What can I do for bags under my eyes?
This can be a difficult area to treat. The first step to finding what you need, is to look at the lower eyelids area. Is the problem excess skin? Fatty deposits under the eyes? Or is loss of tissue caused by bone loss or fat descent of the cheek fat pads. Look at the corner of the eye, is the tissue here too lax, needing tightening of the tissues or a canthopexy. There are a number of options to treat this area.
Lower eyelid lift (lower blepharoplasty)
This procedure is best to treat excess skin or excess fat deposits. It is the most powerful manoeuvre. It can be combined with one or more of the above treatments. It involves redraping or removing excess fat and reducing excess skin. This allows sculpting of the tissues around the eyes while adding definition. The lower blepharoplasty usually involves a lateral canthopexy or canthoplasty to anchor the corner of the eye and gives the procedure longevity.
This can be an easy way to treat lower eyelid hollowing or tear trough. A small amount can be injected along the. This can fill the concavity, allowing the light to retract, and improves the appearance of dark circles under the eyes. At the swan clinic, we always use a TSK cannula with very light pressure to ensure your safety during this procedure. We also use a very soft filler of the best quality in this location to prevent fluid absorption by the filler which can paradoxically increase the heaviness in this area.
If you have cheek bone loss or fat pad descent, then you might benefit from fat grafting along the orbital rim and along the cheek bones. This can improve the fine lines around the eye and improve the hollowing along the lower eyelid. The advantage of fat grafting is that 50-80% lasts forever and it uses your own tissues.
Anti wrinkle injections
If wrinkling on the outside of the lower eyelid is the problem, then you might benefit from anti wrinkle injections. It helps weaken the muscle that can contract excessively and cause these lines. The dose and location can be tailored to your needs.
Medical grade creams and peels.
Prevention is the key to successful treatment. Medical grade topical treatments are best for treating fine lines. Creams that hydrate the skin and include retinol and c-esta can do a lot to reverse thin crepey lower eyelid skin. This can be combined with a peel after proper skin preparation.
Where is this surgery performed?
How can I prepare for surgery?
- Eat healthily by avoid excessively fatty foods and foods high in sugar.
- Stop smoking as this significantly increases complications rates. You cannot smoke for 6 weeks prior and 6 weeks after surgery.
- Stop all blood thinners unless previously discussed with Dr Hadi. Please stop any over the counter medications that might thin the blood. A comprehensive list will be provided during your consultation.
- Shower the night before or the morning of surgery with a medicated soap. These reduce the bacteria living on the skin and there is evidence it reduces chance of infection.
- Fast (do not eat anything) at least 6 hours prior to surgery. You will be given this time from Kareena Hospital.
Best practices in Lower Blepharoplasty
Plastic surgery before and after photos
How long will the procedure take?
How long will I stay in hospital?
Are the sutures dissolvable?
When can I shower?
When can I drive?
When can I exercise?
When can I go back to work?
Best Plastic Surgical outcomes?
- Immediately after the procedure, apply the gauze squares we give you dipped into iced water. Change these regularly. You can apply these that night and continue the next day. Cool compresses are beneficial for up to 24 hours.
- Sleep on two pillows at night
- Avoid heavy exercise and lifting for at least 2 weeks.
- Avoid pain killers which contain antiplatelet. Please check with us prior to taking medication not prescribed by us.
- Take the antibiotics we prescribe for you. These will last five days and help prevent infection.
- If you notice your eyes feel dry or are tearing excessively, you can benefit from artificial tears. These are over the counter and available from pharmacies.
- Come back for regular review as detailed in the next section to ensure your healing is progressing at each stage.