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Eyelids are the structures most affected by the aging process on the face. Wrinkling of the skin in the eyelids, which are mobile and very thin skinned by their structure, is almost inevitable in advancing ages. No matter how tense and smooth the face is, drooping and baggy eyelids will make the person look old. 

Why does under eye sagging occur?

1. Aging 

As people get old, the skin under the eyes thins and sags.It is considered normal to have sagging under the eyes by age. The skin under the eyes, which is thinner and weaker than the rest of the body, is quite sensitive. In addition to this sensitivity, as the skin ages, the muscles that support the eyelids also deteriorate and the skin begins to sag over time. As a result, the fat bags that support the eyes herniate, are pushed forward and form under-eye bags. 

2. Genetic Factors 

Genetic factors may affect many areas of an individual’s body aesthetic. Having sagging under eye skin at young ages is mostly due to genetic factors. 

3. Enviromental Factors 

  • Alcohol Consumption and Smoking
  • Takin Antidepressants
  • Sleeping Disorders
  • Sepdngin excessive time on screen
  • Age
  • Personality
  • Exposure to Sun, air polution

Can accelerate the process of skin aging. 

What are the symptoms?

The skin has an elastic structure due to the collagen it contains. But as you age, it gradually loses its elasticity. As a result of the loss of elasticity of the facial skin, excess skin first occurs on the eyelids. Therefore, the first signs of aging are observed on the eyelids. Changes due to aging on the eyelids cause a tired and sleepy look, dull and old appearance. Some of the signs of aging seen in the lower and upper eyelids;

  • Under-eye bags and discoloration,
  • drooping of the upper eyelid
  • Wrinkles and sagging of the eyelid skin
  • Wrinkles around the eyes
  • Tired look 

When to Undergo Lower Blepharoplasty Operation?

Lower eyelid aesthetics are mostly required by individuals over 35 because the signs of aging on the eyelids usually begin to appear after these ages. However, it is possible for people with medical purposes to have it done at any age. 

Especially since abnormal under-eye bags can affect the visual quality of people, they should be treated as early as possible. Surgery cannot stop the ongoing aging of the eyelids; but its effect lasts for a long time. After the surgery, the tired facial expression of the person leaves its place to a lively and youthful appearance. 

Before Under Eye Bag Surgery

Some analyzes and tests are performed before the operation. These affect the anesthesia to be taken during the surgery, the surgical method, etc.

In addition, the surgeon should be informed about the diseases and drugs used.

If blood thinners are used, the doctor should be informed about this before the operation. The use of blood thinners should be discontinued for a certain period of time before the operation. Otherwise, problems such as bleeding may be encountered during the surgery.

Preoperative drawings and photography also inform the patient about the postoperative method and facilitate the doctor's work.  

Lower Blepharoplasty Surgery

The surgical methods and techniques to be applied vary according to the skin structure of the patient. The operation can be performed under local anesthesia which takes 1 hour, or it can be performed under general anesthesia, if the surgeon seems it appropriate, according to the request of the patient.

During the surgery, if the patient does not only have problem for the under-eye bags but also upper eyelid problems, the operations can be combined, and the duration of the operation may be a little longer accordingly.

Fat tissues and muscle accumulated under the eyes cause the eye bags look. During the operation, the deformities under the eyes are corrected with special surgical methods. Fat tissues and muscle are performed. During the operation, the fat tissue under the eye is not removed but placed where it should be in order to support the eye. The muscle and connective tissue on the fat tissue are repaired. The excess of the loose and sagging under-eye skin is removed and the under-eye is stretched. This area is then stitched. Here, too, in order to hide the scars, it is entered from the areas of the eye bags or from the bottom of the eyelashes (the tissue is loose there, there are not too many scars).  

After Lower Blepharoplasty Surgery

The patient should pay attention to surgeon’s recommendations after the surgery which are important for the recovery process.

There will be tiny dressings for the first three days after the surgery. It is recommended not to take a shower until the dressings are removed. At the end of two or three days, these bands fall off with taking a bath, it is okay to take a bath unless hot water. However, the patient should pay attention not to apply water directly to the eye or rub the eyes.

After the surgery, the eyes may be a little more sensitive. Minor stinging and burning are also possible. This situation is temporary.

As in any surgery, this surgery carries risks arising from surgery and anesthesia.

Risks such as burning, stinging, eye watering and infection can be seen after the surgery. These risks are minimized by following the doctor's advice.

The healing process is longer after under-eye bag surgeries performed to advanced age patients. It may take 3-6 months to see the full result of the procedure. 


Is eyelid surgery painful?

Since the eyelid surgery is performed with local anesthesia, only slight pain is felt when the local procedure is applied. 

When can the person return to work after surgery?

After the eyelid surgery, the person can return to daily life in a very short time. After the procedure, patients can return to work at the end of the first week. 

Can visual impairment occur after surgery?

Temporary blurred vision may occur after eyelid surgery. This situation is temporary. Eyelid surgery do not affect visual status. 

Is there an age limit for eyelid surgery?

Eyelid surgery is usually an aesthetic operation performed after the age of 35. However, at the early ages, eyelid surgery can be performed in people who have structurally too flesh and low upper eyelid or who have significant bagging in the lower eyelid. There is no upper age limit for surgery. Eyelid surgery can be performed to people of any age who do not have any health problems that will not prevent the procedure. 

Should wound dressing be performed after eyelid surgery?

Thin, sterile tapes are adhered to the cuts immediately after the procedure. These bands are removed during the shower after two days. No other dressing is required. 

How long does eyelid surgery last and what type of anesthesia is performed?

Eyelid surgery is usually performed under local anesthesia. Or it can be performed under general anesthesia in combination with other aesthetic operations. Eyelid aesthetics can be performed in 30-45 minutes under local anesthesia.  

Is it necessary to stay in hospital after the procedure?

Eyelid aesthetics is a procedure that does not require anesthesia, so the person can be discharged immediately after the procedure. 

Will there be swelling and bruising after surgery?

Edema and bruises may last one week after eyelid aesthetics. These are gradually decreasing and disappearing. 

Should sutures be taken after eyelid surgery?

Since self-melting sutures are used during eyelid surgery, no sutures are taken after the procedure.  

Is surgery-free eyelid aesthetics possible?

Eyelids that have a thin and delicate sag hang over time and depending on environmental factors. The creams used to return drooping eyelids to their original condition are useless and can be harmful as they contain a large amount of chemicals. Surgical removal of the eyelids is the definitive and most effective solution. 

estetik cerrahi

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