What should I do if my lower eyelids are sagging?

Eyes are the windows to the soul. Bright big eyes make people feel energetic and vibrant. Drooping eyelids will affect your appearance and make you look listless. There are two types of sagging eyelids: congenital and acquired due to aging. Either type affects a person's mental outlook. More and more people are choosing blepharoplasty to say goodbye to sagging upper eyelids once and for all. The editor will introduce the method in detail below.

Indications of lower eyelid blepharoplasty:

(1) Patients with simple sagging lower eyelid skin. (2) The entire lower eyelid is loose and "bag-like".

Steps of lower blepharoplasty:

(1) Draw a line parallel to the eyelid margin 2-3 mm below the lower lacrimal point. Move slightly downward to the outer half of the eye. When it reaches the outer canthus, the line is about 4 mm away from the outer canthus. Then turn downward and extend 4-5 mm in the direction of the crow's feet. This is the incision line.

(2) Ask the patient to look upward. Use a toothless ophthalmic clamp to pinch the loose skin on one side of the incision line to a degree that does not cause ectropion. Measure the pinch width and move the lower point upward by 1-2 mm (minus the thickness of the pinched skin). This is the maximum width of the lower eyelid skin to be removed. Draw an arc-shaped dotted line connecting the two ends of the tangent line upward. This line is the reference line for the skin to be removed.

(3) Observe the lower eyelid bags while standing, determine the most prominent part, mark it, and indicate the lower edge of the eyelid bags (infraorbital margin). This step can be skipped if there are no eyelid bags.

(4) Cut the skin and subcutaneous tissue along the incision line.

(5) Use blunt-tipped fine curved scissors to peel back the skin and orbicularis oculi muscle to the level of the lower orbital margin and stop the bleeding.

(6) Pull down the incision skin to expose the subtarsal area, cut the orbicularis oculi muscle fibers at the marked convex part, and expose the orbital septum.

(7) Cut open the orbital septum and remove each group of fat separately. (Two or three groups of fat can be removed according to the markings.) Stop the bleeding carefully.

(8) Suture the orbital septum (if it is too loose, the suture can be strengthened).

(9) For patients with lax orbicularis oculi muscle, another strip of orbicularis oculi muscle should be removed near the eyelid margin.

The above is the method to solve the sagging lower eyelid through surgery. Through the above introduction, I believe everyone should have some understanding of the surgery. The eyes are the windows to the soul. Loose eyelids will not only have a negative impact on our appearance, but also affect our vision. Don’t ignore it and take measures to treat it.