Guide to Lower Blepharoplasty: Everything You Need to Know

Lower blepharoplasty, commonly known as eye bag removal surgery, is a process of removing excess fat bags and rearranging the under-eye for a better appearance and achieving a more youthful look. However, it's crucial to consult with a surgeon to assess suitability and consult about the benefits and risks.

This article will get the readers to know everything about lower eyelid blepharoplasty. From pre-surgery preparations to post-operative care. Learn about the procedure itself, advantages, and disadvantages of the procedures to make decisions.

1. Bags Under the Eyes
2. The Causes of Bags Under the Eyes
3. How to Get Rid of Bags Under Eyes
4. Lower Blepharoplasty: Eye Bag Surgery
5. Lower Eyelid Blepharoplasty: At Lovely Eye & Skin Clinic

Under-eye bags refer to sagging skin, fat deposits, darkened under-eye skin, and natural shadows, all of which contribute to the appearance of dark circles. These factors collectively make the face look tired, exhausted, or older. Therefore, it is advisable to consider eye bag surgery as a remedy to make the face look refreshed and younger. Additionally, if left untreated, under-eye bags will worsen with age.

There are many factors that contribute to the formation of under-eye bags, encompassing a variety of internal and external influences. These factors include:

Genetic

Some people have under-eye bags due to genetic factors. Possible causes include endocrine abnormalities. This condition leads to the build-up of excess fat and fluid under the eyes, causing the under-eye skin to appear swollen. As a result, individuals with under-eye bags due to genetics may consider lower blepharoplasty to address them effectively.

Age

The skin under the eyes tends to become looser and more prone to sag more with age. This undesirable characteristic is due to the weakening structure of the skin and underlying tissues around the eyes, leading to more noticeable puffiness and sagging in the under-eye area. As under-eye bags become more prominent with age, many people choose to undergo eye bag surgery to address them.

Certain Diseases

Some patients undergo eye bag removal surgery to address under-eye bags causes of certain diseases such as heart disease, kidney disease, and high blood pressure can lead to fluid retention, making it easier for under-eye bags to swell.

Allergy

Allergies cause the blood vessels around the eyes to dilate, leading to significant swelling of the skin around the eyes, making under-eye bags and dark circles more noticeable. 

Stress and Sleep Deprivation

Sleep deprivation and accumulated stress can indeed impact the circulatory system, leading to poor blood flow in the delicate under-eye area. When the circulation is compromised, it can result in a build-up of fluid and toxins, causing the under-eye bags to become more visible.

After understanding the causes of bags under the eyes, many people who are experiencing this issue are looking for under-eye bags remedy. Discover effective strategies to regain a refreshed and youthful appearance with a comprehensive guide on how to get rid of bags under the eyes. These include:

Medications and Skincare

If suspecting that the under-eye swelling may be due to an allergy, consult a healthcare provider about prescription allergy medication to under-eye bags remedy. Moreover, certain topical creams and serums containing active ingredients can help reduce puffiness and improve the appearance of the under-eye area as well such as, Hyaluronic Acid, Retinoids, Vitamin C, and Peptides.

Treatments

Under-eye bags can also be addressed using treatments commonly employed for various types of wrinkles. Procedures such as laser resurfacing, chemical peels, and fillers are often utilized to improve skin tone, tighten the skin, and rejuvenate the under-eye area. However, it's crucial to have a thorough discussion with healthcare providers about laser resurfacing techniques that can help mitigate this risk.

Treatment for Eye Bags (eyelid surgery)

It's a technique developed by Dr. Roungkaw as an under eye bag remedy. This method smoothens and tightens the under-eye skin, reducing sagging. It utilizes a surgical technology called 'New Lovely Microlaser,' exclusive to Lovely Eye & Skin Clinic. This advanced laser surgery employs a unique light beam for highly precise micro-level operations around the eyes. Additionally, it doesn't affect the surrounding tissues and helps reduce swelling, bruising, and blood loss during surgery. Moreover, the surgical incision leaves no visible scar and requires no recovery time. According to Dr. Roungkaw's technique, there are two types of lower blepharoplasty. The doctor evaluates the issue and determines the appropriate surgical procedure for each patient.

