This is usually performed under local anesthesia, so that lid symmetry can be evaluated intraoperatively. It usually takes about 30-45 minutes to perform. This can be done in conjunction with lower lid blepharoplasty or upper lid ptosis procedure as well and periocular or full face and neck laser skin resurfacing.
This varies per patient, but about 80% of swelling decreases by month 1, and the residual 20% can take several months to resolve. The stitches placed usually dissolve in about 10 days to 2 weeks (sometimes non-dissolvable stitches are placed and are removed at week 1) and patients are usually seen at the following intervals postoperatively: 1 week, 1 month, 3 months. No bandages are placed after the procedure, but detailed instructions will be given about ice and head positioning to decrease swelling after the procedure.
As with any surgical procedure, there are certain risks associated with a lower blepharoplasty procedure, which Dr. Rosh will review at your consultation.