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Lower blepharoplasty is a surgical procedure that focuses on the lower eyelid region, targeting excess skin, muscle, and fat that accumulate beneath the eyes. The goal of lower blepharoplasty is to remove or reposition excess tissue, such as fat deposits and skin while tightening the muscles to improve the overall contour of the lower eyelid. By making small incisions, typically along the lower lash line or inside the lower eyelid, the surgeon can access the underlying tissues and address the specific concerns of the patient. Lower blepharoplasty can also address functional concerns, such as correcting the position of the eyelids if sagging skin affects the way the eyelids move.
Not every individual will need or be suited for lower eyelid surgery in Sydney, and determining candidacy involves a detailed consultation with a qualified surgeon like Dr John Flood. Ideal candidates for lower blepharoplasty are generally individuals who experience the following issues:
Dr John Flood assesses each patient’s individual needs and medical history during the consultation process, ensuring that lower blepharoplasty is a suitable option for achieving their desired results. Patients who smoke are typically advised to quit several weeks before surgery, as smoking can negatively impact healing and increase the risk of complications.
Preparation for lower lid blepharoplasty in Sydney is a vital part of ensuring a successful surgery and recovery. Proper preparation involves following specific guidelines provided by Dr John Flood and his team, all aligned with the patient’s health and individual circumstances. These pre-operative steps are crucial for reducing the risk of complications and promoting optimal healing.
By adhering to these preparation guidelines, patients can reduce the likelihood of complications and ensure that they are ready for the surgical process.
Lower blepharoplasty is typically performed under local anaesthesia with sedation, although general anaesthesia may be used depending on the complexity of the procedure and the patient’s preferences. The choice of anaesthesia will be discussed during the consultation with Dr Flood to ensure patient comfort throughout the surgery.
Once the anaesthesia has taken effect, small incisions are made either just below the lash line or inside the lower eyelid, depending on the patient’s specific needs. The external incision (subsidiary approach) is commonly used when excess skin needs to be removed, while the internal incision (transconjunctival approach) is suitable for patients who require fat removal or repositioning without skin excision. Both approaches are designed to minimise visible scarring and provide access to the underlying structures of the eyelid.
After making the necessary incisions, Dr Flood carefully removes or repositions the excess fat that causes puffiness or under-eye bags. In some cases, this fat may be redistributed to areas where volume loss has created hollows or shadows, achieving a smoother appearance. If excess skin is present, it will be carefully trimmed to tighten the lower eyelid and improve the overall contour.
The removal and redistribution of fat are performed with precision to ensure that the lower eyelid maintains a natural shape. By taking a conservative approach, Dr Flood ensures that the lower eyelids are balanced and symmetrical, with no significant changes to the natural shape of the eyes.
Once the necessary adjustments have been made, the incisions are closed with fine sutures. If an internal (transconjunctival) incision is used, no external scarring will be visible, as the incision is made inside the lower eyelid. For external incisions, the sutures are placed along the lash line, ensuring that any scarring is discreet and well-concealed within the natural contours of the skin. Over time, these scars typically fade and become barely noticeable. Dr Flood uses meticulous surgical techniques to ensure that the incisions heal smoothly and the final results are aesthetically pleasing.
The length of the surgery depends on the complexity of the case but typically lasts between one and two hours. Following the procedure, patients are monitored in a recovery area to ensure they are stable before returning home. It is important for patients to arrange transportation, as they will not be able to drive or use public transportation immediately after the surgery.
The initial recovery period for lower blepharoplasty generally spans about 10 to 14 days. During this time, patients may experience swelling, bruising, and mild discomfort, which are normal aspects of the healing process. Swelling is usually most pronounced in the first few days and gradually decreases over the course of a week. Bruising around the eyes may take a little longer to fade, but this will also improve as the body heals.
Patients can typically resume light activities within one to two weeks, but strenuous activities and heavy lifting should be avoided for at least four to six weeks. Full recovery can take several months, during which time the final results will gradually become more apparent.
On the day of the surgery, patients are advised to arrive at the clinic on time and prepare for the procedure. Wear comfortable, loose-fitting clothing and avoid wearing makeup or any skincare products on the face. Patients should also ensure that they have arranged for transportation home, as it is unsafe to drive or take public transport after surgery.