• Microlaser: removal of under-eye bags without scarring.

This technique involves addressing under-eye bags from inside the eyelid by making small incisions near the lower eyelid using the New Lovely Microlaser, without causing external wounds. This under eye bag remedy is particularly suitable for young individuals with under-eye bags and no excess skin. Following the procedure, there's minimal swelling or bruising, and no need for stitches or downtime. Patients can resume their daily activities, including face washing, immediately after surgery.

• Removal of the bags under the eyes and excess eyelids.

This eye bag surgery procedure aims to remove excess under-eye bags and eliminate redundant skin from the lower eyelid to achieve smoother and tighter under-eye skin. It is suitable for individuals with significant swelling and sagging under-eye bags. Utilizing the 'New Lovely Microlaser' to remove excess outer-layer skin and accumulated fat under the lower eyelid ensures no visible surgical scars. The “Dr. Roungkaw Technique” is a method invented and developed by Dr. Roungkaw, based over 15 years in the field of experience around eye surgery, patients undergo surgery performed by skilled surgeons who thoroughly understand the eye's anatomy. Post-operative complications such as ectropion (eyelid turning outward) are minimized. After surgery, the under-eye skin appears smoother and firmer, with barely visible incisions near the eye's edge, ensuring no visible scarring. There's no swelling, and no downtime is required. The under-eye skin looks naturally rejuvenated, and excess under-eye fat does not return. The results may vary from person to person.

Who is Suitable for Lower Blepharoplasty by Dr. Roungkaw

• People with under-eye fat bags and excess skin.
• People with sagging under-eye skin due to aging.
• People with under-eye fat protrusion, ranging from small to large amounts.

Lower Blepharoplasty Procedures 

1. Before surgery, the doctor will first assess the strength of the lower ligament of the eye to avoid undesirable complications of under-eye bag surgery that have not been thoroughly examined first such as eyelid turning outward (Ectropion).
2. If the lower eyelid is not sufficiently strong, the doctor may recommend combining the surgery with lower eyelid tightening to prevent ectropion. However, with a detailed diagnosis by an experienced physician, there should be no concern about any complications.
3. If a patient has deep tear troughs, the doctor may recommend transferring the under-eye fat to fill the tear troughs, ensuring that no material leaks out.
4. The doctor will administer local anesthesia around the eyelids to alleviate pain and discomfort during the surgery, so there's no need to worry about pain during the procedure.
5. In addition to the removal of bags and excess skin under the eyes to make them smooth and tight, in some cases, the patient's cheeks are sagging significantly. 
6. After surgery, patients can resume their normal daily activities but should avoid activities that could affect eye pressure, such as playing sports, bending down, lifting heavy objects, or even crying. Additionally, they should avoid direct sunlight for about one week. If patients don't notice, the scars from the surgery, which are hidden along the lash line, will disappear in the postoperative period.

Care After Lower Blepharoplasty

• Find someone to drive at home after the surgery and find someone to take care of the patient at home for 1-2 days.
• Get plenty of rest in the days following surgery.
• Sleep with head elevated at a 45-degree angle for several days to reduce swelling.
• Constipation as a side effect from reduced activity, pain medication usage, and dehydration. 
• Stay hydrated.
• Adding more raw fruits for diet.
• Take pain medication as prescribed, and avoid aspirin or any aspirin-containing products unless approved by the surgeon. 
• Avoid drinking alcohol.
• If currently taking a multivitamin along with iron supplements, can continue taking the multivitamin.
• Avoid smoking or being around smokers. This may be the most crucial factor in worsening the severity of treatment issues.

The best remedy for eye bags, known as lower blepharoplasty, may help reduce sagging skin, fat deposits, darkened under-eye skin, and natural shadows, all of which contribute to the appearance of dark circles. During patient treatment, an ophthalmic surgeon will create an incision under or inside the lower eyelid. Excess fat may be removed or repositioned through the incision, sometimes along with excess skin. The incision is then closed with small stitches. Let's compare the advantages and disadvantages of lower blepharoplasty to help make an informed decision before surgery.

