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A Guide To
Lower Eyelid Surgery

“Eyelid repositioning may induce or alter astigmatism, leading to temporary or long-term changes in spectacle or contact lens correction.” – Stephen R. Klapper, M.D., F.A.C.S. and James R. Patrinely, M.D.D, F.A.C.S 

Lower eyelid surgery involves an incision being made along the creases in the eyelid and the laughter lines to remove excess fat and skin, to improve the overall appearance of the eye area. 

1.

You will be given either a general anaesthetic or an intravenous sedation for your comfort before the surgery begins.

2.

Your surgeon will cut just below your eyelash line. This means scarring will run inline with your natural folds of your eyes.

3.

As with upper eyelid surgery, the loose skin, excess fat and muscle are removed.

4.

The stitches are then closed together using fine stitches or surgical tape. 

Complications / Negligence Signs
1.

Temporary lid lag – you might find that the lower eyelid pulls down 

2.

In extreme cases, loss of eyesight can occur, however this is extremely rare. 

3.

Temporarily blurred or impaired vision

Surgical Risks
1.

 

General anaesthetic carries serious risks. However, these are very rare (typically, these risks will occur one case in every 10,000). 

The complications can include:

-Anaphylaxis (a harmful reaction to the anaesthetic)

Inherited reaction to the anaesthetic

In extremely rare cases, death (approx. 1 death for every 100,000 general anaesthetics given).

These problems are more likely to arise if:

you are undergoing emergency surgery

you have other illnesses 

you are a smoker

you are overweight 

Your surgeon should talk you through these risks before your operation. 

Advice

If you would like more information, or sound, impartial advice on the decisions you should consider before undergoing cosmetic surgery, read the S.A.F.E Choice Guide. 

Questions & Concerns

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