Lower blepharoplasty is an effective procedure to reduce the signs of aging under the eyes. The lower eyelid is often the first to show signs of aging. The skin is thinner and much more delicate. Natural aging and poor lifestyle habits can lead to under-eye issues. This includes bulging fat, loose skin, wrinkles, and hollowness. This can make you look tired and much older than you are. Lower blepharoplasty is a highly effective way to address these issues. You may wonder, what incisions are used for lower blepharoplasty. Below you will find helpful information about the procedure and why it may be right for you.
What Incisions Are Used for Lower Blepharoplasty?
Lower blepharoplasty rejuvenates and improves your under-eye area. The surgery involves removing or repositioning fat and tightening lax tissues. This creates a seamless transition between the under-eye area and the cheek. A skilled lower eyelid surgery expert can provide results that leave you looking refreshed and younger. Patients often inquire about the incisions used in the procedure. There are several approaches to consider, depending on your unique aesthetic goals and an assessment of your under-eye area.
Internal Incision
An internal incision, also referred to as a transconjunctival incision, is often the preferred method. It is safe, effective, and the most commonly used incision. It is ideal for patients with significant under-eye bags. It makes it much easier to remove and reposition the fat. One of the significant benefits of this type of incision is the absence of scarring. It also preserves the muscular integrity of the lower lid. It is often combined with treatments such as laser skin resurfacing or a chemical peel. This improves the skin under the eyes to optimize your results.
External Incision
An external incision is another standard method for lower blepharoplasty. It is also referred to as a transcutaneous incision. This method involves an external incision just below the lower eyelash line. It may also be placed in the natural skin crease of the lower eyelid. This is often used when excess under-eye skin needs to be removed. It provides direct access to the skin, muscle, and fat. This makes it much easier to remove excess skin and muscle under the eyes. The incisions are well-hidden to minimize the appearance of scarring. Proper aftercare ensures that scarring is minimal, if at all.
Hybrid Approach
In some cases, a hybrid approach is used to ensure the procedure is customized to meet your unique needs. An experienced eyelid surgeon may opt to combine both internal and external incisions. Patients with excess fat and skin under their eyes can benefit from this procedure. It is important to share your aesthetic goals with your eyelid surgeon at the consultation. Combining your goals with the surgeon’s assessment is necessary to create a treatment plan that works for you.
Determining Factors for Surgical Incision Placement
Several factors contribute to the incision placement for lower blepharoplasty. This is why it is necessary to choose a skilled and experienced surgeon. They can effectively manage the following factors to determine the proper surgical plan for you.
Amount of Excess Skin
The amount of excess skin you have under the eyes is a key factor in incision placement. An excess amount of skin under the eyes is often best addressed with an external incision. However, less skin is often addressed with an internal incision.
Fat Volume
The amount of fat under the eyes is also a consideration when determining incision placement. If the main issue is bulging fat under the eyes, an internal incision is the best approach. However, less fat and more excess skin are often best suited to an external incision.
Skin Quality
The quality of your skin and risk for scarring are important factors. Patients with darker skin tones often benefit from an internal incision. The same is true for patients who have a history of thick scarring. The external incision poses a high risk for scarring for certain patients. With a skilled and experienced eyelid surgeon, these risks are effectively managed to ensure minimal to no scarring.
Eyelid Support
Some patients have weak or droopy lower eyelids. If this is the case, the surgeon may also perform an additional surgical technique. This procedure is referred to as a canthopexy, which strengthens the eyelid. This is often performed using an external incision. The results prevent pulling or sagging post-surgery. In combination with lower blepharoplasty, this leaves your under-eye area smooth with a strong lower eyelid.
Top Eyelid Surgeon
If you are unhappy with your under-eye area, contact the team at Jeffrey Joseph Ophthalmic Plastic Surgery today to schedule your consultation.