Advantage

It's an eye bag surgery where the incisions are nearly invisible once healed. It allows for the removal of sagging skin around the eyes. Compared to internal eyelid surgery, which doesn't involve external scarring, this technique is highly effective.

Precautions for Lower Eyelid Blepharoplasty

Lower blepharoplasty cases require advanced techniques and expertise to meticulously conceal the incision along the lash line, ensuring that the scar is not visible. If the surgery is not performed well, the incision may not align perfectly with the eye contour, the scar may not be hidden along the lash line, and the surgical scar may be clearly visible. Some patient expectations may exceed the potential outcomes of eye bag removal surgery, such as perfectly tightened under-eye skin, complete elimination of under-eye wrinkles, disappearance of tear troughs, and removal of crow's feet.

Additional

Lower blepharoplasty carries the risk of ectropion if the surgeon lacks expertise or if the technique is inadequate. Additionally, in cases where the lower eyelid is already lax, there is a risk of it becoming even more ectropic. The physician will assess whether it's necessary to suture the lower eyelid along with the procedure to prevent ectropion.

Lower Eyelid Tightening and Lower Eyelid Pulling Up Procedures

Lower eyelid tightening is a method to correct lower eyelid retraction and ectropion using a surgical technique to strengthen the lower eyelid tendon. This involves suturing the lower eyelid tendon to the eye socket to correct the condition of the lower eyelid tendon sagging outward. Lower eyelid tightening is the same wound as the one used for under-eye bags removal surgery, allowing these procedures to be performed together through a single incision. It is commonly performed in the elderly or individuals with weak lower eyelid tendons. This procedure helps smooth, tighten the skin under the eyes and effectively prevents the issue of the lower eyelid sagging outward. This procedure can be used to treat complications from surgery on bags under the eyes that result in lower eyelid sagging outward.

Lower blepharoplasty should be performed at a clinic that is certified and has expert medical professionals. Lovely Eye & Skin Clinic is one of the best eye bag removal in Bangkok and Thailand can meet the requirements for eyelid surgery because of the following attributes:

• Blepharoplasty should be performed at a clinic that is certified and has expert medical professionals. Lovely Eye & Skin Clinic is one of the reliable and safe clinic for eyelid surgery in Bangkok and Thailand can meet the requirements for eyelid surgery because of the following attributes:
• Doctor Roungkaw is a trendsetter figure in performing double eyelid surgery among ophthalmologists in Thailand. 
• The medical team at Lovely Specialists is highly skilled and maintains the same standards as Doctor Roungkaw.
• "Doctor Roungkaw Technique," which utilizes the New Lovely Microlaser technology to address eye issues precisely. This technique aims to reduce swelling and bruising, minimize blood loss, ensure precision, and deliver satisfying results.
• Guaranteed safety is ensured, with over 15 years of trusted eyelid surgery techniques.
• Customer satisfaction surveys are conducted, and data are utilized to continually improve services to meet customers' needs.
• The clinic features a sterile surgical instrument unit, the "Lovely Surgical Instrument Sterile Unit," compliant with hospital standards. Additionally, it is equipped with an autoclave for disease prevention using steam sterilization (Autoclave certified ISO 13485:2016).
• Every eye condition is meticulously cared for, with the option for Private VIP Service available to ensure that every patient receives an impressive experience.

Summary

Lower blepharoplasty is a surgical procedure aimed at getting rid of bags under the eyes, as well as addressing sagging skin, fat deposits, darkened under-eye skin, and natural shadows that can result from various causes such as genetics, aging, certain diseases, allergies, and lack of sleep. This surgery helps rejuvenate the under-eye area, giving it a vibrant and refreshed appearance, preventing a perpetually tired look. However, it should be performed by a skilled specialist to achieve the desired beautiful and safe results and to minimize potential risks.

At Lovely Eye & Skin Clinic, we have lower blepharoplasty using a special technique. With an experienced doctor That will help get rid of bags under the eyes. Make the eyes look beautiful, bright, and natural.