Lower Eyelid Surgery

The area around the eyes is one of the first to show signs of aging. As the skin loses its elasticity, it can become droopy and saggy. This may be due to excess skin, water retention, age, or genetics. Lower eyelid surgery or blepharoplasty is a cosmetic procedure that can eliminate the dark circles, sagging skin, and puffiness underneath your eyes that often accompany age, delivering a more youthful, refreshed look. At our Bethesda, MD, practice, Dr. Roger J. Oldham accepts CareCredit® financing to help you pay for your lower eyelid procedure. 

Demonstration of where the incision for a lower eyelid surgery is placed

Am I a Candidate for Lower Eyelid Surgery?

Patients with tired-looking eyes or sagging, drooping skin under the eyes can benefit from lower eyelid surgery. Because certain medical and ophthalmic conditions can hinder the success of treatment, most patients in good overall health can qualify for treatment. However, it is important that patients have a thorough understanding of the treatment process and realistic expectations regarding results before committing to surgery.

Cosmetic Benefits of Lower Eyelid Surgery

Unlike upper eyelid surgery, lower eyelid surgery is only performed for cosmetic reasons. A skilled surgeon, such as Dr. Oldham, can methodically contour the skin around the eyes to:

  • Reduce the appearance of bags under the eyes
  • Eliminate puffiness
  • Reshape fat in the area
  • Minimize dark circles
  • Improve the appearance of lines and wrinkles

Lower eyelid surgery can effectively compliment the natural eye shape. While this procedure cannot directly address crow’s feet or excess upper eyelid skin, it is often combined with other treatments for comprehensive results. 

Understanding the Treatment Process

General steps include:

  • Anesthesia: To ensure your comfort during the procedure, the operation can be performed under general anesthesia or Dr. Oldham can administer local anesthesia, as well as any additional sedation options he may have recommended during the initial consultation.
  • Incisions: Once you are comfortable, a tiny incision will be made just beneath the lower lash line to access the underlying tissues.
  • Fat and tissue removal: Dr. Oldham then removes excess skin, fat, and muscle. This will help eliminate the appearance of dark circles and bags.
  • Reshaping: In some cases, fat is redistributed to achieve a smoother, more uniform appearance. The muscles will also be tightened as necessary.
  • Stitches: Once the procedure is complete, the incisions will be closed with surgical sutures.

Lower eyelid surgery can effectively compliment the natural eye shape. 

Recovery after Lower Eyelid Surgery

While patients can expect some degree of discomfort immediately after surgery, over-the-counter pain relievers are usually enough to manage it. Other common side effects include redness, bruising, dryness, itching, and light sensitivity. These are all temporary, however, and should diminish within the first few days. 

Dr. Oldham will provide you with a detailed list of post-operative instructions. To pave the way for a successful recovery, patients should: 

  • Not watch TV, read, or use a computer for the first few days in order to avoid eyestrain.
  • Not wear contacts or makeup for several days.
  • Use cold compresses to reduce swelling and inflammation.
  • Wear sunglasses to protect their eyes from the sun and wind.
  • Avoid strenuous exercise, such as cardiovascular workouts or heavy lifting.

In most cases, individuals can return to work within one week of lower eyelid surgery. However, recovery will continue for the next several months. During this time, the surgical scars will fade, becoming virtually undetectable. 

Contact Our Practice to Learn More

Do your eyes look tired? Do dark circles and bags make you appear older than you really are? If so, lower eyelid surgery could be beneficial for you. To learn more about your treatment options, schedule a visit with Dr. Oldham, who has over 25 years of surgical experienceContact us online or call our office at (301) 530-6100.

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