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Lower Eyelid Surgery Case Study

Lower Eyelid Surgery Treatment

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Procedure: Lower Eyelid Surgery Case 1

Lower Eyelid Surgery

Cosmetic Eyelid and Forehead Surgery

Cosmetic Concern:
54-year old woman who feels her appearance makes her look tired.  She wants to refresh her appearance but wants the results to look very natural.

Diagnosis:
  1. Hooding of the upper eyelids.
  2. Bilateral eyebrow ptosis.
  3. Full lower eyelids due to herniation of the orbital fat.
  4. Lower eyelid wrinkles.
  5. Midface ptosis.
Treatment:
  1. Bilateral endoscopic forehead lift.
  2. Bilateral upper eyelid anchor blepharoplasty.
  3. Bilateral lower eyelid transconjunctival blepharoplasty.
  4. Bilateral midface lift.
  5. Bilateral lower eyelid chemical peel.

Discussion:
In this instance, a very detailed approach was needed to comprehensively improve her eyelid area.  Pushing a single approach too far causes an over-operated appearance.  Her appearance is very natural because of the detailed problem oriented approach to addressing her aesthetic concerns.

The result is an actual before and after photo of one of Dr. Steinsapir’s patients. Your results will vary.


Procedure: Lower Eyelid Surgery Case 2

Lower Eyelid Surgery

Cosmetic Eyelid Surgery

Cosmetic Concern: 
22-year-old man bothered by the fullness in the lower eyelids.

Diagnosis:
The fullness in the lower eyelid is due to orbital fat that is visible because of a descent of the cheek fat pad.  Classically transconjunctival surgery to remove lower eyelid fat would be offered to an individual with this set of issues.  However, due to the descent of the cheek fat, removal of the lower eyelid fat without addressing the descent of the cheek fat would only accentuate the hollow under the eyes.

Treatment: 
An arcus marginalis surgery was performed.  This conserves the lower eyelid fat, which is rotated out of the lower eyelid space and onto the top of the cheek fat softening the lower eyelid hollow. Recovery is typically 8-10 days.  Surgery can be performed in the office procedure suite under local anesthesia.

The result is an actual before and after photo of one of Dr. Steinsapir’s patients. Your results will vary.


Procedure: Lower Eyelid Surgery Case 3

Lower Eyelid Surgery

Eyelid Plastic Surgery

Concern:
46-year old woman with uneven upper eyelids and full lower eyelids.

Diagnosis:
Mild dermatochlasis of the upper eyelids with greater heaviness in the left upper eyelid.  The lower eyelids demonstrate herniated eyelid fat that creates the fullness in the lower eyelids

Treatment:
Upper and lower blepharolplasty.  The key here was to create as natural a look as possible.  This was accomplished by balancing the work in the upper eyelids.  Fat was removed from the lower eyelids with no skin incision.  This type of eyelid surgery is called a tranconjunctival blepharoplasty.  To avoid wrinkling in the lower eyelids after the removal of fat, a lower eyelid chemical peel was performed.  The procedure is gentle and the work was accomplished in the office under local anesthetic.

The result is an actual before and after photo of one of Dr. Steinsapir’s patients. Your results will vary.


Procedure: Lower Eyelid Surgery Case 4

Lower Eyelid Surgery

Cosmetic Concern: 
45-year old woman with under eye bags.

Diagnosis:
  1. Bilateral lower eyelid herniate orbital fat.
  2. Bilateral lower eyelid rhytids.
Treatment:
  1. Bilateral lower eyelid transconjunctival blepharoplasty.
  2. Bilateral lower eyelid arcus marginalis release surgery
  3. Bilateral lower eyelid chemical peel

Discussion: 
The patient did beautifully with transconjunctival lower eyelid surgery that avoids a skin incision.  All the eyelid work was done behind the lower eyelid.  The fat in the lower eyelid bag was conserved and used to help fill the top of the cheek using a technique called arcus marginalis release surgery.  The result is complete with a lower eyelid chemical peel.  This work was accomplished all in one surgery Dr. Steinsapir.

The result is an actual before and after photo of one of Dr. Steinsapir’s patients. Your results will vary.