Lower eye surgery removes puffiness and bagging underneath the eyes. Skin in the lower eyelid is especially thin – more so towards the eye center. Muscle layer is located right under the eyelid skin, separated from the fat layer with a tissue membrane. With age, all of them begin to weaken, leading to repositioning of fat layer and making the skin to lose elasticity. This type of procedure is most helpful for those with fat deposits and very little excess skin under the lower eyelids. Usually, lower eyelid operation is performed under the general anesthesia. You may also be given sedation and local anesthesia. Special plastic shields, not unlike contact lenses, can be also applied to the eyes. Marks for incisions can be drawn right under the eyelashes so that scars from the operation are as hidden as possible.
Physician makes an incision to open the muscle underneath and another one in the muscle layer to separate muscles from the orbital septum around them. Surgeon will then get to the septum and open three layers of fat and will remove or reposition them to reduce puffiness. Then unneeded skin and possibly, parts of muscle, are cut to remove the bags. Sutures may or may not be applied, depending on the choice of your surgeon. Bruising, pain and possibly, swelling after the procedure can be experienced, depending on the amount of tissues being removed. Your doctor may recommend using cold compresses, as well as pain medications to help remove the pain and swelling. Physical or straining activities like heavy lifting and exercises should also be avoided – this will probably be recommended by your surgeon, as well, so that your body would have enough time to heal after surgery. If the non-dissolvable sutures are used, they are usually removed in between five days to a week and you will probably begin to notice the improvements in eye bruising after seven to ten days.