Also Serving Palo Alto and the San Francisco Bay Area
Lower eyelid surgery is performed because of fat bags of the lower eyelids or because of extra lower eyelid skin or both. If only fat needs to be removed from the lower eyelids Dr. Hessler uses a non-visible incision called a ‘transconjunctival’ blepharoplasty. This incision is placed on the nonvisible pink part of the eyelid called the conjunctiva and then the fat pocket is either removed or redistributed, called a fat mobilization blepharoplasty. If Dr. Hessler removes fat during your blepharoplasty a conservative approach is used. Dr. Hessler will remove only the buldging fat and no more to maintain a soft contour around the bony edges of the orbital rim. If skin needs to be removed with your transconjunctival blepharoplasty then a skin pinch is performed for your lower eyelids. This removes the desired amount of skin through an incision just a few millimeters below the lower eyelid lash line. As in the upper eyelid blepharoplasty the thin lower eyelid skin generally heals very well making the incisions barely visible. Often the lower eyelids do not need to have fat removed but need to have volume replaced if the eyes have a sunken or hollow appearance. The volume replacement can be performed with temporary materials like fillers such at Juvederm, Restylane, Perlane, Evolence or Radiesse (link to filler)or a long lasting alternative of your own fat, called a fat transfer. If fat injection is chosen the fat is removed from either your abdomen or thighs by liposuction and then fat cells are purified and very small amounts of individual fat cells are injected to replace the lost volume. Fat transfer can lead to very long lasting results.
Lower eyelid surgery is performed at our Palo Alto Plastic Surgery Center, located conveniently near Stanford University. The lower eyelid blepharoplasty takes about one hour to perform. The cosmetic surgery is performed with local anesthesia and a varying degree of sedation depending on patient comfort. Our fully accredited Bay Area Surgery Center offers any degree of anesthesia from local anesthesia to an anesthesiologist- administered general anesthesia. The type of anesthesia used for each San Jose / San Francisco blepharoplasty patient is determined during a thorough consultation with Dr. Jill Hessler. She will take into account such factors as the patient’s overall health, skin condition, overall treatment plan, and personal preferences.
Patients can schedule a consultation by contacting our office at 650.799.9009 or by filling out an online contact form.