LOWER BLEPHAROPLASTY BY FAT REDISTRIBUTION
Patients who have eyebags under the eyes accompanied by a groove below the eyebags and skin laxity in their lower eyelids are good candidates for fat redistribution of the lower eyelid. This procedure uses the eyebag fat as a filler to correct the groove below the eyebag. In the course of doing this, the eyebag itself becomes flattened so that it longer bulges outwards. Excess skin is removed, and the lower eyelid is tightened upwards to create smooth, taut contour.
This is a complex and challenging operation to perform. However, Dr Huang has over twenty years of experience with this technique and has mastered it to the extent that he is an internationally acknowledged expert in this procedure. He has been regularly invited to present his experience with this technique at international plastic surgery meetings in South Korea, Japan, China, and South East Asia.
You can therefore be assured that you will be in the hands of an internationally recognized expert.
This procedure is performed under local anesthesia with oral sedation or intravenous sedation and takes about three hours to complete as a day surgery procedure. Incisions are made along the lower eyelid just below the eyelash margin. The fat pads are identified and carefully dissected out and spread along the groove below to fill that depression. Excess skin is trimmed off and the lower eyelid is tightened in an upward direction. Bleeding is meticulously controlled and the wounds are accurately stitched with multiple fine sutures.
Postoperative pain is mild and well controlled with oral painkillers. There will be swelling and bruising. Stitches are removed after one week. You can start wearing eye makeup after ten days and this can effectively camouflage the residual swelling and bruising so that you don’t need to wear sunglasses to conceal your eyes anymore. So the effective downtime is about ten days. Exercise may be resumed after three weeks.
In expert hands, this is a very safe procedure, with minimal blood loss and risk of infection. Temporary blurred vision can sometimes occur but this usually resolves within the first week. Vision is not otherwise affected by the procedure. Swelling of the transparent membrane over the white of the eye occurs occasionally. This is known as chemosis. It usually resolves with steroid eyedrops and gentle manual compression of the eye which will you will be taught to do yourself during your recovery if necessary.
One possible complication is that the lower eyelid may become retracted downwards during the healing process. This can happen if too much skin is removed or if the lower eyelid is not sufficiently tightened upwards. To minimize this risk, Dr Huang is deliberately conservative with skin removal and routinely makes sure that the lower eyelid is well tightened upwards. Therefore, in his hands, this complication is uncommon. Even if it happens, it tends to be mild and is correctible by daily stretching of the lower eyelid in an upward direction during recovery. The risk of this being a permanent complication or one that requires further surgical correction is rare.