesthetics have evolved as an important part of aesthetic surgery throughout history. Historically, the introduction of the term “blepharoplasty” by the German surgeon Karl Ferdinand von Gräfe in the 19th century marked a turning point in eyelid surgery. Early procedures primarily focused on eyelid reconstruction and aimed at removing excess skin and fat tissue. During that period, the transcutaneous method, which involves making an incision along the lower lash line, was the most common approach. This technique was particularly effective in patients with significant excess skin and fat.
Since the 1980s, advances in surgical techniques have brought the transconjunctival approach to the forefront. This method, performed through incisions on the inside of the lower eyelid, made it possible to achieve successful results without leaving external scars. Especially in patients without significant excess skin, this technique preserved the lower eyelid anatomy and reduced the risk of complications.
In recent years, lower eyelid aesthetics have aimed not only at tissue removal but also at volume restoration to achieve a natural, youthful appearance. Fat transfer and repositioning techniques are among the innovative approaches in this field. Additionally, the integration of non-surgical methods such as laser treatments and dermal fillers has shortened recovery time and provided less invasive options. Lower eyelid aesthetics continue to be a dynamic process focused on improving both aesthetic and functional outcomes.
Who is a Candidate for Lower Eyelid Aesthetics?
Lower eyelid aesthetics is a surgical intervention that addresses both aesthetic concerns and functional issues, making it suitable for patients who meet certain criteria. Common reasons for seeking this procedure include under-eye bags, discoloration, skin laxity, and a tired appearance, often due to aging. Individuals who wish to achieve a more youthful, refreshed look can benefit aesthetically from this surgery.
From a functional standpoint, patients experiencing eyelid position disorders can also benefit from this procedure. Conditions such as ectropion (outward turning of the lower eyelid) or entropion (inward turning) can irritate the eye surface, causing discomfort and vision problems. Lower eyelid aesthetics is an effective option to treat these issues. In addition, lower eyelid retraction due to previous surgeries, trauma, or thyroid eye disease can be corrected surgically.
Patients with congenital deformities or periorbital tumors causing aesthetic or functional problems are also suitable candidates. In such cases, the surgical intervention aims to improve both appearance and visual function.
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Who is Not a Candidate for Lower Eyelid Aesthetics?
Lower eyelid aesthetics (blepharoplasty) is an effective and safe surgical procedure in suitable patients. However, in some cases, this intervention is not recommended or requires careful evaluation. Absolute contraindications include bleeding disorders; patients with clotting problems face a significantly increased risk of bleeding. Additionally, factors that negatively affect wound healing, such as smoking, previous radiotherapy, or diabetes, may hinder postoperative healing and increase the risk of complications.
Relative contraindications involve existing abnormalities in eyelid anatomy. For example, if there is significant eyelid laxity, ectropion (outward turning), or entropion (inward turning), surgery may worsen these problems. Furthermore, in patients with a negative vector (where the eyeball is too prominent in relation to the facial structure), the risk of postoperative lower eyelid retraction is higher.
Systemic diseases are also important considerations. Thyroid disease, facial nerve palsy, or other systemic conditions leading to poor wound healing may make surgery riskier. For all these reasons, a comprehensive preoperative evaluation is essential.
How is Lower Eyelid Aesthetics Performed?
Lower eyelid aesthetics are planned individually, taking into account the patient’s anatomy, skin elasticity, and aesthetic needs. The procedure is typically performed using two main techniques: transcutaneous (subciliary) and transconjunctival blepharoplasty.
Transcutaneous (Subciliary) Blepharoplasty:
In this method, an incision is made just below the lash line of the lower eyelid. The surgeon can remove or reposition excess fat and remove excess skin while tightening the muscles. This technique is particularly suitable for patients with significant skin laxity. However, it carries risks such as eyelid position changes and potentially visible scars. Careful surgical planning and an experienced specialist are critical in minimizing these risks.
