The Skinny
Average Recovery
10 days
Permanence
Permanent
Application
Surgical Procedure
Surgical
Yes
Cost
$2000 - $7000
The Specifics
What is a lower eyelid blepharoplasty subciliary approach?
A lower eyelid blepharoplasty subciliary approach is a surgical procedure targeting the lower eyelid and under eye to reduce the appearance of dark circles, under eye bags, and also tighten and tone the lower eyelids. The results of this eyelid surgery are permanent aesthetic and functional improvements to the lower lid. The results of the oculoplastic cosmetic surgery will naturally evolve with aging and use.The Anatomy of the Eye
A lower eyelid blepharoplasty transcutaneous approach addresses excess skin and improves skin tightness. A lower eyelid blepharoplasty transconjunctival approach cannot remove excess skin to address skin laxity, however, it is typically a less involved, and invasive procedure. The subciliary approach is a type of transcutaneous surgical approach designed for skin excision, smoothing of the preseptal musculature, alteration of orbital fat tissue, and repositioning of the support structures in the lower eyelid.
What cosmetic concerns does a lower eyelid blepharoplasty subciliary approach procedure treat?
1. Sagging & Hooded Eyes: Alterations to the eyelid skin, orbital fat, and the orbicularis muscle during a lower eyelid blepharoplasty subciliary approach allows for restored lower eyelid tone and tightness. 2. Aging & Tired Eyes: A lower eyelid blepharoplasty subciliary approach reduces dark circles and puffy under eye bags for eye rejuvenation.Who is the ideal candidate for a lower eyelid blepharoplasty subciliary approach procedure?
The ideal candidate for lower eyelid blepharoplasty subciliary approach is a candidate with skin and muscle laxity who may also have fat protrusion. A lower eyelid blepharoplasty subciliary approach is not recommended for those with severe skin laxity, those with certain chronic medical conditions (like dry eye), or severe fat or muscle protrusion.What is the average recovery associated with a lower eyelid blepharoplasty subciliary approach procedure?
Most patients experience bruising, swelling, changes in sensation, and excessive tearing following a lower eyelid blepharoplasty subciliary approach. Bruising resolves within one to two weeks. Swelling can be reduced with cold compresses and sleeping with the head elevated, although some swelling may persist for weeks to months. Strenuous activity, contact lens use, and sun exposure should be limited for up to three weeks. Eye straining activities like reading, watching TV, and using the computer should be minimized.To better understand the healing and downtime associated with the procedure, check out our complete guide to blepharoplasty recovery.
What are the potential side effects of a lower eyelid blepharoplasty subciliary approach procedure?
The potential side effects of a lower eyelid blepharoplasty subciliary approach include changes to pupil shape, increased scleral show (white of the eye), poor lower eyelid position, abnormal lash line/lid margin, ectropion, ptosis, blurred vision, corneal dryness due to tear trough or lacrimal damage, scar formation, bleeding, and permanent changes in sensation.What can someone expect from the results of a lower eyelid blepharoplasty subciliary approach procedure?
The results of a lower eyelid blepharoplasty subciliary approach are permanent and immediately noticeable following the procedure. The appearance of the lower eyelids and under eye area will finalize over a few months. The lower eyelids will continue to be subject to the effects of aging and use over time.What is the average cost of a lower eyelid blepharoplasty subciliary approach procedure?
This plastic surgery procedure can cost anywhere from $2,000 to $7,000. The actual cost of a lower eyelid blepharoplasty subciliary approach is dependent upon location, plastic surgeon, and length and involvement of the plastic surgery. Learn more in our complete guide to blepharoplasty cost.Pros
- Lower Risk Of Side Effects
- Immediate Results
Cons
- Possible Asymmetry Or Malposition
Invasiveness Score
Invasiveness is graded based on factors such as anesthesia practices, incisions, and recovery notes common to this procedure.
What to Expect
A lower eyelid blepharoplasty subciliary approach is a plastic surgery procedure utilized to alter the lower eyelid appearance. Here is a quick guide for what to expect before, during, and after a lower eyelid blepharoplasty subciliary approach:
Before Surgery
- Stop taking blood thinning medications two weeks prior to surgery. Blood thinners may include Advil, Tylenol, Aspirin, and prescription anticoagulants
- Stop smoking four weeks prior to the procedure and continue cessation for four weeks post op
- Do not eat or drink at least six hours prior to surgery
During Surgery
- Local anesthesia administered around the lower eyelids and orbit
- Subciliary incision made in the lower eyelid near the medial canthal area for alterations to eyelid skin, fat, and orbicularis oculi muscle
- Skin muscle flap repositioned
- Alterations at the lateral canthus
Immediately After Surgery
- Swelling, bruising, and tenderness of the eyelids
1 to 14 Days After Surgery & Beyond
- Upper eyelids will most likely still be swollen (sometimes for up to six months)
- Bruising and discoloration of the upper eyelids and the whites of the eyes
- Avoid strenuous activity for three weeks
- Limit sun exposure for six weeks
Result Notes
- The results are immediately visible following the eyelid surgery, however, they will finalize over the course of three to four months
- Signs of aging will reappear over time
- Most patients feel comfortable being in public after two weeks
The Takeaway
A lower eyelid blepharoplasty subciliary approach is a lower eyelid surgery designed for facial rejuvenation through alterations to the skin, fat pads, and muscle of the lower eyelid and cheeks. Dark circles, hollowing, and puffy under eye bags can be lessened or eliminated to enhance overall midface appearance. The results of the lower blepharoplasty are permanent, but will change with time as the signs of aging reappear.
