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Lower Lid Blepharoplasty (Bags Under the Eyes)

Eye bags or puffy eyes happen to almost everyone at sometime in their lives, but when eye bags become a chronic problem, these under-eye bags, puffy eyes, and drooping eyelids can become more than just a temporary annoyance. This is where Dr. Sean Paul can help with blepharoplasty in Austin

What causes eye bags?

There are many reasons why a person may develop under-eye bags, drooping eyelids, and other aesthetic problems of the eye area. Most commonly, aging eyelids start to droop and sag as muscles weaken. As we get older, the eye area can have a huge impact on how our face looks, often creating a tired, bored, or even angry expression. For some, a tired appearance can be disheartening and even misleading, thus impacting one’s self-esteem. As a solution to this common problem, Dr. Paul offers those in Austin, New Braunfels, Westlake, and Lakeway a popular procedure known as blepharoplasty (cosmetic eyelid surgery).

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What is the purpose of eye bag surgery?

The purpose of eye bag treatment in Austin is to reposition facial fat and sometimes remove excess skin for a more rested and youthful expression. There are two basic types of eyelid surgery: upper lid blepharoplasty and lower lid blepharoplasty. The two can be performed together, or as singular procedures.  Upper lid blepharoplasty and lower lid blepharoplasty can also be performed with additional procedures such as a brow lift or facelift as part of a complete facial rejuvenation. Lower blepharoplasty is primarily used to address under-eye bags and pockets of fat beneath the eye, while an upper blepharoplasty is to correct drooping upper eyelids that may be affecting one’s expression and/or normal vision. During your consultation with Dr. Paul, he will determine which procedure is right for you, or if both are needed. 

Before & After

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About the procedure

Typically, the anesthesia used will be tailored to the patient’s comfort level and the type of procedure(s) being performed. If only blepharoplasty is being performed, local anesthesia with oral sedation can be an excellent option in our office, however if combined with other procedures (or if the patient prefers), general anesthesia can be used at one of our outpatient surgical centers around the greater Austin area. Eyelid surgery takes about one to two hours on average when performed as a stand-alone procedure for both eyes.

A lower blepharoplasty is performed through small incisions hidden through the backside of the eyelid, also called a transconjunctival approach. Specifically, this area is underneath the lower lashes, within the moist lining tissue on the inside of the eyelid.

The main goal of this procedure to remove or re-position excess fat to smooth the area beneath the eyes and achieve a rested, youthful appearance.

Upper blepharoplasty usually involves the conservative removal of skin, and occasionally muscle and fat of the upper eyelid. It is performed through small incisions in the upper eyelid crease. Scarring is minimal for both techniques, as the incisions are small and hidden within the eyelids and eyelashes. Major complications with blepharoplasty surgery are rare, and the procedure is considered very safe. Dr. Paul is always meticulous with his approach, avoiding the removal of too much skin and fat for a very natural appearance and beautiful results.

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Downtime and recovery

Patients usually have a short recovery time after blepharoplasty in Austin. Although bruising and swelling is usually the worst on the day after surgery, they quickly begin to disappear. During the first 48 hours, the use of cool compresses can greatly reduce bruising and swelling around the eyes and face. 

Light activity, such as walking, will also help speed healing. Thin bandages are usually placed over the incision sites and removed in several days, while the stitches can remain in the skin for about a week. Sometimes self-absorbing stitches are used that do not require removal. Most people return to normal activities after seven to ten days following blepharoplasty. By two weeks after eyelid surgery, the majority of the bruising and swelling will resolve.

Am I a good candidate for eye bag surgery?

Candidates for eye bag and lower eyelid surgery in Austin are healthy adults with excess skin, drooping skin, or puffy bags of fatty tissue around the eyes. Most patients are interested in blepharoplasty for cosmetic reasons, but there are some conditions that cause the upper eyelid to droop and impair vision. In other instances, aging may lead to malposition of the lower eyelid, which can lead to drying of the eyes. Patients should have realistic expectations about the results of the procedure and be aware of the limitations of the surgery. A lower eyelid correction is a relatively minor procedure, but requires a oculoplastic surgeon to possess a great deal of experience and skill. Dr. Sean Paul is an expert in the different operating techniques, and knows how to achieve the most natural results.

Alternatives and additional options

Other treatments may also need to be considered. If the upper eyelid condition is accompanied by sagging of the eyebrows, then a forehead lift may be recommended. Smoothing of the crow’s feet may be accomplished with Botox, Dysport, or chemical peel resurfacing procedures. For dark circles under the eyes, alternatives to surgery include dermal fillers.

Juvederm and Restylane are two great options we use at Austin Face & Body to improve the appearance of sunken eyes or dark circles, as well as hollowing of the cheeks. These are fillers that achieve excellent results. If you have any questions about these treatments, our knowledgeable team will be happy to provide further information about these alternative or additional procedures.

Scarless Eyelid Surgery Austin

What happens during the consultation?

During your initial consultation, Dr. Paul will ask you to discuss your concerns about your eyes. He will also carefully evaluate your medical history, noting any prior history of eyelid surgery, dry eyes, or the use of blood thinners. He will also pay special attention to the surrounding anatomic structures such as the upper eyelids, cheeks, as well as the strength of the lower eyelid muscles.

Schedule a consultation with us

When skin loses its elasticity and fat starts to press against the thinning skin of the lower eyelids, it may be a good time to consider a blepharoplasty consultation with Dr. Sean Paul. As a high-end oculoplastic surgeon, Dr. Paul specializes in the eyelids and the structures surrounding the eye. He has also been hailed as an innovator in aesthetics of the lower eyelids. To learn more or schedule an appointment, please call 512-642-5050, or contacting us online

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