The 10 Value-Added Benefits of Lower Eyelid Surgery in Fort Worth

Female lower eyelid surgery (blepharoplasty) patient results before and after surgery with Dr. Steven Camp

I am a blepharoplasty specialist in Fort Worth, TX. One of the most common complaints I hear from patients is that they have lower eyelid bags which are bothersome and make them look tired. I combine refined techniques to treat the eyelids, especially the lower eyelid bags. During lower eyelid surgery, I carefully reposition the wrinkled skin, smooth out the uneven bulging fat layer, and gently restore a more elevated cheek contour to create a refreshed and natural appearance of the eyes and face.

Here, I share my top 10 benefits for having lower blepharoplasty surgery at Steven Camp, MD Plastic Surgery & Aesthetics.

Female lower eyelid surgery patient example illustrating the treatment area
Photo Credit: Zoumalan CI, Roostaeian J. Simplifying blepharoplasty. Plast Reconstr Surg. 2016;137:196e213e.

Treating Under Eye Bags with Lower Eyelid Surgery

One of the most common complaints I hear are about under eye bags. During lower eyelid surgery, I treat this area with limited incisions and focus on preserving the muscle. In surgery, I reposition any bulges due to excess fat, tighten wrinkled skin, and reposition and smooth the entire cheek area.

Illustration of surgical incision required for lower eyelid surgery
Illustration Credit: Zoumalan CI, Roostaeian J. Simplifying blepharoplasty. Plast Reconstr Surg. 2016;137:196e213e.

Blepharoplasty requires a delicate and meticulous approach to incisions. I focus on using the smallest possible incision to preserve the tissue and muscle of the lower eye area while improving the appearance of the area under the eye.

Illustration of repositioning the skin during lower eyelid surgery
Illustration Credit: Zoumalan CI, Roostaeian J. Simplifying blepharoplasty. Plast Reconstr Surg. 2016;137:196e213e.

This photo demonstrates the small surgical incision I make inside the eyelid during lower eyelid surgery.

When performing lower eyelid surgery, I reposition and smooth out any bulging or bags of the lower eyelid to create a refreshed appearance.  I then focus on removing skin wrinkles are removed and smoothing the lower eyelid and cheek. 

The 10 Value-Added Benefits of Lower Eyelid Surgery with Dr. Camp

  1.  Detailed consultation includes visual field analysis, evaluation of tear function, pupil reaction, eye muscle including ptosis of lid evaluation and extraocular muscle function, eyelid opening size (palpebral fissure), shape of the lid which I respect and preserve (no cat eyes), drooping of lid skin and/ or brow, and volume and skin measurement.
  2. Review of expected level of results specific to the patient are discussed in detail.
  3. Lower eyelids are more sensitive than the upper eyelids, and I believe patients are more comfortable under general anesthesia in the operating room for this area.
  4. Wrinkled skin removal is done in a delicate fashion avoiding a pulled or unnatural appearance.
  5. Before your procedure wash your face with gentle cleanser, which we recommend/provide the night before, and before coming to the surgery center on your procedure day. Do not wear contact lenses and bring sunglasses to wear after the procedure.  Do not apply any makeup. 
  6. Post-operative instructions are issued to each patient to ensure best results. Patients are instructed to use ice-water-soaked gauze or cool packs to the affected area for the first 72 hours to minimize swelling. Severe pain is unusual following a blepharoplasty, and you will be evaluated immediately in the office if severe pain is noted. Position your head at or above the heart level to reduce edema. An antibiotic ophthalmic ointment (i.e., erythromycin, or tobramycin ophthalmic is prescribed and recommended) is often applied to the upper lids two times per day for the first week. I recommend you refrain from any strenuous activity for the first 10 to 14 days. Sutures are removed, usually on postoperative days 6 to 7. Patients are advised that most of the swelling persists for 2 weeks after surgery but that residual swelling, which at times can be asymmetric, may last up to 3 to 6 months.
  7. You will be able to drive and work within one week.  I prefer and recommend that you avoid makeup for 2 full weeks but will allow light application of some concealer as needed after 10 days.  At 2 full weeks I expect you will be healed nicely and without social limitations.
  8. You will be instructed to cleanse your face with a mild gentle cleanser we provide to you twice daily beginning 72 hours after surgery.  I recommend that you continue with this cleanser and a specialized recommended eye cream after surgery to optimize your result and improve the health of your skin.
  9. Eyelid results are very long-lasting and rarely need to be repeated or touched-up.  The results are remarkable yet subtle when done in expert fashion.  As a final recommendation we plan to stay connected to you as our patient and offer the best care possible to maintain your results.  I will recommend special laser treatments (Sciton BBL and HALO), and ongoing skin care regimens to preserve your refreshed appearance.  I was blessed to be trained by some of the world’s most respected surgeons in the world and they ingrained this concept in me which I call the “icing on the cake.”
  10. Laser skin resurfacing treatments are encouraged to enhance results and are started one month after the procedure.  I recommend 3 separate 30-minute treatment sessions to the eyelids and face spaced one month apart.  These procedures are some of the most popular treatments in our office and offered at a special package rate for our eyelid patients.

