Lower blepharoplasty
This man consulted me regarding his dissatisfaction with his bulging lower eyelids. He felt this made him look tired and ageing and he wished for correction of this difficult area. Lower blepharoplasty is a very complex area surgically and consideration must be given to adopting surgical strategies that minimise the risk of problematic post-operative problems such as lid malposition (where the eyelid ends up sitting too low), ectropion (where the eyelid ends up sitting off the surface of the eyeball) and chemosis (swelling of the conjunctiva surface of the eyeball). In this case an open approach, with scars hidden discreetly under the lashes, provided access to improve the bulging of the eyelid and maintain integrity of the lower eyelid are on the eyeball.


