Lower Eyelid Surgery / Lower Blepharoplasty

Welcome to Orange County’s best information resource for plastic surgery and, in particular, lower eyelid / lower blepharoplasty surgery. Dr. Cruise, board certified plastic surgeon, Newport Beach, CA, has filled every inch of this site with the most comprehensive lower eyelid surgery information available. Patient education is a priority for Dr. Cruise. With this in mind, he was adamant that the information be highly relevant, easy to understand and, above all, lots and lots of lower eyelid pictures.

To give you a brief overview, here are some of the important topics that will be discussed. This is in addition to the many lower eyelid before and after pictures available for your review.

• Will lower eyelid surgery get rid of my bags?
  Dr. Cruise outlines the causes of lower eyelid bags. Also, outlined is a detailed explanation of facial aging. It is highly recommended to review the custom face lift section.

• Why do my eyelids look tired even when I feel alert?
  See how upper and middle facial aging causes a sad, tired appearance. Also outlined are the logical treatments to rejuvenate the lower eyelid region.

• Will fat transfer help with my lower eyelid rejuvenation?
  Fat loss around the eyes and cheeks occurs in everyone over the age of 40. Dr. Cruise’s “Custom-Lift” approach to lower blepharoplasty addresses the aging problems at its core to achieve the longest lasting, most natural results.

• Lower eyelid surgery before and afters pictures
  Find people similar to you.

• Complications ,risks, recovery and safety of lower eyelid surgery

• Lower eyelid surgery cost
  Is financing available

Eyes are the focal point of one’s face. They are the first thing people notice and are the key to facial expression. This is the main reason why so many people seek cosmetic eyelid surgery. We hear over and over again, My eyes always look tired and old even when I feel wide awake. This is very profound because often if you look old and tired you will feel the same way. How many times have you dressed up and prepared to go out feeling good about yourself only to look in the mirror to see that your eyes look older than you feel. The reason is that during the aging process the region around your eyes shows the effects of aging much sooner than other areas.

Aging affects the entire face but usually affects the eye region earliest. The reason for this is because early in life there is a large amount of fat surrounding the eyes. You can verify this yourself by looking at the cheeks of a newborn. They are round and full of fat. As we age, this fat will either descend downward on the face or may go away completely. When this happens, it exposes the underlying facial skeleton resulting in the familiar gaunty appearance that we recognize as aging. Also, the fat and underlying muscles act as a filler creating the volume seen in the cheeks of youth. When this filler descends or goes away we see wrinkling. This process is similar to a grape which turns into a raisin when the water is removed.

Skin With Aging

When Dr. Cruise examines a lower eyelid during consultation he evaluates all four components. Drawing on his experience, he determines which component or components is/are causing the problem and what is the best way to correct it.

The importance of the underlying fat and muscle has been revolutionary in the field of plastic t/uploads/2011/11/Before1-150×150.jpg”surgery over the last 10 years. It is no longer acceptable to think of eyelid rejuvenation as merely a procedure to tighten the skin.This is why Dr. Cruise feels it is so important to correct the problem itself and not just the effects of the problem. He advocates not removing fat but rather repositioning it back to where it once was. Reposition cheek fat is called a Cheek Lift and it can be done at the same time as a lower blepharoplasty. Once again, not everyone needs a cheek lift. This is determined during your consultation.

Fat With Aging

Another contributing factor to the appearance of old age within the eye region is the fact that the lower eyelid, especially toward the temple region, begins to descend. This gives a depressed, sad appearance. This is much different than the appearance that one had when he/she was younger. The lower eyelid of youth has a bright, elegant appearance with the lateral aspect being higher than the nasal aspect. Dr. Cruise feels that it is important to address this issue. Often, he will elevate the lateral portion of the lower eyelid to re-create that youthful, almond-shape appearance. This is a powerful and very effective maneuver and is well worth the additional time.

Before After	Before After
Example of how repositioning the muscles and fat can markedly improve bags under the lower eyelid	Oblique view of same patient

Eyelid surgery alone will not correct crow’s feet. It will help but often a concurrent brow-lift and/or face-lift is necessary. Dr. Cruise, however, is able to reduce it significantly during his eyelid surgery by repositioning the underlying fat and muscle into a more youthful position.

Cheek fat in youth is located high underneath the lower eyelid. This prevents the formation of the lower eyelid crease that is characteristic of an aged face.

It is often very useful to perform fat transplantation, as well as either chemical peeling or laser skin resurfacing, in addition to eyelid surgery. This allows Dr. Cruise to address all the components associated with aging around the eye. Remember, the aging eyelid is a result of problems within the skin, muscle, and fat.

Aged Eyes. Notice how the cheek fat has descended creating a deep lower eyelid crease and a deep fold above the lips.

‹‹ Mid Face Rejuvenation

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