{"id":4478,"date":"2020-05-07T12:00:59","date_gmt":"2020-05-07T18:00:59","guid":{"rendered":"https:\/\/www.artefacial.com\/?p=4478"},"modified":"2026-05-28T17:24:55","modified_gmt":"2026-05-28T23:24:55","slug":"causes-of-eyelid-retraction-after-surgery-for-removal-of-bags-under-the-eyes","status":"publish","type":"post","link":"https:\/\/www.artefacial.com\/en\/surgery\/causes-of-eyelid-retraction-after-surgery-for-removal-of-bags-under-the-eyes\/","title":{"rendered":"Causes of eyelid retraction after surgery for removal of bags under the eyes"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4478\" class=\"elementor elementor-4478 elementor-4473\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4db9643f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4db9643f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-316ee81a\" data-id=\"316ee81a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2bb6165a elementor-widget elementor-widget-text-editor\" data-id=\"2bb6165a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: left;\">Lower eyelid <a title=\"\" class=\"aalmanual\" target=\"_self\"   href=\"\/en\/blepharoplasty\/\">blepharoplasty<\/a> is a surgical procedure designed to reduce the appearance of bags and dark circles under the eyes. This procedure is highly sought-after because bags and dark circles affect many people, making them look tired and aged. Fortunately, lower blepharoplasty can achieve amazing results by refreshing and taking years off a person\u2019s appearance (link to gallery). However, this operation is extremely delicate and must be performed by an experienced surgeon; otherwise, severe complications may ensue.<\/p><h2 style=\"text-align: left;\">What causes eyelid scarring and retraction after blepharoplasty?<\/h2><p style=\"text-align: left;\">Eyelid scarring and retraction may occur after lower eyelid surgery to remove bags for two main reasons: excision of too much skin, or eyelid laxity not addressed during the operation. During lower <a title=\"\" class=\"aalmanual\" target=\"_self\"   href=\"\/en\/blepharoplasty\/\">blepharoplasty<\/a>, if the patient presents excess skin and significant wrinkles, the surgeon may decide to make an incision below the eyelashes to remove the excess of skin. This step is perhaps the most difficult in lower eyelid surgery because of how easily too much skin can be removed. Thus, the rule of thumb for eyelid surgeons is to remove about 50% of the amount that seems necessary. Removing less skin will guarantee that eyelid retraction does not happen (see video).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5f04a0 elementor-widget elementor-widget-video\" data-id=\"f5f04a0\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=-PkNSmkCGTw&quot;,&quot;lazy_load&quot;:&quot;yes&quot;,&quot;show_image_overlay&quot;:&quot;yes&quot;,&quot;image_overlay&quot;:{&quot;url&quot;:&quot;https:\\\/\\\/www.artefacial.com\\\/wp-content\\\/uploads\\\/2020\\\/05\\\/Causes-of-eyelid-retraction-after-surgery-for-removal-of-bags-under-the-eyes.jpg&quot;,&quot;id&quot;:14917,&quot;size&quot;:&quot;&quot;,&quot;alt&quot;:&quot;Causes of eyelid retraction after surgery for removal of bags under the eyes&quot;,&quot;source&quot;:&quot;library&quot;},&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t\t\t<div class=\"elementor-custom-embed-image-overlay\" style=\"background-image: url(https:\/\/www.artefacial.com\/wp-content\/uploads\/2020\/05\/Causes-of-eyelid-retraction-after-surgery-for-removal-of-bags-under-the-eyes.jpg);\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-custom-embed-play\" role=\"button\" aria-label=\"Play Video about Causes of eyelid retraction after surgery for removal of bags under the eyes\" tabindex=\"0\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-play\"><\/i>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b1076e elementor-widget elementor-widget-text-editor\" data-id=\"5b1076e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: left;\">Another cause of eyelid retraction after blepharoplasty is removing skin without addressing eyelid laxity at the time of the operation. The gravitational pull of the incision will cause eyelids to retract unless the surgeon strengthens the lateral tendon of the eyelids. Therefore, it is important to accompany most lower eyelid blepharoplasties with a canthopexy, a procedure that corrects laxity. Canthopexy tightens the eyelid tendon to the bone on the outer rim of the eye socket, providing firmness. If a patient underwent <a title=\"\" class=\"aalmanual\" target=\"_self\"   href=\"\/en\/info\/lower-eyelid-blepharoplasty\/\">lower eyelid blepharoplasty<\/a> without a canthopexy, and it resulted in retraction, a canthopexy may be performed under local anesthesia to try to correct the problem (see video).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-833bdd7 elementor-widget elementor-widget-video\" data-id=\"833bdd7\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=zFwF6a4AG4M&quot;,&quot;lazy_load&quot;:&quot;yes&quot;,&quot;show_image_overlay&quot;:&quot;yes&quot;,&quot;image_overlay&quot;:{&quot;url&quot;:&quot;https:\\\/\\\/www.artefacial.com\\\/wp-content\\\/uploads\\\/2020\\\/05\\\/What-causes-eyelid-scarring-and-retraction-after-blepharoplasty.jpg&quot;,&quot;id&quot;:14919,&quot;size&quot;:&quot;&quot;,&quot;alt&quot;:&quot;What causes eyelid scarring and retraction after blepharoplasty?&quot;,&quot;source&quot;:&quot;library&quot;},&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t\t\t<div class=\"elementor-custom-embed-image-overlay\" style=\"background-image: url(https:\/\/www.artefacial.com\/wp-content\/uploads\/2020\/05\/What-causes-eyelid-scarring-and-retraction-after-blepharoplasty-300x200.jpg);\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-custom-embed-play\" role=\"button\" aria-label=\"Play Video about What causes eyelid scarring and retraction after blepharoplasty?\" tabindex=\"0\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-play\"><\/i>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Lower eyelid blepharoplasty is a surgical procedure designed to reduce the appearance of bags and dark circles under the eyes. <\/p>\n","protected":false},"author":2,"featured_media":4477,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22],"tags":[897,26,948,36,52,55,56,57,79,87,97],"class_list":["post-4478","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-surgery","tag-bags-under-the-eyes","tag-blepharoplasty","tag-cirugia-oculofacial-en","tag-cosmetic-surgery","tag-eyelid-inflammation","tag-eyelid-plastic-surgery-escazu","tag-eyelid-plastic-surgery-san-jose","tag-eyelid-plastic-surgery-santa-ana","tag-lower-eyelid-bags","tag-oculofacial-surgery","tag-plastic-surgery"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Causes of eyelid retraction after surgery for removal of bags under the eyes<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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