Similarly, the bags formed in the lower eyelid gradually pull down the very thin membrane-like lower eyelid skin, causing a discomfort known as ectropion, where the edge of the eye turns outward. Ectropion can lead to dryness, keratitis, and even blindness.

Eyelid surgery, blepharoplasty, is planned while the patient is in a seated position and is performed under local anesthesia, sometimes with sedation according to the plan. Sagging around the eyes can occur in conjunction with sagging in the brow and forehead skin. In such cases, achieving excellent results involves adding “brow lift” and “forehead lift” operations to the blepharoplasty procedure. The upper eyelid incision is made through the existing crease (the resulting scar becomes invisible, replacing the old line after about 6 months), and the lower eyelid incision is made just below the eyelashes. Subsequently, skin excision involving muscles and, if necessary, fat tissue excision is performed, followed by closing the skin with continuous and invisible stitches placed under the skin. There is no need to remove these stitches.

Patients can return to their daily lives with eyelids that appear perfectly normal. Bruising is rare and, if it occurs, typically disappears after an average of 5-7 days.