Lower Eyelid Surgery Complications: Risks, Revisions, and How to Minimize Them

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New York Oculoplastic Surgeon Amiya Prasad, MD reviews the different types of risks and complications of lower eyelid surgery, effective procedures for revision surgery, and the best practices to avoid complications for lower eyelid surgery.

0:20 - What lower eyelid blepharoplasty is

0:30 - Causes of puffy eye bags and why many young people have under eye bags

0:53 - Why lower eyelid surgery is the most effective and longest lasting procedure for puffy eye bags

1:05 - Why lower eyelid surgery should not be considered a generic procedure

1:41 - Dr. Prasad’s credentials and experience with cosmetic eyelid surgery, including eyelid revision surgery

2:24 - Complications associated with lower eyelid surgery

3:40 - What lower eyelid retraction is, and its causes

4:07 - What transcutaneous blepharoplasty is

4:37 - How transcutaneous blepharoplasty can lead to lower eyelid retraction

4:52 - How eyelid malposition can cause entropion and ectropion eyelid retraction

5:07 - How eyelid skin removal as a strategy to improve fine lines and wrinkles can worsen the result

5:20 - Common misconceptions by many surgeons and the general public about transcutaneous blepharoplasty

5:37 - How the removal of skin during transcutaneous blepharoplasty can cause lower eyelid retraction, or worse, skin shortage

5:52 - Effects of lower eyelid blepharoplasty complications

6:05 - Dr. Prasad’s one guiding principle when approaching lower eyelid retraction, ectropion, and entropion

6:16 - Using tissue graft and repairing the lateral canthal tendon for restoration of anatomy

6:46 - Advanced wound healing technology such as PRP and extracellluar matrix by ACell
6:59 - How to address bone volume deficiency

8:02 - Dr. Prasad uses hyaluronic acid fillers to address hollowness in the lower eye area and cheekbones

8:28 - How avoiding lower eyelid retraction and other complications is less expensive than revision surgery
8:41 - How opting for cheaper lower eyelid surgery can be more expensive in the long run

9:07 - How Dr. Prasad minimizes the risks of lower eyelid retraction

9:27 - What transconjunctival lower eyelid blepharoplasty is

10:01 - Why Dr. Prasad avoids eyelid skin removal

10:12 - The importance of improving the quality of the skin for under eye wrinkles

10:20 - How to stimulate collagen production using platelet-rich plasma (PRP)

11:14 - Why it is better to use local anesthesia and LITE IV sedation during surgery, and its benefits for patients

11:30 - Expected recovery time for Dr. Prasad’s lower eyelid blepharoplasty patients

11:47 - How highly-trained and experienced surgeons can minimize risks during surgery

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