Transconjunctival Blepharoplasty:
An incision is made on the inner surface of the lower eyelid, leaving no external scar. This method is generally preferred for patients without significant skin laxity but with a marked increase in fat pads. Removing or reshaping the fat creates a smoother under-eye area. This technique preserves the natural integrity of the eyelid’s external structure and reduces the risk of complications.
The Surgical Procedure:
The procedure is usually performed under local anesthesia with sedation or under general anesthesia. After making the incision according to the chosen technique, the excess fat and skin are adjusted. The goal is to achieve a natural and aesthetically pleasing eyelid contour. If necessary, additional procedures such as canthopexy or laser skin resurfacing may be performed. These steps ensure both aesthetically and functionally successful results.
What Are the Side Effects of Lower Eyelid Aesthetics?
Because lower eyelid aesthetics is a surgical procedure, certain side effects and complications can occur during the recovery process. Common side effects include swelling, bruising, dryness, and temporary visual changes. Swelling and bruising are usually most noticeable during the first two weeks and can be alleviated with cold compresses. Dryness and chemosis may arise due to an imbalance in the tear film and can be treated with artificial tear drops. In rare cases, more advanced methods like tarsorrhaphy may be required. Blurred or double vision is generally related to corneal swelling or medication side effects and typically resolves on its own in a short time.
Possible complications include eyelid tension, ectropion, lagophthalmos, hematoma, and infection. Lower eyelid tension or ectropion can occur due to excessive skin removal or scar formation. This results in tearing, discomfort, and an unnatural appearance and may require additional surgical intervention. Lagophthalmos (incomplete eyelid closure) may also occur postoperatively, causing dryness of the eye’s surface. Treatment usually involves additional surgery or protective eye drops.
Bleeding (hematoma) can be superficial or deep. Deep hematomas may lead to more serious outcomes and require urgent intervention. In rare cases, orbital bleeding may result in vision loss risk, a serious complication that requires emergency surgical intervention.
As with any surgical procedure, there is a risk of infection. If redness, swelling, and purulent discharge are observed, antibiotic treatment can quickly bring it under control. Other side effects, such as scarring, asymmetry, and nerve damage, can be minimized with careful planning and surgical technique. A detailed preoperative assessment and individualized planning are vital to minimizing the risk of side effects.
How Successful is Lower Eyelid Aesthetics?
Lower eyelid aesthetics, also known as lower blepharoplasty, has a high success rate in the field of aesthetic surgery. Scientific research shows patient satisfaction rates ranging between 96.7% and 97.4%. These high satisfaction levels indicate that both aesthetic and functional expectations are largely met. The success of the procedure is directly related to proper patient selection, the use of appropriate surgical techniques, and meticulous preoperative planning.
There are two main surgical approaches: transcutaneous and transconjunctival. The transcutaneous method is suitable for patients with significant skin laxity under the eyes, while the transconjunctival method is preferred in individuals with minimal skin excess. The transconjunctival approach stands out for preserving a natural appearance and leaving minimal scars when repositioning or removing orbital fat, a key factor in enhancing patient satisfaction.
Postoperative complication rates for lower blepharoplasty are low. Mild side effects such as swelling, bruising, and dry eyes usually resolve within a short period. Rare complications like eyelid position disorders can generally be prevented with a careful surgical approach and detailed planning.
How to Prepare for Lower Eyelid Aesthetics?
The following fundamental steps should be considered before the procedure:
Medical History Evaluation:
In the initial stage, a detailed medical history is taken to identify any factors that may affect the surgical plan. Conditions like dry eyes, blepharitis, glaucoma, and systemic diseases such as hypertension or diabetes can influence surgery, making it important to share this information. All medications used by the patient, especially blood thinners and herbal supplements, are carefully reviewed.
Smoking and Substance Use:
Smoking can slow wound healing and increase eye dryness. Therefore, it is recommended to quit smoking at least two weeks before surgery. Similarly, substances like CBD and THC may negatively affect postoperative recovery, and patients should discontinue their use.
