The fragile skin around the eyes is frequently the first facial are to begin showing signs of age, with wrinkles forming and skin loosening, sometimes to the point of sagging. Due to thinning and loss of elasticity, some people can be left with drooping eyelids, something that happens most commonly with the lower lids.Santa Barbara Blepharoplasty
Blepharoplasty – eyelid lift surgery – can improve the look of wrinkles and sagging skin. Lower blepharoplasty – a lower eyelid lift – is one of the most popular eyelid procedures done today, and for good reason. There are multiple ways this procedure is done depending on the extent of the sagging and the condition of the skin, it is fairly simple and the results are usually very pleasing.
Non-Surgical Lower Lid Tightening
For some, a non-surgical skin tightening procedure is all that is necessary, and there are multiple ways in which to achieve this:
Chemical Peels – This is the most basic of procedures that can be used in attempt to tighten small wrinkles and minor loose skin under the eye. When there is not substantial bagging and skin just seems loose, a chemical peel may correct the problem quite easily.
Done in the plastic surgeon’s office, this application should be done with care since chemicals that are too strong can cause skin reactions; in most cases however, patients are pleased with their chemical peel results for temporary skin tightening that can be repeated as necessary. There are also at-home kits, but again, caution needs to be used since the skin around the eyes is highly sensitive and improper application can cause skin damage.
Laser Skin Resurfacing – In some cases, use of a laser to tighten skin and act on the fat within the lower eyelid can be just enough if the problem is slight sagging or mild, premature wrinkling. It is a non-invasive treatment that uses only a topical numbing agent and can be performed in the doctor’s office, in 10 minutes. Some surgeons warn however, if there are larger fat deposits in the eyelid skin this technique will break up that fat and could leave the patient with worse sagging, rather than improved sagging.
Fillers – When fine wrinkles and very slight sagging is visible, there are now approved injectable fillers which will puff up the skin, filling out these areas and making the skin look tighter. Filler treatments, also called volume restoration treatments, are usually applied in the surgeon’s office with a topical anesthetic. Results are temporary since the fillers do eventually get absorbed after some time, but they can be a good way to improve the look of the lower lid area without surgery until the point where lower blepharoplasty surgery would be necessary.
Surgical Lower Blepharoplasty
If wrinkles or sagging is such that laser or filler treatments will not be sufficient, an actual lower lid lift is usually necessary. There are two main techniques used to achieve this:
Transconjunctival Blepharoplasty – A transconjunctival lower blepharoplasty is the more preferred method by most cosmetic surgeons as it is scarless, done from the inside of the eyelid and leaving no evidence of any work being done.
In most cases, this method – combined with laser skin tightening afterward – is sufficient for the removal of excess eyelid fat and tissue, leaving a smoother, tighter appearance. With this method, tiny incisions are made in various places in the conjunctiva – the inner skin areas of the eyelids – and they heal within only a few days. There are no sutures, and though there is usually some bruising, it seems to dissipate quickly.
Lashline Blepharoplasty – For those with large fat deposits or excessive amounts of excess skin, more than what can be tightened up with transconjunctival blepharoplasty and laser skin tightening combined, a lashline procedure is then necessary.
An incision is made just under the eyelashes of the lower eyelid and excess fat is removed, excess skin below the incision is trimmed, and the incision is closed. While there will be a faint, permanent scar after healing, it is usually hidden by the lashes so it is not very obvious. By actually removing excess skin, the closed incision pulls the remaining eyelid skin tighter, removing unwanted wrinkle lines and baggy skin, leaving a tighter, younger appearance.
With one of these procedures, or a combination of them, it is possible for most people to lose the look of baggy, droopy eyelids and excess lower lid skin, leaving them with a more youthful looking eye area, and face in general. Although eyelid lift surgery is not for everyone, and it is important to discuss options with a recommended cosmetic surgeon who has a good portfolio of successful procedures, most can find the results they are seeking with lower blepharoplasty, whether standard or non-surgical.