What is the Location of the Scars for a Lower Blepharoplasty and How Noticeable are They?

The placement of incisions is a common concern with most patients, but fortunately the lower eyelid is an area that usually heals wonderfully so that a scar cannot be seen.  For many lower lid procedures, the incision lies inside the lower lid, and is usually held together by one suture that dissolves.  When the incision is outside the eyelid, it is placed just below the lash line, and if it is performed correctly, that incision virtually disappears over time.  If you have any other questions or concerns be sure to see a board certified facial plastic or plastic surgeon

A transconjunctival approach for lower blepharoplasty does not involve external incisions and is performed for all fat removal from the lower lids.  When needed, as is common for patients over age 50, a small pinch of skin is removed below the lash line through a subciliary incision.  This incision is closed with tissue glue, not sutures, which allow it to heal imperceptibly.  The eyelashes themselves camouflage the incision.

There is no simple answer. There are various techniques for lower eyelid blepharoplasty and a good plastic surgeon whould be trained in all techniques since there is a correct surgery for each person. If you have a large amount of excess skin in the lower lid, a subciliary (below the lash) should be performed to remove excessive skin. If there is minimal excessive skin, a transconjuctival blepharoplasty will help with bulging fat. If there is ectropion, other incisions will be necessary.