Many times the lower eyelid is determined in the preoperative evaluation to be too flaccid. If this is the case, the lower eyelid will be tightened along with removal of the redundant lower eyelid fat pads and skin. Some patients are only noted to have protruding lower eyelid fat pads without redundant lower eyelid skin. These patients may have the incision made on the back surface of the lower eyelid - the transconjunctival lower eyelid blepharoplasty. This procedure can be associated with tightening of the lower eyelid if necessary.
Some patients also note flattening of their cheekbones as they age.
This is frequently caused by descent of the cheek fat pads. If this is determined to be evident in the preoperative evaluation, it can be addressed through either the transconjunctival incision or the incision below the lower eyelid lashes. After upper eyelid surgery, patients may have a dressing placed on their upper eyelids which does not obstruct their vision. For the first several days after surgery, patients must keep their wounds clean and dry. It is not unusual to temporarily be unable to close your eyes after eyelid surgery.