“The eyes are the window to the soul,” the famous saying goes. Or, as Dr. Byun says, “the eyes are the window to your age.” Make sure your windows are in optimal condition and awaken your youth with Dr. Byun’s famous blepharoplasty, with minimal bruising and recovery in mere days.
What is Blepharoplasty?
It is surgery on the lower or upper eyelids to excise bulging fat pads or excess sagging skin, as well as to repair muscle in order to combat that “tired” look your face may have.
Each eyelid is different and requires different surgery, so, for each patient, Dr. Byun must carefully analyze the area surrounding the eye to identify and recommend problem areas for correction. Dark circles, caused by thinning skin that allows muscle beneath to be visible, and bags under the eyes are typically areas that will receive special attention by Dr. Byun. He will use a specialized procedure – midface rejuvenation – to alleviate dark circles by lifting sagging tissue to fill the thinning hollow and remove the dark coloration. Bulging fat pads beneath the eye can be removed from within the lower eyelid which results in younger-looking eyes and no visible scar. Eyelid surgery involves multiple different areas of the eye and, thus, must be crafted delicately for each patient to ensure optimal effectiveness. Dr. Byun’s knowledge and expertise on the subject allow for him to be prepared, no matter how the blepharoplasty must be customized.
Is there much recovery involved?
No, as stitches, if present, will be removed within a few days. Bruising may occur, but will fade quickly, and sunglasses can easily conceal bruises. Even your friends won’t be able to notice post-surgical damage – instead, they’ll notice how rejuvenated and refreshed you look!
Lower Eyelid Surgery
Do you have bags under your eyes? Do you look like you haven’t slept in days? Do you have both of these problems? Dr. Byun has a surgery that will end your issues, once and for all!
What can I do for this problem?
Lower eyelid blepharoplasty reduces bulging in your lower lid, which helps you look less tired and worn down and more awake and revitalized!
What makes his approach different from other plastic surgeons?
Dr. Byun offers two different methods when it comes to lower eyelid blepharoplasty. The first, the subcilliary approach, is recommended for patients who have excess bulging as well as skin wrinkles along the eye area. Dr. Byun uses an incision along the eyelashes that means the resulting scar is nearly invisible. He then removes fat from up to three pockets under the skin, ensuring that he doesn’t remove excess fat which would cause dark circles.
The second approach is the transconjunctival, which is recommended for patients who only have minor bulging, or the beginning stages of lower lid skin ptosis. This approach uses no incisions on the outside of the eye, instead using a laser to cut through the conjunctiva.
Lower Blepharoplasty Procedure
We have provided a sample copy of an Operative Report. The procedure is subject to change per the patients needs.
PREOPERATIVE DIAGNOSIS: Pseudo herniation of the lower lid, bilateral
POSTOPERATIVE DIAGNOSIS: Pseudo herniation of the lower lid, bilateral
OPERATION: Subcilliary lower lid Blepharoplasty, bilateral
After the induction of local anesthesia, the patient was prepped and draped in the usual sterile fashion. 2 ml of 1% Lidocaine with Epinephrine was injected to the lower lid bilaterally. Subcilliary incision was made using a needle-tip Bovie cautery and 15 blade. A Q-tip applicator was utilized as well as Desmarres retractor pulled the lower lid down where the septum was revealed. Three fatty compartments were released. Small amounts of fatty tissues were removed. Good hemostasis was obtained. This was done on the left side as well, using subcilliary incision and blunt dissection was carried out using Q-tip applicator. The septum was revealed. The three fatty compartments were released. Only small amounts of fatty tissues were taken out with good hemostatsis obtained. 2 mm of skin resection was done bilaterally. Incision was closed using 6-0 Prolene. 2 mm of skin was resected from the right eyelid and 2 mm was resected from the left eyelid, using a 15 blade and Bovie cautery. The incisions were closed using 6.0 Vicryl and 6.0 Prolene.
REOPERATIVE DIAGNOSIS: Pseudoherniation of the lower lid fat pad, bilateral
POSTOPERATIVE DIAGNOSIS: Pseudoherniation of the lower lid fat pad, bilateral
OPERATION: Transconjunctival approach, lower blepharoplasty, bilateral
After induction of general anesthesia in a supine position, she was prepped and draped in the usual sterile fashion. 2 ml of 1% Lidocaine with epinephrine were injected to the transconjunctival area bilaterally. A total of 4 ml were injected. The capsule of palpebral fascia was lifted using 5-0 silk, and the transconjunctival incision was made using the Bovie where the septum was exposed by peeling the connective tissues away from the septum using Q-tip applicators. Three fatty compartments were identified, and puncture incisions were made using the scissors where a small amount of fatty tissues were released and excised using the Bovie cautery. Good hemostasis was obtained. One 6-0 Vicryl was applied to the connective tissues of the lower lid above the septum to the capsule of palpebral fascia to reinforce the interior lining so that the herniation will be minimized. The left side of the lower lid was also opened transconjunctivally where the septum was opened in three different spots and the fatty tissues were released and cauterized. Only a moderate amount was resected, not the entire fatty tissues were taken out anticipating that the patient will require the fatty cushioning as he/she advances in aging. The transconjunctival lining was reattached without sutures, and good alignment was obtained.
Slight bruising, swelling, and minor eye irritation are normal following eyelid surgery. If eye irritation worsens, inform Dr. Byun so that appropriate medication can be prescribed. You may have small tapes at the corner of each eye which are used to hold the ends of the sutures in place. Do not pull them off. They will be removed, along with the sutures, at your follow-up appointment. Often, the healing process differs, so you may find some sutures still in place until Dr. Byun feels proper healing has transpired. Cleanse any uncovered incisions 3-4 times a day using clean gauze soaked in saline water (found at your local pharmacy) and keep incisions moist with Bacitracin.
Do not wear contacts if you have them. Glasses are appropriate if needed. Wait until your follow up appointment where Dr. Byun will tell you when it is safe to wear contacts again. Avoid bending your head forward as this increases swelling and bleeding. Use ice packs at 15-minute intervals, as much as you can, for the first 48 hours. Continual use of ice applications will serve to eliminate swelling much quicker! Avoid touching the swollen area as much as possible until your follow up appointment with Dr. Byun.
How much down time is involved?
One week after surgery has ended, Dr. Byun was conduct a post-operative appointment to remove all sutures. Significant swelling and bruising are often present for 24 to 72 hours after surgery has concluded, but the healing process differs from person to person, so Dr. Byun may opt to keep sutures in place until the healing is suitable for their removal. The estimated time for complete recovery is approximately three months, but patients who undergo subcilliary incision can return to work with light duties in about three to four weeks. Patients who undergo transconjuctival incision will have an estimated downtime of about three days.