{"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 <a title=\"\" class=\"aalmanual\" target=\"_self\"   href=\"\/en\/blepharoplasty\/\">blepharoplasty<\/a> 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 blepharoplasty, 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\\\/smush-webp\\\/2020\\\/05\\\/Causes-of-eyelid-retraction-after-surgery-for-removal-of-bags-under-the-eyes.jpg.webp&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\/smush-webp\/2020\/05\/Causes-of-eyelid-retraction-after-surgery-for-removal-of-bags-under-the-eyes.jpg.webp);\">\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<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-play\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M838 162C746 71 633 25 500 25 371 25 258 71 163 162 71 254 25 367 25 500 25 633 71 746 163 837 254 929 367 979 500 979 633 979 746 933 838 837 929 746 975 633 975 500 975 367 929 254 838 162M808 192C892 279 933 379 933 500 933 621 892 725 808 808 725 892 621 938 500 938 379 938 279 896 196 808 113 725 67 621 67 500 67 379 108 279 196 192 279 108 383 62 500 62 621 62 721 108 808 192M438 392V642L642 517 438 392Z\"><\/path><\/svg>\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\\\/smush-webp\\\/2020\\\/05\\\/What-causes-eyelid-scarring-and-retraction-after-blepharoplasty.jpg.webp&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\/smush-webp\/2020\/05\/What-causes-eyelid-scarring-and-retraction-after-blepharoplasty-300x200.jpg.webp);\">\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<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-play\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M838 162C746 71 633 25 500 25 371 25 258 71 163 162 71 254 25 367 25 500 25 633 71 746 163 837 254 929 367 979 500 979 633 979 746 933 838 837 929 746 975 633 975 500 975 367 929 254 838 162M808 192C892 279 933 379 933 500 933 621 892 725 808 808 725 892 621 938 500 938 379 938 279 896 196 808 113 725 67 621 67 500 67 379 108 279 196 192 279 108 383 62 500 62 621 62 721 108 808 192M438 392V642L642 517 438 392Z\"><\/path><\/svg>\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 v28.2 - 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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