Under Eye Surgery – Procedure, Aftercare and Risks

If the surgery has to be done on both lower and upper eyelid, then the surgeon will first work on your upper eyelid. An incision is made along the natural crease of the upper lid and the excess fat, muscle and skin are removed by the surgeon. With the help of minute stitches which would leave almost an invisible scar the incision is closed.

While working on the lower lid, an incision is made on the natural crease below the lashes or inside the lid. Then the removal of sagging skin, excess fat and muscle is done by the surgeon. After the removal process the incision is closed with minute stitches.

Sometimes, your eyelid may droop close to the pupil. In that case under eye surgery is done in conjunction with another procedure.

How Under Eye Surgery Is Performed?
Under eye surgery is generally performed by using local anesthesia in an outpatient setting. A numbing medication is injected in your eyelid, and to relax you the surgeon would administer intravenous medications. You would feel groggy but will not be able to sleep.

Depending upon the location and amount of tissue that has to be removed, generally the surgery is finished within 1-3 hours. Nurses and the hospital staff would monitor you for complications while you are resting in the recovery room. Later that day you can leave for home to recover.

What Happens After Under Eye Surgery?
The most common symptom after under eye surgery is blurred vision. Blurred vision is caused because of using the ointment for protecting and lubricating your eyes. Immediately after the surgery, you may experience double vision, light sensitivity and excessive tearing. In addition to the above conditions you may also experience numbness or puffiness in your eyelids. Discoloration and swelling slightly similar to black eyes can be expected after the surgery. After the surgery, your incisions would be clearly visible and red.

Aftercare of Under Eye Surgery
Here are a few precautions you need to follow for at least 1 week post-surgery:

  • Try to avoid lifting heavy articles of more than 20 pounds.
  • Avoid bending your waist unless you are bending your knees.
  • Avoid swimming.
  • Avoid laborious physical activities like jogging or aerobics.
  • Excessive neck movements should be avoided.
  • While sleeping, remember that your head should be raised higher than your chest.

It may take around 3-6 months for the scars to fade. Protect your operated eyelid from sun exposure during the healing of the scars. For most people, results after under eye surgery are permanent but in some cases re-occurrence of drooping eyelids may take place.

Risks of Under Eye Surgery
Like any other surgery under eye surgery also involves some risks like:

  • Reaction or infection to the local anesthesia
  • Short-term numbness of the eyelid skin
  • Irritated and dry eyes
  • Impaired functioning of the eyelid
  • Scarring
  • Due to bleeding behind the eyes there are slight chances of blindness
  • Discuss with your doctor about the benefits and risks of under eye surgery and clarify all your doubts. This helps you to get a clear idea about the surgery and how you can benefit from it.