Eyebags of Worry- Trans-conjunctival Lower lid Blepharoplasty

This young woman turned up at my clinic 10 weeks before her wedding wanting something done for her eyebags which was giving her a tired look and making her seem much older than she really was. Given the tight deadline, I suggested injectables as a possible short term solution. However she was motivated for a long term solution to her problem and she had done her homework on what it would entail.

Blepharoplasty is the removal and repositioning of the skin, muscle and fat of the upper and/or lower eyelid. In the upper eyelid the incision is made and hidden in the natural lid crease. In the lower eyelid the incision is made along the skin just beneath the eyelashes or in the moist surface of the eyelid known as conjunctiva.

I performed a Bilateral Trans-conjunctival Lower lid Blepharoplasty with fat repositioning. This involves repositioning of prolapsed orbital fat on both sides by draping the fat to the orbital rim area- which gives an aesthetically better appearance. This technique is done with an incision on the inside of the eyelid without a skin incision making the surgery “scarless”. In this technique there is minimal loss of existing fat- using the patient’s own fat for contouring the shape of the eyelid. This technique is especially suited for our younger patients who do not need skin excision but can also be used in older patients who need a small excision of eyelid skin.

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Eyebags of Worry! 👀 Trans-conjunctival Lower lid Blepharoplasty This young woman turned up at my clinic 10 weeks before her wedding wanting something done for her eyebags which was giving her a tired look and making her seem much older than she really was. Given the tight deadline, I suggested injectables as a possible short term solution. However she was motivated for a long term solution to her problem and she had done her homework on what it would entail. I performed a Bilateral Trans-conjunctival Lower lid Blepharoplasty with fat repositioning. This involves repositioning of prolapsed orbital fat on both sides by draping the fat to the orbital rim area- which gives an aesthetically better appearance. This technique is done with an incision on the inside of the eyelid without a skin incision making the surgery "scarless". In this technique there is minimal loss of existing fat- using the patient's own fat for contouring the shape of the eyelid. This technique is especially suited for our younger patients who do not need skin excision but can also be used in older patients who need a small excision of eyelid skin. Lower lid blepharoplasty is an orbital surgery for an eyelid condition- so requires good knowledge of orbital anatomy which is the strength of an Oculoplastic surgeon. An Oculoplastic surgeon deals specifically with conditions of eyelids, eye socket (Orbit) and Lacrimal apparatus- hence combining the micro-surgical skills with intimate knowledge of anatomy. The before and after photos this surgery shows excellent outcomes. I am glad that I could pull off this outcome despite the tight timeline. Photos sent by the patient- hence the difference in the lighting of the photos. Needless to say, I was invited for the wedding😊 ⏲Surgery time: 45 mins each eyelid 💉Anaesthesia: Done under Local 🗓️Downtime: 4-6 weeks for final outcome 📈Duration of effect: Long term till age related changes start to appear over time. 📠 Phone: +91 80 2502 3257 📩 E-mail:dr.raghuraj.hegde@gmail.com 🖥️ Website: www.drraghurajhegde.com ©All patient photos are being used with the express consent of the patient. These cannot be shared or reproduced.

A post shared by Dr. Raghuraj Hegde (@eye_plastix.raghuraj_hegde) on

This surgery is often offered by many general plastic surgeons and other allied specialists around the globe. Many of them do a great job with it but one also should remember that Lower lid blepharoplasty is an orbital surgery for an eyelid condition- so requires good knowledge of orbital anatomy which is the strength of an Oculoplastic surgeon. An Oculoplastic surgeon deals specifically with conditions of eyelids, eye socket (Orbit) and Lacrimal apparatus- hence combining the micro-surgical skills with intimate knowledge of anatomy.

As can be seen in the before and after photos this surgery provides excellent outcomes. I am glad that I could pull off this outcome despite the tight timeline. The after photos have been sent by the patient- since the patient was from out of town- hence the difference in the lighting of the photos.

Needless to say, I was invited for the wedding! 🙂

⏲Surgery time: 45 mins each eyelid
💉Anaesthesia: Done under Local
🗓️Downtime: 4-6 weeks for final outcome
📈Duration of effect: Long term till age related changes start to appear over time.
📠 Phone: +91 80 2502 3257
📩 E-mail:dr.raghuraj.hegde@gmail.com
🖥️ Website: www.drraghurajhegde.com

To read more details about this surgery including the risks and complications refer to the following article. Blepharoplasty- Eyelid Lift Surgery

©All patient photos are being used with the express consent of the patient. These cannot be shared or reproduced elsewhere.

Published by Dr. Raghuraj Hegde

Free thinker| Poet| Writer| Traveller| Doctor| Ophthalmic Plastic Surgeon

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