Upon arrival, the clinic staff will guide patients through the check-in process and ensure that all necessary paperwork is completed. Dr Flood will meet with the patient before surgery to review the surgical plan, address any last-minute questions, and ensure that the patient feels comfortable and informed before proceeding.
Before the procedure begins, the surgical area will be cleansed and prepared. The anaesthesia will be administered, ensuring that the patient remains comfortable and pain-free throughout the surgery. Dr Flood and his surgical team will ensure that all safety protocols are followed, and the patient is closely monitored during the procedure. This careful preparation is critical for ensuring a smooth and successful surgery.
After the surgery is complete, patients will be given specific instructions on how to care for the surgical site and manage their recovery. These post-surgery care instructions are designed to promote healing and minimise the risk of complications. Patients will be advised to:
Patients should also avoid strenuous activities, including heavy lifting, exercise, and bending over, during the initial recovery period. Protecting the eyes from sun exposure and wearing sunglasses when outdoors can also help prevent irritation and promote healing.
In the first few days following lower blepharoplasty in Sydney, patients will need to follow the post-operative care instructions closely. Swelling and bruising are expected, and it is important to manage these symptoms properly to ensure a smooth recovery. Cold compresses applied gently to the area around the eyes can help reduce swelling, and keeping the head elevated will aid in minimising fluid retention around the lower eyelids.
Patients may also experience a sensation of tightness or discomfort in the lower eyelid area, but this should gradually subside as healing progresses. Any pain or discomfort can be managed with over-the-counter pain medications, as recommended by Dr Flood.
Swelling is a natural part of the healing process and will typically peak within the first 48 hours after surgery. To manage swelling and reduce discomfort, patients should apply cold compresses to the area and avoid activities that may increase blood flow to the face, such as bending over or strenuous exercise. Keeping the head elevated, even while resting or sleeping, can help minimise swelling and promote faster healing. Over-the-counter pain relief medications, such as paracetamol, may be used to manage discomfort, but patients should avoid aspirin or other medications that may increase the risk of bleeding.
Follow-up appointments with Dr Flood are essential to ensure that the healing process is progressing as expected. During these appointments, the surgical incisions will be examined, and any sutures that have not dissolved will be removed. Dr Flood will also monitor for any signs of complications and make adjustments to the post-operative care plan if necessary. Regular follow-up care is an important part of the recovery process and helps ensure that patients achieve the best possible results.
While initial improvements in the appearance of the lower eyelids can be seen within the first few weeks after surgery, full recovery may take several months. As the swelling continues to subside and the tissues settle into their new position, the final results of the procedure will gradually become more apparent.
Most patients in Sydney notice the full benefits of lower eyelid surgery around three to six months after the surgery. At this point, the lower eyelids will have fully healed, and the scars will have faded to become barely noticeable. By following Dr Flood’s post-operative care recommendations, patients can ensure long-lasting results.
If you are considering lower blepharoplasty to address puffiness, bags, or sagging under the eyes, Dr John Flood offers expert care and personalised treatment options. Contact his office today to schedule a consultation and learn more about how this procedure can restore the natural contour of your lower eyelids while improving both comfort and appearance.
Patients considering lower blepharoplasty often have questions about the surgery and its results. Some of the most common concerns include:
Lower blepharoplasty offers long-lasting results, particularly in addressing issues such as puffiness and under-eye bags. Once the excess fat and skin have been removed or repositioned, the improvements remain for many years. However, as with all cosmetic procedures, the natural aging process will continue, and changes in the skin may occur over time. Many patients find that the effects of lower blepharoplasty provide significant long-term improvement, helping them maintain a refreshed appearance for a decade or more.
As with any surgical procedure, lower blepharoplasty carries some risks, although complications are rare when performed by an experienced surgeon like Dr John Flood. Potential risks include:
In rare cases, patients may experience asymmetry or issues with healing. Dr Flood discusses these risks in detail during the consultation, ensuring that patients are fully informed before making their decision. By following all post-operative care instructions, patients can minimise the risk of complications and promote optimal healing.
For any further inquiries or to schedule your consultation, please contact our clinic. Our team is here to assist you and provide the information and support you need.
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