Blepharoplasty Removes Dark Circles Under Eyes

Dark circles under eyes give tired and older looks. People have confusion about the cause of dark circles. Dark circles are nothing but the thick skin under your eyes. There are few reasons for the cause of dark skin under eyes or dark circles under eyes.
Dark Purple skin under Lower Eyelid Skin: Some people have purplish or dark color of the lower eyelid skin, they think they have dark circles under their eyes. But this is not only with these people. Everyone have dark skin of lower eyelids as compare to rest of the face. The lower eyelids skin is the thinnest skin on the face and this is so thin that everyone can see through it. Even you can see the eyelid muscles of purple color through thin eyelid skin. Eyelid skin appears more bluish when skin is thick. This appears dark due to the eyelid muscles beneath the thin skin. This not a problem but a racial and familial difference in the eyelid skin thickness and muscle color. This makes a variation in the darkness under eyes. You can use cove make-up to hide the dark circle, this is the only solution.
Appearance of Hollowed Eyes Due to Eyelids Sunken in: Some people have hollow eyes appearance due to eyelids sunken in. This thing caused by the deficiency of normal fat under eyelids which surrounds the eyeball. The fat normally plumps the lower eyelid skin. The deficiency of the fat caused due to racial factors, malnutrition, dehydration or general disease. This deficiency can be solved by performing Tranconjunctival Blepharoplasty. During the blepharoplasty, a thin incision is made on the inside pink potion of the lower eyelid. After that some fat transplant under lower eyelid. This blepharoplasty plumps the lower eyelids and makes a good appearance.
Dark Circles due to Naso-jugal Fold or Tear Trough Deformity: Naso-jugal fold is a depression or deep dark line along the lower eyelids just above the cheek. This called true dark circles under eyes. This depression attached to the underlying bone of rim of the eye socket. The depression is free to move due to unattached skin of lower eyelid just above the depression and drops shadow which make crease the dark color. The Naso-jugal fold or dark circle becomes darker with the age because eyelids and cheeks begin to sag with age but dark circles can not sag. Dark circles attached to bone and cannot sag with the face skin. So, with the age eyelids and cheeks sagging and dark circles become darker.
Tranconjunctival blepharoplasty can be performed to correct the Naso-jugal fold or dark circle. During the blepharoplasty, arcus marginalis ligament is released and free the dark circle. After that dark circle skin frees up and starts moving with the lower eyelid skin and rest of the skin. This procedure of blepharoplasty lessens the shadow of dark circle. Some fat is implant under dark circle to prevent the re-attachment of arcus marginalis. This is called tear tough implant under dark circle. Removal of true dark circle requires the blepharoplasty surgery.

Signs and Symptoms for Blepharoplasty

It is very simple to determine if you need to consider Blepharoplasty. You can check the signs just to look in mirror. Now the thing is, what do you see?
# Is any tiredness appear on your face, even though you are not tired?
# Is your upper eyelid skin overhanging your normal eyelid crease and effecting the eyelashes?
# Are the eyelids appear baggy and saggy with excess fat pockets?
# Notice the fat bags and bulges where they shouldn’t be.
# Look at your eyes. Do eyes appear smaller than as they did appear before?

Sign and symptoms for blepharoplasty generally depend upon your age. If you are in late forties, chances of drooping eyelids and puffy bags under your eyes become more. In thirties, elasticity of the eyelid skin remains perfect. But during late forties, elasticity of thin and delicate eyelid skin starts loosing, though rest of your face appears perfect. This makes you look tired and older.

Main thing is that whether these points should be considered as symptoms or not for blepharoplasty. In some cases, upper eyelids becomes too heavy and its skin resting upon eyelashes. These things affect your eyesight vision. In late forties, almost all people suffering from baggy eyelids and they can have benefit from blepharoplasty. In year 2006, about 23000 people underwent blepharoplasty. Blepharoplasty is preferred over the full facial surgery.

Transconjunctival Lower Blepharoplasty

Variations: The lower blepharoplasty may be accomplished with the use of laser or simple scalpel for the incision. A skin pinch excision may be used if your surgeon indicates and the muscles tightened through the same eyelid skin incision. Fat repositioning may be used in lower blepharoplasty to fill in slight depressions on upper cheek.

Advantages: The transconjunctival lower blepharoplasty has several advantage over transcutaneous lower eyelid blepharoplasty. Advantages of Lower blepharoplasty include:
# There will be no external scar after surgery.
# Chance of lower eyelid ectropion will be less and lower eyelids remain near to eye.
# Less incision to middle layers of eyelid.
# Fat is precisely sculpting from lower eyelids.
# Swelling and bruising will be less in lower blepharoplasty.
#Lower blepharoplasty is safer for patients who had previous blepharoplasty.

Limitations: In lower blepharoplasty, the excess fat is more address than the skin. The eyelids with less or minimal excess skin returns to a normal position after the surgery with no evidence of wrinkling or redundancy. The patients have excess skin can be excise with canthoplasty over lower eyelids. the excess skin can be tightened using laser surfacing or chemical peel over lower eyelid and upper cheek. You can get 70-80% improvement from lower blepharoplasty.

Lower Blepharoplasty Surgery

Lower Blepharoplasty is performed to remove bulging fat from eyelids. Local anesthesia is used for the lower blepharoplasty. Local anesthesia with intravenous sedation or oral sedation may be used. In lower blepharoplasty, the lower eyelid is pulled away from eyeball with the use of blunt retractor. The eyeball is then protected using a plastic plate. The electrocautery is used in lower blepharoplasty to seep across the back side of eyelid along its junction with eyeball. Incision is made across the eyelid to remove fat pockets. Size of incision depends upon the quantity of fat pockets presents in the lower eyelids. The incision may be enlarged in lower blepharoplasty using scalpel. After that 3-4 fat pockets teased out from their capsules into the surgical field. The excess fat from each of the fat pocket is clamped and then excised in a conservative fashion. Blepharoplasty surgeon places the eyelid to its normal position and evaluates the lower blepharoplasty results. Surgeon may stop at any time for excellent precision of the surgery. At the end of lower blepharoplasty procedure, surgeon may close the wound with one or two dissolving sutures. Normally surgeon does not use stitches. Lower blepharoplasty can be accomplished with the use of laser or any other cutting tool like scalpel.