Under-eye bag removal

Under-eye bags, bulging, drooping, loose skin and wrinkles are the common signs of ageing that present on the lower eyelid. Under-eye bags are caused as the skin in the periorbital region begins to thin and droop. The fat around the area gets pulled down due to gravity and the under-eye bulges. However, this can be corrected using surgery. Under-eye bag removal surgery reduces bulging, puffiness, drooping and sagging – resulting in a natural, fresh and enhanced youthful appearance.

Blepharoplasty-Treatment

Pre-procedural prep

  • Expectations – during the consultancy, the patient is prompted to express their desired expectations with the surgeon and discuss its possibilities. Scars can be considerably reduced, however, they are not 100% reversible*.
  • Medical history – the physician will ask the patient about their past-medical history as well as family history to ensure that they are eligible to undergo the surgery. Patients with blood disorders are advised not to undergo this procedure as they are at higher risk.
  • Photography – a professional will take before and after pictures in different angles to record the change made due to the procedure.
  • Smoking – the patient is strictly advised to avoid smoking a week before the procedure as it can affect the surgery and healing process.
  • Medications – after reviewing the patient’s medical history, the physician may ask the patient to stop consumption of certain medicines. They include – aspirin, immunosuppressants, anti-inflammatory medicine, herbal capsules, blood thinners and other anti-coagulants.

Care – the patient may be asked to arrange for driven transport as they may not be able to drive post-surgery. It is also advisable to have someone at home to help a few days during recovery.

Blepharoplasty-for-Drooping-Eyelids

Procedure

Under-eye bag removal surgery is typically performed under local anaesthesia or general anaesthesia, depending on the combination of procedures. The technique used is similar to lower eyelid surgery.

  • Waterline:
    This method involves the surgeon making the incision close to the waterline. The physician then removes any excess tissue and fat. Once the desired results are achieved, the incision is closed. The periorbital region will be bandaged to protect the treated area. The surgeon may not use sutures, therefore, any scarring formed will be minimally visible.
  • Contours:
    This technique involves the surgeon making the incision in the natural contours of the lower eyelid. The physician then removes any excess tissue and fat. Once the desired results are achieved, the incision is closed using small sutures and the periorbital region will be bandaged to protect the treated area. Any visible scarring can be reduced using laser resurfacing.

Blepharoplasty-before-after

Risks & recovery

  • Downtime – the patient can resume normal activities in 5 to 7 days, depending on the technique used.
  • Activities – there should be minimal eye movement for the first few days into recovery. Swimming, gymming or any strenuous exercise should be avoided until prompted by the surgeon.
  • Strain – the eyes shouldn’t be strained by any sort of movement, rubbing, or over-working until recovery has been completed
  • Swelling – this procedure may cause severe facial swelling for the first few days.
  • Scarring – depending on the technique used, there may be visible scarring. This can be reduced using laser resurfacing or covered using makeup.
  • Sensation – there may be partial loss of sensation after complete healing. This can cause temporary or permanent numbness around the treated area.
  • Dryness – due to the treatment, the patient may incur dry eyes for about two weeks. This may also cause some crustiness around the eyes.
  • General risks – surgical procedures may cause redness, bruising, bleeding, scarring, itching and infection.
  • Rest – the patient is advised to take complete rest to promote fast healing.
  • Ice & compression – the wound should be compressed with an ice pack to reduce swelling.
  • Elevation – the patient is advised to sleep in an upright and elevated position. This reduces swelling and avoids any tugging or pulling.
  • Smoking – the patient is strictly advised to avoid smoking for up to two weeks post-treatment. Smoking can interfere with blood flow and can cause problems with healing.
  • Alcohol – the patient is advised to avoid alcohol consumption for a few days as it can counteract with medications prescribed for aftercare.
  • Medicines – the surgeon may prescribe painkillers and antibiotics. They can be a combination of tablets as well as topical treatments and eye drops. These medicines need to be used promptly as prescribed by the physician.
  • Makeup – no makeup is to be worn prior-treatment or post-treatment until prompted. Makeup can be used to conceal any prolonged bruising and scars post-recovery.

Fat grafting

Volume loss around the eyes can lead to sunken eyelids and premature signs of ageing. Volume loss found in various patients is typically caused due to severe exertion and stress. However, this can be corrected using the technique of fat grafting. Fat grafting results in plump, full and a youthful periorbital region.

Pre-procedural prep

  • Expectations – during the consultancy, the patient is prompted to express their desired expectations with the surgeon and discuss its possibilities.
  • Medical history – the physician will ask the patient about their past-medical history as well as family history to ensure that they are eligible to undergo the surgery. Patients with blood disorders are advised not to undergo this procedure as they are at higher risk.
  • Photography – a professional will take before and after pictures in different angles to record the change made due to the procedure.
  • Smoking – the patient is strictly advised to avoid smoking a week before the procedure as it can affect the surgery and healing process.
  • Medications – after reviewing the patient’s medical history, the physician may ask the patient to stop consumption of certain medicines. They include – aspirin, immunosuppressants, anti-inflammatory medicine, herbal capsules, blood thinners and other anti-coagulants.

Care – the patient may be asked to arrange for driven transport as they may not be able to drive post-surgery. It is also advisable to have someone at home to help a few days during recovery.

Procedure

  • Step 1: liposuction
    Fat grafting begins with liposuction and is typically performed using local anaesthesia. Fat is extracted from the adipose layer in the donor site, the incision made is closed using sutures. The extracted fat is then purified and ready to be deposited.
  • Step 2: delivery of fat
    The purified fat is delivered by the surgeon to the recipient site using a syringe to achieve desired results.

Risks & recovery

  • Downtime – the patient can resume normal activities in 1 to 7 days, depending on the surface area of liposuction.
  • Activities – there should be minimal eye movement for the first few days into recovery. Swimming, gymming or any strenuous exercise should be avoided until prompted by the surgeon.
  • Strain – the eyes shouldn’t be strained by any sort of movement, rubbing, or over-working until recovery has been completed
  • Swelling – this procedure may cause severe facial swelling for the first few days.
  • Bruising – due to the delivery method, there may be visible bruising. This should subside within a week, after which if it persists, it can be covered using makeup.
  • Sensation – there may be partial loss of sensation after complete healing. This can cause temporary or permanent numbness around the treated area.
  • Dryness – due to the treatment, the patient may incur dry eyes for about two weeks. This may also cause some crustiness around the eyes.
  • General risks – surgical procedures may cause redness, bruising, bleeding, scarring, itching and infection.
  • Rest – the patient is advised to take complete rest to promote fast healing.
  • Ice & compression – the treated area should be compressed with an ice pack to reduce swelling.
  • Elevation – the patient is advised to sleep in an upright and elevated position. This reduces swelling and avoids any tugging or pulling.
  • Smoking – the patient is strictly advised to avoid smoking for up to two weeks post-treatment. Smoking can interfere with blood flow and can cause problems with healing.
  • Alcohol – the patient is advised to avoid alcohol consumption for a few days as it can counteract with medications prescribed for aftercare.
  • Medicines – the surgeon may prescribe painkillers and antibiotics. They can be a combination of tablets as well as topical treatments and eye drops. These medicines need to be used promptly as prescribed by the physician.
  • Makeup – no makeup is to be worn prior-treatment or post-treatment until prompted. Makeup can be used to conceal any prolonged bruising and scars post-recovery.

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Tamira Plastic Surgery

No. 18, Gopalapuram 1st St, Gopalapuram, Chennai, Tamil Nadu 600086