• March 20, 2023
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Last updated on June 3, 2024

Scarless Blepharoplasty (Scarless lower eyelid surgery) in London, Milton Keynes, and Northampton

Suitability criteria

Scarless lower eyelid surgery is a minimally invasive technique which, as the name suggests, is done without any skin cut or any visible scar on your eyelid.

This technique is suitable for adults who have bulging lower eyelid fat pads due to weakness of the tissue containing fat and/or excessive fat around the eye without excess skin fold or loss of elasticity of the eyelash line.

Benefits

• No scar
• No stitches
• No dressing
• Quick recovery
• Almost zero risk of eyelid retraction or eyelash eversion

How is scarless Lower Eyelid Blepharoplasty carried out?

You will need to book an in-person consultation with Mr Mrinal Supriya for clinical assessment, suitability assessment and for you to understand the procedure to make an informed decision.

The actual procedure is usually carried out under General Anaesthetic, though sedation and local anaesthesia is an option. A special cover is used to protect the cornea followed by local anaesthetic injection inside the eyelid i.e. the conjunctiva of the lower eyelid. A cut is then made on the conjunctiva (hence the medical name, Transconjunctival) and underlying tissues are precisely dissected layer by layer to reveal the fat pads. Subsequently, excess fat is either removed or relocated over the cheek as suitable. Any bleeding is controlled and finally the cut in conjunctiva is approximated. Usually, no stitches are necessary. It is rare to require any dressing. Bruising of eyelid skin is minimal, though there will be a degree of swelling which will settle down relatively quickly.

Aftercare

• Use a cold compress over the eyelid for the first 48 hours.
• Sleep with your head elevated for 3-4 nights.
• Please apply the prescribed eyedrops as instructed.
• Please use artificial tear drops as frequently as needed to prevent dryness.
• Most patients can resume normal physical activity after 4-5 days.

Potential Risks of Scarless Lower Blepharoplasty

Like any other surgical procedure, bleeding and/or infection is a rare risk. You may experience swelling and redness of the conjunctiva which usually resolves itself. You may feel dryness and irritation for a few days. Bleeding within the eye socket (orbit) can be sight threatening but this is extremely rare.

Limitations

Scarless lower Blepharoplasty is not suitable for patients who have excess skin folds or skin and/or eyelash laxity. Traditional Transcutaneous Blepharoplasty that is done by making a skin cut just below the eyelashes is indicated for these patients as removal of excess skin and tightening and lift of the deeper muscle/tissue and eyelash line is required. Similarly, in patients who have conjunctival disease or corneal problems, a transconjunctival blepharoplasty is not appropriate.