Physical Examination:
A detailed physical examination of the periorbital area is performed during the surgical planning process. The eyelid anatomy, skin elasticity, muscle tone, and fat deposits are evaluated. Tests such as the snap-back and distraction tests are conducted to analyze eyelid laxity. Signs of dryness or irritation are also observed and treated if necessary.
Diagnostic Tests:
In some cases, additional tests may be required. Visual acuity and visual field tests may be performed to establish baseline values before surgery. Tear production can be assessed with a Schirmer test. If orbital pathology is suspected, imaging studies such as MRI or CT scans may be recommended.
Patient Education and Preparation:
The patient should be thoroughly informed about the surgical procedure, potential risks, and the recovery process. By signing the informed consent form, the patient confirms their understanding of all aspects of the procedure. Blood-thinning medications and certain herbal supplements should be discontinued two weeks before surgery. It is also important to plan transportation and support arrangements in advance for the recovery period.
How to Care for Yourself After Lower Eyelid Aesthetics?
Postoperative care following lower eyelid aesthetics is crucial for the success of the surgery and a healthy recovery. Keeping the head elevated and regularly applying cold compresses in the initial days helps control swelling and bruising. Doctor-prescribed pain relievers may be used as needed. To minimize the risk of infection, antibiotic ointments should be applied regularly to the incision sites.
In the postoperative period, restricting physical activities is important, especially avoiding heavy lifting and strenuous exercises for the first two weeks. This helps prevent complications such as bleeding or hematoma. Exposure to sunlight and the use of makeup products should also be avoided for a certain period.
Regular follow-up appointments with the doctor help closely monitor the recovery process and detect any potential complications early. Although rare, possible complications of lower eyelid surgery include ectropion (outward turning of the lower eyelid) or entropion (inward turning). These issues can generally be corrected with additional surgical interventions, such as spacer grafts or canthoplasty.
Patients must strictly adhere to their doctor’s recommendations to achieve the best functional and aesthetic results. Remember that patience and proper care are the cornerstones of a successful recovery.
How much does a Lower Eyelid Surgery cost in Turkey?
An average Lower Eyelid Surgery cost in Turkey is between 2,500€ to 3,000€.
Turkey is one of the most popular destinations for lower blepharoplasty. In 2018, over 662000 international patients received medical services in Turkey. With a success rate exceeding 95%, blepharoplasty outcomes in the country speak to the proficient doctors. Turkey is being recommended by a lot of patients because of its smooth medical experience. Turkey’s location, connecting Europe and Asia, makes it a good country to enter buy patients. As a result of experienced doctors, high-quality clinics, and a cultural experience, Turkey comes out as one of the best countries for lower blepharoplasty abroad.
Turkey is also known for its really high success rates. Lower blepharoplasty in Turkey is over 95% that is considered safe. Complications are few and the appearance and vision of the patient is improved dramatically. Following pre-and post-operative care instructions further improves safety and results.
Having lower blepharoplasty abroad can be worth it. This procedure has a success rate of over 95%. In addition, 97% of patients would recommend it. Many countries like South Korea, Thailand, Brazil, Malaysia and especially Turkey are cosmetic surgery specialists with modern medical facilities and expert surgeons. The results of lower eyelid surgery last a lifetime for most patients. Moreover, getting the procedure done overseas also gives better and cheaper quality care than Western nations. The clinic you choose will play a major role in your results. Therefore, do your research.
For a lower blepharoplasty operation, the stay in Turkey is 4 to 5 days. In this time, one may be able to recuperate and also go for follow-ups. During that time, you are free to explore around, as long as you take care of the surgical area. 60% of bruising and swelling are normal for first 15 days. After that, they will subdue. After one month, final results are usually visible. Most patients are ready to return to their normal activities about 10 to 14 days following their surgery. However, recovery times may vary among individuals, so be sure to follow your surgeon’s post-operative aftercare.
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