Lower blepharoplasty often addresses issues like tear troughs, pretarsal silkworm, and sunken malar areas simultaneously, achieving a visual improvement that makes individuals appear more refreshed and captivating. Consequently, it has consistently been a highly popular procedure in the field of plastic surgery.
At Mumake Clinic, Dr. Chen Chenkun, our Director of Medical Technology, with nearly 20 years of extensive experience in Lower lid blepharoplasty, has developed two techniques:“Kun's transconjunctival lower blepharoplasty” and “Kun's transcuatenous lower bleapharoplasty”. These methods allow for a customized approach to address a patient's comprehensive eye bag concerns while keeping incisions small and ensuring a natural postoperative appearance.
Causes and Locations of Eye Bags, Pretarsal Silkworm, and Tear Troughs
Pretarsal Silkworm
Pretarsal Silkworms are a part of the Orbicularis Oculi muscle, which becomes more pronounced when the muscles contract, often appearing more prominent when smiling.
Eye Bags
Eye bags are primarily composed of fat and can result from various factors, such as genetics or the aging process.
Tear troughs
Tear troughs are fibrous bands attached to the eye socket bone. Deep tear troughs can give the appearance of dark circles and a tired look.
Recommended Lower blepharoplasty
Mumake Clinic, Dr. Chen Chenkun, our Director of Medical Technology, has introduced two innovative techniques over nearly 20 years of experience in the field— “Kun's transconjunctival lower blepharoplasty” and “Kun's transcuatenous lower bleapharoplasty”. These approaches address various eye bag concerns with minimal scarring, quick recovery, and simultaneous improvement in multiple issues, including dark circles, tear troughs, and pretarsal silkworm Whether it's long-standing "baggy grooves," pigmentation issues around the eyes, sagging skin, or fine lines around the eyes, all can be improved.
Kun's transconjunctival lower blepharoplasty
Suitable Candidates: Individuals with good skin elasticity, mild under-eye bag concerns, and no severe sagging.
① Fat Repositioning
Through an incision made inside the conjunctiva of the eye, the tear trough ligament is separated and relaxed. Subsequently, the lower eyelid fat is gently separated and repositioned or pushed back into the tear trough depression. This approach helps tighten the lower eyelid, making crow's feet more prominent and simultaneously addressing tear trough issues.
② Nanofat Filling
In the case of an internal eye bag approach, concerns related to mid-face hollowness are also considered. By using autologous fat harvested via liposuction to create "nanofat" (ultra-fine fat particles), these are then used to fill mid-face depressions. This results in a beautifully contoured appearance of the apple of the cheek and enhances the effects of step ① fat repositioning.
③ Lateral Canthopexy
Achieving fullness is important, but firmness is equally crucial. The final step involves tightening and suspending the loosened fascia to make the outer corner of the eye more taut, ultimately achieving a lifting and rejuvenating effect.
Kun's transcuatenous lower bleapharoplasty
Suitable Candidates: Individuals with severe skin sagging around the eyes, middle-aged and elderly individuals.
① Tear Trough Repositioning
Relax the tear trough ligament and the eye orbicularis muscle, altering the structure of the tear trough. Gently separate the lower eyelid fat pad and secure it back in the tear trough depression. This approach tightens the lower eyelid, making crow's feet more prominent, and simultaneously addresses tear trough concerns.
② Nanofat Filling
Using autologous nanofat to fill mid-face depressions results in beautifully contoured apple cheeks. This enhances the effects of step ① fat repositioning.
③ Pretarsal Silkworm Suspension (+ Skin Rejuvenation)
For patients with relatively loose skin, although eyelid surgery cannot completely eliminate dynamic fine lines, the use of autologous fat shaping, along with the final step of pretarsal silkworm suspension (some patients may also opt for external skin tightening), leads to the formation of attractive pretarsal silkworm, giving a more youthful appearance.
Kun's transconjunctival lower / Kun's transcutaneous lower bleapharoplasty
Witness
※The case photos in this text are clinic's pre- and post-operative photos, used for treatment explanation or supplementary educational information. They are for reference only. According to the announcement of the Ministry of Health and Welfare, the case records obtained patient consent and are not medical advertisements.
Q:How long does the surgery take?
A:The duration of the surgery depends on whether it's an internal or external eyelid surgery. Kun's transconjunctival lower bleapharoplasty surgery takes approximately 40-50 minutes, while Kun's transcutaneous lower bleapharoplasty surgery takes about 1 hour.
Q:Will the surgery remove my pretarsal fullness?
A:Many people are concerned about this, but it's important to understand that eye bags and pretarsal fullness are different structures in different locations. Eye bags are caused by fat under the eye, while pretarsal fullness involve the muscles around the eyes. Therefore, eyelid surgery does not affect pretarsal fullness. However, in some cases where prominent eye bags overshadow pretarsal fullness, removing the eye bags may make pretarsal fullness more noticeable.
Q:Do I need anesthesia or hospitalization?
A:The surgery is performed under local anesthesia, and you can return home on the same day. Hospitalization is not required.
Q:Should I choose Kun's transconjunctival lower bleapharoplasty or Kun's transcutaneous lower bleapharoplasty?
A:The choice between Kun's transconjunctival lower bleapharoplasty or Kun's transcutaneous lower bleapharoplasty depends on your individual eyelid condition. It's essential to have a thorough consultation with the doctor, who will recommend the most suitable procedure.
Q:Is suture removal necessary, and where are the scars?
A:Kun's transconjunctival lower bleapharoplasty surgery does not require suture removal, and there are no visible scars. Kun's transcutaneous lower bleapharoplasty surgery incisions are made beneath the lower eyelashes, but with proper care, the scars are minimal and hardly noticeable.
Q:What postoperative care should I be aware of?
To prevent eyelid swelling, avoid excessive water intake and lying flat. Use ice packs for 2-3 days.
Limit prolonged use of vision, such as reading, watching TV, or using a computer.
Avoid smoking, alcohol, and spicy foods to facilitate wound healing.
Sutures are typically removed in 5-7 days (for internal surgery, it's recommended to return after 3 days for suture removal). After suture removal, you can wash your face with water but avoid rubbing it.
Post-suture removal, apply warm compresses with a towel to help reduce swelling.
If you wear contact lenses or eye makeup, it's advised to wait for 2-3 weeks post-surgery.
Eyelid swelling should subside in about 1-2 weeks, with complete natural recovery taking up to 2 months. Scar fading may take 3-6 months, with individual variations, so patience is required.