Request Your Lower Blepharoplasty Consultation

If you are interested in learning if you are a candidate for lower eyelid surgery, request a consultation or call (817) 228-4315 to schedule an appointment at Steven Camp, MD Plastic Surgery & Aesthetics. I look forward to meeting with you.

References

  1. Lelli GJ Jr, Lisman RD. Blepharoplasty complications. Plast Reconstr Surg. 2010;125:10071017. Cited Here | View Full Text | PubMed | CrossRef 
  2. Zoumalan CI, Roostaeian J. Simplifying blepharoplasty. Plast Reconstr Surg. 2016;137:196e213e. Cited Here | View Full Text | PubMed | CrossRef 
  3. Hidalgo DA. Discussion: Traditional lower blepharoplasty: Is additional support necessary? A 30-year review. Plast Reconstr Surg. 2011;128:278279. Cited Here | View Full Text | PubMed | CrossRef 
  4. Fagien S. Discussion: Traditional lower blepharoplasty: Is additional support necessary? A 30-year review. Plast Reconstr Surg. 2011;128:274277. Cited Here | View Full Text | PubMed | CrossRef 
  5. Hidalgo DA. An integrated approach to lower blepharoplasty. Plast Reconstr Surg. 2011;127:386395. Cited Here | View Full Text | PubMed | CrossRef 
  6. Rohrich RJ, Ghavami A, Mojallal A. The five-step lower blepharoplasty: Blending the eyelid-cheek junction. Plast Reconstr Surg. 2011;128:775783. Cited Here | View Full Text | PubMed | CrossRef 
  7. Pezeshk RA, Small KH, Rohrich RJ. Filling the facial compartments during a face lift. Plast Reconstr Surg. 2015;136:704705. Cited Here | View Full Text | PubMed | CrossRef 
  8. Lambros V. Observations on periorbital and midface aging. Plast Reconstr Surg. 2007;120:13671376; discussion 1377. Cited Here | View Full Text | PubMed | CrossRef 
  9. Rohrich RJ, Pessa JE. The fat compartments of the face: Anatomy and clinical implications for cosmetic surgery. Plast Reconstr Surg. 2007;119:22192227; discussion 2228. Cited Here | View Full Text | PubMed | CrossRef 
  10. Rohrich RJ, Pessa JE, Ristow B. The youthful cheek and the deep medial fat compartment. Plast Reconstr Surg. 2008;121:21072112. Cited Here | View Full Text | PubMed | CrossRef 
  11. Rohrich RJ, Arbique GM, Wong C, Brown S, Pessa JE. The anatomy of suborbicularis fat: Implications for periorbital rejuvenation. Plast Reconstr Surg. 2009;124:946951. Cited Here | View Full Text | PubMed | CrossRef 
  12. Flowers RS. Canthopexy as a routine blepharoplasty component. Clin Plast Surg. 1993;20:351365. Cited Here | PubMed
  13. Rosenfield LK. The pinch blepharoplasty revisited. Plast Reconstr Surg. 2005;115:14051412; discussion 1413.
  14. Mohammed Alghoul, MD, FACS, Blepharoplasty: Anatomy, Planning, Techniques, and Safety, Aesthetic Surgery Journal, Volume 39, Issue 1, January 2019, Pages 10–28

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